| 中药口服联合穴位注射治疗神经根型颈椎病临床研究 |
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| 引用本文： | 丁晓燕,陈建秋,刘薛峰,谢磊,李明礼,余思云.中药口服联合穴位注射治疗神经根型颈椎病临床研究[J].中国中医药信息杂志,2019(9):38-42. |
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| 作者姓名： | 丁晓燕 陈建秋 刘薛峰 谢磊 李明礼 余思云 |
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| 作者单位： | 上海市嘉定区中医医院;上海市浦东新区公利医院;上海中医药大学附属市中医医院;上海市第一康复医院;上海市嘉定区妇幼保健院 |
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| 基金项目： | 国家自然科学基金(81603485) |
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| 摘 要： | 目的探讨中药口服联合穴位注射治疗神经根型颈椎病的临床疗效及对炎症因子的影响。方法采用随机抽签法将130例神经根型颈椎病患者分为对照组和试验组各65例。2组均予牵引治疗,试验组在此基础上并予中药口服联合穴位注射,每日1次。2组均治疗5 d后休息2 d,连续治疗4周。比较2组临床疗效,观察2组治疗前后中医症状评分、McGill疼痛问卷(MPQ)评分、颈椎病临床评价量表(CASCS)评分、相关肌肉表面肌电信号中位频率及炎症因子水平。结果试验组总有效率为95.38%(62/65),对照组为73.85%(48/65),试验组近期疗效明显优于对照组(P<0.05)。与本组治疗前比较,2组治疗后中医症状评分、MPQ评分明显降低,CASCS评分明显升高(P<0.05);2组治疗后比较,试验组上述评分明显优于对照组(P<0.05)。与本组治疗前比较,试验组治疗后相关肌肉表面肌电信号中位频率明显提高(P<0.05);2组治疗后比较,试验组相关肌肉表面肌电信号中位频率明显高于对照组(P<0.05)。与本组治疗前比较,试验组治疗后白细胞介素(IL)-1β、肿瘤坏死因子-α及IL-6水平明显降低(P<0.05);2组治疗后比较,试验组上述炎症因子水平明显低于对照组(P<0.05)。结论中药口服联合穴位注射治疗神经根型颈椎病可有效减轻患者症状体征,缓解疼痛,提高生活自理能力,并能改善相关肌肉表面肌电信号中位频率,降低炎症因子水平。
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| 关 键 词： | 穴位注射 神经根型颈椎病 炎症因子 临床研究 |
Clinical Study on TCM Combined with Acupoint Injection in Treatment of Cervical Spondylotic Radiculopathy |
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| DING Xiaoyan,CHEN Jianqiu,LIU Xuefeng,XIE Lei,LI Mingli,YU Siyun.Clinical Study on TCM Combined with Acupoint Injection in Treatment of Cervical Spondylotic Radiculopathy[J].Chinese Journal of Information on Traditional Chinese Medicine,2019(9):38-42. |
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| Authors: | DING Xiaoyan CHEN Jianqiu LIU Xuefeng XIE Lei LI Mingli YU Siyun |
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| Institution: | (Jiading District Hospital of Traditional Chinese Medicine of Shanghai City,Shanghai 201800,China;Gongli Hospital of Shanghai Pudong New District,Shanghai 200135,China;Affiliated Municipal Hospital of Traditional Chinese Medicine to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;First Rehabilitation Hospital of Shanghai City,Shanghai 200090,China;Shanghai Jiading District Maternal and Child Health Hospital,Shanghai 201800,China) |
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| Abstract: | DING Xiaoyan;CHEN Jianqiu;LIU Xuefeng;XIE Lei;LI Mingli;YU Siyun(Jiading District Hospital of Traditional Chinese Medicine of Shanghai City,Shanghai 201800,China;Gongli Hospital of Shanghai Pudong New District,Shanghai 200135,China;Affiliated Municipal Hospital of Traditional Chinese Medicine to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;First Rehabilitation Hospital of Shanghai City,Shanghai 200090,China;Shanghai Jiading District Maternal and Child Health Hospital,Shanghai 201800,China) |
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| Keywords: | acupoint injection cervical spondylotic radiculopathy cytokine clinical efficacy |
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