针刀松解枢椎棘突联合旋提手法对于寰枢椎关节不稳临床观察

Clinical Study of Combining Acupotomy Release of the Axis Spinous Process with Rotary-Lifting Manipulation in Treating Atlantoaxial Joint Instability

摘要: 目的：探究针刀松解枢椎棘突联合旋提手法治疗寰枢关节不稳的效果。方法：选取2023年03月~2024年03月黑龙江中医药大学附属第一医院骨伤三科收治的90例的寰枢关节不稳患者作为研究对象，根据随机抽签法将患者分为对照组(予以常规针刀治疗)和棘突组(常规针刀松解点位基础上，额外松解枢椎棘突治疗)，各45例。比较两组疼痛程度、颈椎功能、颈椎活动度。结果：治疗后，两组视觉模拟评分法(VAS)评分、颈椎功能障碍指数(NDI)评分较治疗前降低，且棘突组低于对照组，差异有统计学意义(P < 0.05)；治疗后，两组颈椎旋转活动度明显改善，且棘突组优于对照组，差异有统计学意义(P < 0.05)。结论：针刀松解枢椎棘突联合旋提手法在寰枢关节不稳治疗中的疗效确切，可减轻患者的疼痛程度，并改善颈椎功能及旋转活动度，疗效确切。

Abstract: Objective: To investigate the effect of acupotomy on atlantoaxial articular instability. Methods: A total of 90 patients with atlantoaxial joint instability admitted to the First Affiliated Hospital of Heilongjiang University of Chinese Medicine from March 2023 to March 2024 were selected as the research objects. According to the random drawing method, the patients were divided into the control group (receiving conventional acupotomy treatment) and the spinous process group (45 patients in each group) on the basis of the conventional acupotomy release point and additional treatment of the axial spinous process. Pain degree, cervical function and cervical motion were compared between the two groups. Results: After treatment, visual analogue scale (VAS) score and cervical dysfunction index (NDI) score of 2 groups were lower than before treatment, and spinous process group was lower than control group, the difference was statistically significant (P < 0.05). After treatment, the cervical rotational motion of the two groups was significantly improved, and the spinous process group was better than the control group, the difference was statistically significant (P < 0.05). Conclusion: The effect of acupotomy on the treatment of atlantoaxial joint instability is accurate, which is helpful to reduce the pain degree of patients, improve the function of cervical vertebra and rotational motion.