检验医学与临床2026，Vol.23Issue(5)：634-639,6.DOI:10.3969/j.issn.1672-9455.2026.05.010
郑氏"颈四步"手法联合穴位埋线治疗对神经根型颈椎病的疗效
Effect of Zheng's"cervical four steps"manipulation combined with acupoint catgut embedding on cervical spondylotic radiculopathy
摘要
Abstract
Objective To explore the therapeutic effect of Zheng's"four cervical steps"manipulation com-bined with acupoint catgut embedding on cervical spondylotic radiculopathy(CSR).Methods A total of 120 patients with CSR who were treated in the hospital from June 2021 to December 2023 were selected as the re-search objects.All the research objects were divided into combined group and acupoint embedding group by random number table method,with 60 cases in each group.The acupoint thread embedding group was treated with acupoint thread embedding scheme,and the combined group was treated with Zheng's"cervical four steps"manipulation on the basis of the treatment in the acupoint thread embedding group.The clinical effica-cy,TCM syndrome score,pain,cervical spine activity,laboratory indexes[prostaglandin e(PGE2),interleu-kin-8(IL-8)and C-reactive protein(CRP)]levels,quality of life and adverse reactions during treatment were compared between the two groups.Results After treatment,the total effective rate of the combined group was 91.67%,which was higher than 75.00%of the acupoint embedding group,and the difference was statisti-cally significant(P<0.05).After treatment,the neck and shoulder pain,limited movement,neck tenderness,upper limb pain and numbness syndrome scores,activities of daily living scale(ADL)scores,visual analogue scale(VAS)scores,and levels of PGE2,IL-8 and CRP in the two groups were lower than those before treat-ment,and the forward Angle,backward flexion Angle,left turn Angle and right turn Angle were higher than those before treatment.The TCM syndrome scores of neck and shoulder pain,limitation of movement,neck tenderness,upper limb pain and numbness,ADL score,VAS score,and the levels of PGE2,IL-8 and CRP in the combined group were lower than those in the acupoint embedding group,and the angles of anteversion,retroflexion,left turn and right turn in the combined group were higher than those in the acupoint embedding group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of local pain,dizziness,rash,redness and swelling and other adverse reactions between the two groups during treatment(P>0.05).Conclusion Zheng's"cervical four steps"manipulation combined with acupoint catgut embedding can effectively reduce the inflammatory response of CSR patients and improve the range of motion of cervical spine.The effect is ideal,which is worthy of clinical promotion and application.关键词
颈椎病/神经根型/穴位埋线/推拿手法/中医证候积分/郑氏"颈四步"手法Key words
cervical spondylosis/nerve root type/acupoint thread-embedding/manipulation of mas-sage/TCM syndrome score/Zheng's"cervical four steps"manipulation分类
医药卫生引用本文复制引用
王新宇,王俊华,陈从山,张远洋,李明辉,黄钰滢,方兴刚..郑氏"颈四步"手法联合穴位埋线治疗对神经根型颈椎病的疗效[J].检验医学与临床,2026,23(5):634-639,6.基金项目
湖北省卫生健康科研项目(WJ2021F032). （WJ2021F032）
