临床误诊误治2026，Vol.39Issue(2)：99-105,7.DOI:10.3969/j.issn.1002-3429.2025.24.015
针刀配合美式整脊对神经根型颈椎病患者疼痛程度、颈椎功能的影响
Effect of acupotomy combined with Chiropractic manipulative therapy on the pain level and cervical function of patients with cervical spondylotic radiculopathy
摘要
Abstract
Objective To investigate the application effect of acupotomy combined with Chiropractic manipulative therapy in patients with cervical spondylotic radiculopathy(CSR).Methods A total of 80 patients with CSR admitted from November 2021 to October 2023 were selected.The patients were divided into observation group and conventional group by random number table method,with 40 patients in each group.The conventional group received Chiropractic manipulative therapy,and the observation group received acupotomy combined with Chiropractic manipulative therapy.The clinical efficacy of the two groups was observed,and the visual analogue scale(VAS)pain score,neck disability index(NDI)score,hemorheological indicators[plasma viscosity,whole blood viscosity(at low,medium,and high shear rate)],F-wave conduction velocities of the median and ulnar nerves,pain mediators[serum substance P,β-endorphin(β-EP),prostaglandin E2(PGE2),5-hydroxytryptamine(5-HT)]levels before and after treatment and safety were compared between the two groups.Results The total effective rate of treatment in the observation group[95.00％(38/40)]was higher than that in the conventional group[77.50％(31/40)](P＜0.05),and after treatment,the VAS pain scores and NDI scores of the observation group were lower than those of the conventional group(P＜0.01).After treatment,the whole blood viscosity at low,medium and high shear rate and plasma viscosity in the observation group were lower than those in the conventional group,and the F-wave conduction velocities of the median and ulnar nerves was higher than that in the conventional group(P＜0.01).After treatment,compared with the conventional group,the serum PGE2,substance P,5-HT in the observation group were lower,while β-EP was higher(P＜0.01),and there was no significant difference in the incidence of adverse reactions between the two groups(P＞0.05).Conclusion Acupotomy combined with Chiropractic manipulative therapy is effective and safe in the treatment of patients with CSR.It can promote nerve conduction,regulate hemorheological parameters,and accelerate the metabolism of pain mediators,thereby reducing the degree of pain and improving cervical spine function.关键词
神经根型颈椎病/针刀/美式整脊/颈椎功能/β-内啡肽/前列腺素E2/血液流变学/肌电图Key words
cervical spondylotic radiculopathy/acupotomy/Chiropractic manipulative therapy/cervical function/β-endorphin/prostaglandin E2/hemorheology/electromyography引用本文复制引用
刘淳,陈朝晖..针刀配合美式整脊对神经根型颈椎病患者疼痛程度、颈椎功能的影响[J].临床误诊误治,2026,39(2):99-105,7.基金项目
首都医科大学附属北京康复医院2021-2023年科研发展专项-康复临床研究培育专项青年项目(2021-048) （2021-048）
