[1]曾雪琴,董 博,李亚峰,等.冲击波联合肌筋膜触发点治疗神经根型颈椎病疗效观察[J].陕西中医,2024,(1):50-54.[doi:DOI:10.3969/j.issn.1000-7369.2024.01.011]
　ZENG Xueqin,DONG Bo,LI Yafeng,et al.Effect of extracorporeal shock wave combined with myofascial trigger point in the treatment of cervical spondylotic radiculopathy[J].,2024,(1):50-54.[doi:DOI:10.3969/j.issn.1000-7369.2024.01.011]
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冲击波联合肌筋膜触发点治疗神经根型颈椎病疗效观察
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年1期
页码:
50-54
栏目:
临床研究
出版日期:
2024-01-05

文章信息/Info

Title:
Effect of extracorporeal shock wave combined with myofascial trigger point in the treatment of cervical spondylotic radiculopathy
作者:
曾雪琴; 董 博; 李亚峰; 刘华剑; 王宝辉; 孙银娣
(西安交通大学附属红会医院康复医院疼痛病区,陕西 西安710054)
Author(s):
ZENG Xueqin; DONG Bo; LI Yafeng; LIU Huajian; WANG Baohui; SUN Yindi
(Pain Ward of Rehabilitation Hospital of Honghui Hospital,Xi'an Jiaotong University,Xi'an 710054,China)
关键词:
神经根型颈椎病;  肌筋膜触发点;  体外冲击波;  针刺;  牵引;  疼痛
Keywords:
Cervicalspondylotic radiculopathy;  Myofascial trigger point;  Extracorporeal shock wave;  Acupuncture;  Traction;  Pain
分类号:
R 658.53
DOI:
DOI:10.3969/j.issn.1000-7369.2024.01.011
文献标志码:
A
摘要:
目的:探讨发散式体外冲击波联合针刺肌筋膜触发点治疗神经根型颈椎病(CSR)的疗效。方法:将80例神经根型颈椎病患者随机分为两组,各40例。两组患者均给予颈椎牵引、口服甲钴胺片,对照组在此基础上给予发散式体外冲击波联合普通针刺治疗,观察组给予发散式体外冲击波联合针刺颈肩部肌筋膜触发点治疗。比较两组治疗前后简化McGill疼痛问卷(SF-MPQ)、颈椎功能障碍指数量表(NDI)及中文版简明健康调查问卷(SF-36)评分变化情况,比较两组治疗后的临床疗效及6个月内的复发情况。结果:两组均治疗4周,治疗前,两组患者一般资料、SF-MPQ、NDI、SF-36评分组间比较,无统计学差异(P>0.05)。治疗后,两组患者的SF-MPQ评分、NDI评分较治疗前均降低(P<0.05),SF-36评分较治疗前均升高(P<0.05); 组间比较,观察组患者的SF-MPQ、NDI及SF-36改善程度均优于对照组(P<0.05); 治疗后,观察组总有效率(97.5%)高于对照组(80.0%),治疗后6个月内观察组复发率(5%)低于对照组(25%),差异均有统计学意义(χ2 =4.507、6.275,均P<0.05)。结论:发散式体外冲击波联合肌筋膜触发点治疗能够有效减轻神经根型颈椎病患者的疼痛症状,改善颈椎功能,提高生活质量,临床疗效显著,复发率低。
Abstract:
Objective:To investigate the application effect of radial extracorporeal shock wave combined with need prickmyofascial trigger point in the treatment of cervical spondylotic radiculopathy(CSR).Methods:80 cases of cervical spondylotic radiculopathy were randomly divided into two groups,40 cases in each group.Both groups were treated with cervical traction and oral methylocobalamin tablets.The control group was treated with radial extracorporeal shock wave(rESW)combined with ordinary acupuncture on this basis.The observation group was treated with rESW combined with need prick myofascial trigger point of cervical and shoulder.Compare the changes in the scores of the Simplified McGill Pain Questionnaire(SF-MPQ),the Neck Disability Index(NDI)and the Simplified Chinese Health Questionnaire(SF-36)before and after treatment between the two groups,and compare the clinical efficacy and the recurrence within 6 months after treatment between the two groups.Results:Both groups were treated for 4 weeks,Before treatment,there was no significant difference in general information,SF-MPQ,NDI,and SF-36 scores between the two groups(P>0.05).After treatment,the SF-MPQ scores and NDI scores of both groups were decreased compared to before treatment(P<0.05),and the scores of SF-36 were higher than those before treatment(P<0.05).Compared between groups,the observation group showed better improvement in SF-MPQ,NDI,SF-36 compared to the control group(P<0.05).After treatment,the total effective rate of the observation group(97.5%)was higher than that of the control group(80.0%),and the recurrence rate(5%)in the observation group was lower than that(25%)in the control group within 6 months after treatment,the difference was statistically significant(χ2= 4.507、6.275,all P<0.05).Conclusion:Radial extracorporeal shock wave therapy combined with myofascial trigger point therapy can effectively relieve pain symptoms,improve cervical function and improve quality of life in patients with cervical spondylotic radiculopathy,with significant clinical efficacy and low recurrence rate,which is worthy of clinical promotion and application.

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备注/Memo

备注/Memo:
基金项目:西安市卫生健康委员会科研课题(SZL202102)
更新日期/Last Update: 2024-01-09