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长圆针治疗颈椎病的临床疗效及安全性分析及其对疼痛和功能恢复的影响。

Clinical effect and safety analysis of long-round needle usage in treating cervical spondylotic radiotelegraphy and its effect on pain and functional recovery.

机构信息

Department of Nursing, The No. 2 Hospital of Baoding, Baoding, Hebei, China.

Department of Nursing, Lixian Hospital, Baoding, Hebei, China.

出版信息

J Back Musculoskelet Rehabil. 2023;36(6):1317-1323. doi: 10.3233/BMR-220295.

DOI:10.3233/BMR-220295
PMID:37458010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10741325/
Abstract

BACKGROUND

Long-round needle usage can treat muscular pain, but there is little research on cervical spondylotic radiculopathy (CSR).

OBJECTIVE

To explore the efficacy and safety of long-round needle usage in treating CSR.

METHODS

Ninety-eight patients with CSR were randomly divided into control and observation groups. They were treated with filiform needles and long-round needles, respectively. The therapeutic effect, safety, inflammatory factors and neck dysfunction index (NDI), McGill pain questionnaire (MPQ) and Generic Quality of Life Inventory-74 (GQOL-74) scores were compared between the two groups.

RESULTS

After treatment, the effective rate and safety of the observation group were better than those of the control group. The NDI and MPQ scores in the observation group were significantly lower than those in the control group, and the GQOL-74 score was higher than that in the control group. The level of interleukin-8 in the observation group was significantly lower than that in the control group, and the level of interleukin-10 was significantly higher than that in the control group.

CONCLUSIONS

Long-round needle therapy has a good effect on patients with CSR, which can safely improve the quality of life of patients with mild local inflammatory damage.

摘要

背景

长圆针疗法可以治疗肌肉疼痛,但对神经根型颈椎病(CSR)的研究较少。

目的

探讨长圆针对 CSR 的疗效和安全性。

方法

98 例 CSR 患者随机分为对照组和观察组,分别采用毫针和长圆针治疗。比较两组患者的治疗效果、安全性、炎症因子和颈功能障碍指数(NDI)、麦吉尔疼痛问卷(MPQ)和通用生活质量量表-74(GQOL-74)评分。

结果

治疗后观察组有效率和安全性均优于对照组。观察组 NDI 和 MPQ 评分明显低于对照组,GQOL-74 评分明显高于对照组。观察组白细胞介素-8 水平明显低于对照组,白细胞介素-10 水平明显高于对照组。

结论

长圆针疗法对 CSR 患者有较好的疗效,能安全地提高轻度局部炎症损伤患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b523/10741325/ead0bb0a1829/bmr-36-bmr220295-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b523/10741325/ead0bb0a1829/bmr-36-bmr220295-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b523/10741325/ead0bb0a1829/bmr-36-bmr220295-g001.jpg

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Spine (Phila Pa 1976). 2021 Jul 1;46(13):E704-E709. doi: 10.1097/BRS.0000000000003895.
2
Anatomical study of cervical intervertebral foramen in patients with cervical spondylotic radiculopathy.颈椎神经根型颈椎病患者颈椎椎间孔的解剖学研究。
J Orthop Sci. 2021 Jan;26(1):86-91. doi: 10.1016/j.jos.2020.01.017. Epub 2020 Feb 25.
3
Thunder-fire moxibustion for cervical spondylotic radiculopathy: Study protocol for a randomized controlled trial.
雷火灸治疗神经根型颈椎病随机对照临床试验研究方案
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4
[Acupuncture combined with granule for nerve-root type cervical spondylosis and its effects on IL-6、TNF-α、IL-1β and hemorheological indexes].[针刺联合颗粒剂治疗神经根型颈椎病及其对IL-6、TNF-α、IL-1β和血液流变学指标的影响]
Zhongguo Zhen Jiu. 2019 Dec 12;39(12):1274-8. doi: 10.13703/j.0255-2930.2019.12.005.
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ACR Appropriateness Criteria Cervical Neck Pain or Cervical Radiculopathy.美国放射学会(ACR)颈部疼痛或神经根型颈椎病的适宜性标准
J Am Coll Radiol. 2019 May;16(5S):S57-S76. doi: 10.1016/j.jacr.2019.02.023.