尹继勇 车旭东 田量 梁哲瑞

〔摘要〕 目的 观察依据红外热成像引导推拿治疗神经根型颈椎病临床疗效的影响。方法 对66例神经根型颈椎病患者随机分成常规推拿治疗组和红外热成像引导推拿组，每组33例，对两组分别进行推拿治疗，红外热成像引导推拿组在常规推拿的基础上进行红外线检查后依据异常点进行推拿，1个疗程结束后观察疗效和疼痛评定（VAS），其中红外热成像引导推拿在治疗过程中脱落2例，常规推拿治疗组在治疗过程中脱落4例。结果 神经根型颈椎病患者VAS量化评分比较，常规推拿治疗组与红外热成像引导推拿组治疗后较治疗前均显著降低（P<0.01），且红外热成像引导推拿组治疗后较常规推拿组治疗后显著降低（P<0.05），红外热成像引导推拿组治疗后较常规推拿组治疗后在神经根型颈椎病患者总有效率显著提高（P<0.05）。结论 推拿治疗神经根型颈椎病的患者进行红外热成像检查定点后，在临床疗效方面有积极作用。

〔关键词〕 神经根型颈椎病；红外热成像；推拿；VAS评分

〔中图分类号〕R244.1；R274 〔文献标志码〕B 〔文章编号〕doi：10.3969/j.issn.1674-070X.2018.03.021

Clinical Effect of Infrared Thermal Imaging Guided Massage in Treatment of Nerve-Root Type Cervical Spondylosis

YIN Jiyong， CHE Xudong*， TIAN Liang， LIANG Zherui

（Dalian Hospital of Traditional Chinese Medicine， Dalian， Liaoning 116013， China）

〔Abstract〕 Objective To observe the effect of infrared thermography guided massage on the clinical curative effect of cervical spondylotic radiculopathy. Methods Sixty-six patients with cervical spondylotic radiculopathy were randomly divided into conventional massage group （control group） and infrared thermal imaging guided massage group （observation group）， 33 cases in each group. The control group was treated with conventional massage. The observation group was given massage according to the abnormal point after the infrared inspection. The effect and visual analogue scale （VAS） after treatment for one course were observed. There were 2 cases fell off in the observation group， 4 cases fell off of the control group. Results The VAS scores of nerve root type cervical spondylosis of both groups after treatment were significantly lower than before treatment， the difference was statistically significant（P<0.01）. The VAS score of the patients with cervical spondylotic myelopathy after treatment in the observation group was significantly lower than that of the control group， the difference was statistically significant （P<0.05）. The total effective rate of cervical spondylotic radiculopathy after treatment in the observation group was significantly higher than that in the control group， the difference was statistically significant （P<0.05）. Conclusion Massage combined with infrared thermal imaging examination fixed point in treatment of patients with cervical spondylotic radiculopathy shows a positive role in terms of clinical efficacy.

〔Keywords〕 nerve root type cervical spondylosis； infrared imaging； massage treatment； curative effect

神经根型颈椎病的病因是单侧或双侧脊神经根受刺激或受压，以脊神经根分布区相一致的感觉、运动及反射障碍为主要表现，本病较多见、各種有针对性的非手术疗法均有明显的疗效。神经根受压可导致感觉障碍和神经根性疼痛[1]，当神经根受到机械压迫时产生化学致痛因子从而引起局部无菌性炎症[2]，持续压力可继发粘连性蛛网膜炎，神经根可出现缺血性改变甚至变性[3]。主要表现为颈神经根性疼痛伴有颈神经根分布区域（上肢）的感觉异常，如麻木、痛觉过敏等[4]。病人多以颈肩部疼痛开始发病，短期内出现症状加重，并向单侧上肢或双侧上肢放射，根据受压的部位的不同而表现出不同的放射疼痛范围并与相应的神经支配区域相符。……