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针刺联合传统疗法治疗颈椎后路减压术后C5神经根麻痹的临床疗效:一项随机对照研究

Clinical Efficacy of Acupuncture Combined With Conventional Therapy for C5 Nerve Root Palsy After Posterior Cervical Decompression Surgery: A Randomized Controlled Study.

作者信息

Wei Hua, Shen Qingfeng, Fu Yuang, Tan Yubo, Gao Junwei, Xia Yingpeng

机构信息

Tianjin Union Medical Center, Tianjin Medical University, Tianjin, China.

Department of Spine Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Tianjin, China.

出版信息

Pain Res Manag. 2025 May 4;2025:2625552. doi: 10.1155/prm/2625552. eCollection 2025.

Abstract

To observe the clinical efficacy of Tiaokou acupoint-penetrating Chengshan combined with conventional therapy for C5 nerve root palsy after posterior cervical decompression surgery. A total of 52 patients undergoing posterior cervical decompression surgery at Tianjin Union Medical Center from March 2020 to March 2023 were grouped using computer-generated random numbers. Group A ( = 26) received the treatment of acupuncture combined with conventional therapy. Group B ( = 26) received only conventional therapy. The VAS scores of the two groups after treatment were significantly lower than scores before treatment ( < 0.01). The JOA scores, Lovett muscle strength grade, and shoulder ROM of the two groups after treatment were significantly higher than those before treatment ( < 0.01). After treatment, the VAS scores of Group A were significantly lower than those in Group B ( < 0.01) while the JOA scores, Lovett muscle strength grade, and shoulder ROM were significantly higher than those in Group B ( < 0.01). There were significant differences in VAS difference ( < 0.01) and JOA difference ( < 0.01) after 2 weeks of intervention treatment in Group A compared to Group B. There was a significant difference in the improvement of shoulder ROM in Group A after 2 weeks of intervention compared to Group B. The acupuncture method of Tiaokou acupoint-penetrating Chengshan combined with conventional nutritional support therapy was more effective in patients with C5 nerve root palsy after posterior cervical decompression surgery compared to conventional nutritional support therapy. Clinical Trial Registry identifier: ChiCTR2300073583.

摘要

观察后颈部减压手术后条口透承山穴联合传统疗法治疗C5神经根麻痹的临床疗效。选取2020年3月至2023年3月在天津医科大学总医院接受后颈部减压手术的52例患者,采用计算机生成随机数进行分组。A组(n = 26)接受针刺联合传统疗法治疗。B组(n = 26)仅接受传统疗法治疗。两组治疗后的视觉模拟评分(VAS)均显著低于治疗前(P < 0.01)。两组治疗后的日本骨科协会(JOA)评分、Lovett肌力分级及肩关节活动度(ROM)均显著高于治疗前(P < 0.01)。治疗后,A组的VAS评分显著低于B组(P < 0.01),而JOA评分、Lovett肌力分级及肩关节ROM均显著高于B组(P < 0.01)。A组干预治疗2周后的VAS差值(P < 0.01)和JOA差值(P < 0.01)与B组相比差异有统计学意义。A组干预2周后的肩关节ROM改善情况与B组相比差异有统计学意义。条口透承山穴针刺方法联合传统营养支持疗法治疗后颈部减压手术后C5神经根麻痹患者的疗效优于传统营养支持疗法。临床试验注册标识符:ChiCTR2300073583。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3935/12066177/f62c2477b56f/PRM2025-2625552.001.jpg

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