[1]段文帅,鄢卫平,李佳坤,等.旋牵手法联合身痛逐瘀汤治疗神经根型颈椎病气滞血瘀证临床研究[J].陕西中医,2025,46(11):1568-1572.[doi:DOI:10.3969/j.issn.1000-7369.2025.11.024]
　DUAN Wenshuai,YAN Weiping,LI Jiakun,et al.Clinical study of rotational traction manipulation combined with Shentong Zhuyu decoction in treatment of Qizhi Xueyu syndrome of cervical spondylotic radiculopathy[J].,2025,46(11):1568-1572.[doi:DOI:10.3969/j.issn.1000-7369.2025.11.024]
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旋牵手法联合身痛逐瘀汤治疗神经根型颈椎病气滞血瘀证临床研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年11期
页码:
1568-1572
栏目:
针灸经络
出版日期:
2025-11-05

文章信息/Info

Title:
Clinical study of rotational traction manipulation combined with Shentong Zhuyu decoction in treatment of Qizhi Xueyu syndrome of cervical spondylotic radiculopathy
作者:
段文帅1; 鄢卫平1; 李佳坤2; 李景周1; 强天明1; 张维平1; 李振军1; 杨琛1; 谢永峰2
（1.甘肃省中医院，甘肃 兰州 730050；2.甘肃中医药大学，甘肃 兰州 730030）
Author(s):
DUAN Wenshuai1; YAN Weiping1; LI Jiakun2; LI Jingzhou1; QIANG Tianming1; ZHANG Weiping1; LI Zhenjun1; YANG Chen1; XIE Yongfeng2
(1.Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050，China;2.Gansu University of Chinese Medicine,Lanzhou 730030,China)
关键词:
神经根型颈椎病; 旋牵手法; 身痛逐瘀汤; 气滞血瘀型; 炎症因子; 颈椎生理曲度
Keywords:
Cervical spondylotic radiculopathy; Rotating traction manipulation; Shentong Zhuyu decoction; Qi stagnation and blood stasis type; Inflammatory factors; Cervical physiological curvature
分类号:
R 274
DOI:
DOI:10.3969/j.issn.1000-7369.2025.11.024
文献标志码:
A
摘要:
目的：观察旋牵手法联合身痛逐瘀汤治疗神经根型颈椎病（CSR）气滞血瘀证临床疗效。方法：将90例CSR气滞血瘀证患者按照随机数字表法分为对照组和观察组，各45例。两组均予以相同参数进行牵引；对照组口服身痛逐瘀汤；观察组在对照组基础上加用旋牵手法治疗，疗程4周。比较两组治疗前后中医证候积分、视觉模拟评分（VAS）、颈椎病临床评价量表（CASCS）评分、颈椎功能障碍指数（NDI）评分、血清炎症因子[白细胞介素-6（IL-6）、白细胞介素-1β（IL-1β）、肿瘤坏死因子-α（TNF-α）]水平及颈椎生理曲度（Borden法测量）变化，评估临床疗效。结果：治疗后，两组中医证候积分、VAS评分、NDI评分及血清IL-6、IL-1β、TNF-α水平均降低，CASCS评分及颈椎生理曲度均改善，且观察组上述指标变化程度均高于对照组，差异有统计学意义（均P＜0.05）。观察组临床疗效优于对照组（P＜0.05）。结论：旋牵手法联合身痛逐瘀汤能有效减轻CSR气滞血瘀证患者疼痛，改善颈椎功能，降低炎症因子水平，改善颈椎生理曲度。
Abstract:
Objective:To observe clinical efficacy of the combination of rotational traction technique and Shentong Zhuyu decoction in treatment of cervical spondylotic radiculopathy (CSR) with Qi stagnation and blood stasis syndrome.Methods:90 patients with CSR and Qi stagnation and blood stasis syndrome were randomly divided into control group and observation group according to the random number table method,with 45 cases in each group.Both groups were given the same parameters of cervical traction.The control group were orally administered Shentong Zhuyu decoction.The observation group were treated with rotational traction technique on the basis of the control group,for a course of 4 weeks.The changes in TCM syndrome scores,visual analogue scale (VAS) scores,cervical spondylosis clinical evaluation scale (CASCS) scores,neck disability index (NDI) scores,serum inflammatory factors [interleukin-6 (IL-6),interleukin-1β (IL-1β),tumor necrosis factor-α (TNF-α)] levels and cervical physiological curvature (measured by Borden method) before and after treatment were compared between the two groups,and the clinical efficacy were evaluated.Results:After treatment,the TCM syndrome scores,VAS scores,NDI scores and serum IL-6,IL-1β,TNF-α levels in both groups decreased,and the CASCS scores and cervical physiological curvature improved.The changes in the above indicators in the observation group were greater than those in the control group,differences statistically significant (all P＜0.05).The clinical efficacy of the observation group was better than that in the control group (P＜0.05).Conclusion:The combination of rotational traction technique and Shentong Zhuyu decoction can effectively relieve pain in patients with CSR and Qi stagnation and blood stasis syndrome,improve cervical function,reduce the levels of inflammatory factors,and improve cervical physiological curvature.

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备注/Memo

备注/Memo:
甘肃省自然科学基金资助项目（23JRRA1239）；甘肃省卫生健康行业科研计划项目（GSWSKY2023-20）；甘肃省中医药科研项目（GZKG-2022-51）；兰州市科技局项目（2024-4-40）；鄢卫平甘肃省名中医传承工作室建设项目（甘中医药发﹝2025﹞4号）
更新日期/Last Update: 2025-11-04