徐炎林 张洋 王延玲

摘 要 目的：觀察八段锦联合针刺治疗神经根型颈椎病的临床疗效。方法：纳入2018年1月至2019年12月上海市天平街道社区卫生服务中心门诊及上海市光华中西医结合医院关节康复科门诊收治的神经根型颈椎病患者60例，采用随机数字表法分为治疗组和对照组各30例。对照组采用单纯针刺疗法，3次/周，12次为1个疗程；治疗组采用针刺配合八段锦日常锻炼疗法，每日早晚锻炼1次，1个月为1个疗程。评估两组治疗前、治疗2周、4周时的视觉模拟疼痛（VAS）评分和田中靖久神经根型颈椎病20分法量表评分改变以及安全性。结果：治疗2周后，两组间VAS评分差异无统计学意义（P>0.05）；治疗4周后，治疗组VAS评分改善优于对照组（P<0.05）。在治疗2周、4周后，治疗组田中靖久神经根型颈椎病20分法量表评分改善均优于对照组（P均<0.05）。在治疗过程中及治疗后两组患者均未发生不良反应。结论：针刺配合八段锦功法锻炼治疗神经根型颈椎病可显著改善患者疼痛和颈椎功能，预后较好。

关键词 神经根型颈椎病；针刺；八段锦；临床研究

中图分类号：R274.9 文献标志码：A 文章编号：1006-1533（2021）10-0022-03

*基金项目：上海市徐汇区卫计委青年科研课题（SHXH201744）

Clinical study of Baduanjin combined with acupuncture in the treatment of cervical spondylotic radiculopathy

XU Yanlin1， ZHANG Yang2， WANG Yanlin3

（1. General Practice Department of Tianping Community Health Service Center， Shanghai 200031， China； 2. Department of Joint Rehabilitation of Guanghua Hospital of Integrated Traditional Chinese and Western Medicine， Shanghai 200051， China； 3. Department of Acupuncture and Moxibustion of Tianping Community Health Service Center， Shanghai 200031， China）

ABSTRACT Objective： To observe the clinical effect of Baduanjin combined with acupuncture in the treatment of cervical spondylotic radiculopathy. Methods： From January 2018 to December 2019， 60 patients with cervical spondylotic radiculopathy were enrolled in the Outpatient Department of Tianping Community Health Service Center and the Outpatient Department of Joint Rehabilitation Department of Guanghua Hospital of Integrated Traditional Chinese and Western Medicine， Shanghai and using random number table method， divided into a treatment group and a control group with 30 cases each. The control group was treated with acupuncture alone， 3 times a week， 12 times as a course of treatment； the treatment group was treated with acupuncture combined with Baduanjin daily exercise therapy， exercised once a day in the morning and evening， and 1 month was a course of treatment. The visual analogue pain（VAS） scores， the score changes of the 20-point scale for cervical spondylotic radiculopathy of Tanaka before treatment， 2 weeks， and 4 weeks of treatment， and their safety were evaluated. Results： After 2 weeks of treatment， there was no significant difference in VAS score between the two groups（P>0.05）； after 4 weeks of treatment， the improvement of VAS score in the treatment group was better than that in the control group（P<0.05）. After 2 and 4 weeks of treatment， the scores of Tanaka Jingjiu cervical spondylotic radiculopathy 20-point score scale in the treatment group were better than those in the control group（all P<0.05）. There were no adverse reactions in the two groups of patients during and after treatment. Conclusion： Acupuncture combined with Baduanjin exercise to treat cervical spondylotic radiculopathy can significantly improve the patients pain and cervical spine function， and the prognosis is better.

KEY WORDS cervical spondylotic radiculopathy； acupuncture； Baduanjin； clinical research

神经根型颈椎病是一种颈椎间盘和钩锥关节的退行性病变，受累神经根节段受到卡压或出现神经根无菌性炎症，机体出现麻木、疼痛、甚至肌力下降等相应症状。随着电子产品广泛应用，其发病率不断提高，并呈现出年轻化、职业化趋势，给人们的生活、工作、学习和身心健康带来了严重困扰[1]。针刺治疗能够起到疏通经脉、调和气血的作用，从而改善机体麻木、疼痛等症状，是一种具有中医药特色的常用治疗方法。八段锦是中国古代传统保健方法，其能舒筋通络、活血化瘀，增强颈部肌肉力量，重建颈椎力学平衡。本研……