| 摘要: |
| ［摘要］ 目的 观察脊柱微调手法联合颈三针治疗颈型颈椎病（NTCS）的临床效果。方法 招募2022年10月至2023年12月邯郸市中西医结合医院收治的NTCS患者132例，采用随机数字表法将其分为观察组和对照组，各66例。对照组采用脊柱微调手法治疗，观察组采用脊柱微调手法联合颈三针治疗，3次/周为1个疗程，两组均连续治疗4个疗程。比较两组临床有效率、疼痛情况、颈椎功能、颈椎活动度、血清一氧化氮（NO）和内皮素（ET）水平以及复发率。记录患者治疗期间不良反应发生情况。结果 观察组临床总有效率显著高于对照组（93.94% vs 74.24%； χ2=9.570，P=0.002）。观察组治疗后视觉模拟量表（VAS）评分、颈椎功能障碍指数（NDI）评分均显著低于对照组（P<0.05），颈椎前屈、后伸、左转、右转等活动度均显著大于对照组（P<0.05）。观察组治疗后血清ET水平低于对照组，NO水平高于对照组，差异有统计学意义（P<0.05）。观察组治疗后日常生活能力量表（ADL）评分显著高于对照组（P<0.05）。两组不良反应总发生率比较差异无统计学意义（9.09% vs 3.03%； χ2=1.198，P=0.274）。在治疗后6个月，观察组复发率低于对照组，差异有统计学意义（8.06% vs 26.53%； χ2=6.869，P=0.009）。结论 脊柱微调手法联合颈三针治疗NTCS安全、有效，值得临床推荐。 |
| 关键词: 颈型颈椎病 脊柱微调手法 颈三针 颈椎功能 颈椎活动度 |
| DOI：10.3969/j.issn.1674-3806.2026.02.15 |
| 分类号:R 493 |
| 基金项目:河北省中医药管理局科研计划项目（编号：2020529） |
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| Observation on clinical effect of spinal fine-tuning manipulation combined with neck three-needle technique in treatment of neck-type cervical spondylosis |
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YUAN Lei1, FAN Changhai2
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1.The First Department of Rehabilitation Medicine, Handan Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Handan 056000, China; 2.The First Department of Surgery(Department of Orthopedics and Traumatology), Hengshui Hospital of Traditional Chinese Medicine, Hengshui 053000, China
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| Abstract: |
| ［Abstract］ Objective To observe the clinical effect of spinal fine-tuning manipulation combined with neck three-needle technique in treatment of neck-type cervical spondylosis(NTCS). Methods A total of 132 patients with NTCS who were admitted to Handan Hospital of Integrated Traditional Chinese Medicine and Western Medicine from October 2022 to December 2023 were recruited and divided into observation group and control group by using random number table method, with 66 patients in each group. The control group was treated with spinal fine-tuning manipulation, while the observation group was treated with spinal fine-tuning manipulation combined with neck three-needle technique, 3 times weekly, 1 week as a course of treatment. Both groups were treated continuously for 4 courses of treatment. The clinical effective rate, pain condition, cervical spine function, cervical ranges of motions, serum nitric oxide(NO) and endothelin(ET) levels, and relapse rate were compared between the two groups. The occurrence of adverse reactions in the patients during the treatment was recorded. Results The total clinical effective rate of the observation group was significantly higher than that of the control group(93.94% vs 74.24%; χ2=9.570, P=0.002). After the treatment, the Visual Analogue Scale(VAS) scores and Neck Disability Index(NDI) scores in the observation group were significantly lower than those in the control group(P<0.05), and the cervical ranges of motions including cervical anterior flexion, backward extension, left-handed rotation and right-handed rotation in the observation group were significantly greater than those in the control group(P<0.05). After the treatment, the serum ET level in the observation group was lower than that in the control group, and the serum NO level in the observation group was higher than that in the control group, with statistically significant differences between the two groups(P<0.05). After the treatment, the Activities of Daily Living(ADL) scale scores in the observation group were significantly higher than those in the control group(P<0.05). There was no statistically significant difference in the total incidence of adverse reactions between the two groups(9.09% vs 3.03%; χ2=1.198, P=0.274). At 6 months after the treatment, the relapse rate in the observation group was lower than that in the control group, with statistically significant difference between the two groups(8.06% vs 26.53%; χ2=6.869, P=0.009). Conclusion The combination of spinal fine-tuning manipulation and neck three-needle technique is safe and effective in treatment of NTCS, and is worthy of clinical recommendation. |
| Key words: Neck-type cervical spondylosis(NTCS) Spinal fine-tuning manipulation Neck three-needle technique Cervical spine function Cervical ranges of motions |
