基于脊神经节段理论针刀刺骨疗法治疗神经根型颈椎病临床观察

Clinical Observation of Bone Needling Therapy Based on Spinal Ganglion Segment Theory for Cervical Spondylosis with Radiculopathy

摘要: 目的：观察神经根型颈椎病(Cervical Spondylotic Radiculopathy, CSR)采用“基于脊神经节段理论针刀刺骨疗法”治疗的效果。方法：将2024年03月~2025年02月期间南充市顺庆区人民医院针灸科100名CSR病人随机归入观察组(50例)、对照组(50例)，观察组采用“基于脊神经节段理论针刀刺骨疗法”治疗，对照组依据《针灸治疗学》针刺治疗颈椎病常规治疗。治疗前后采用颈椎病的症状与功能量表(Total Tanaka Yasuku Score, TTYS)、颈椎功能障碍指数调查问卷(Neck Disability Index, NDI)、视觉化模拟疼痛评分(Visual Analogue Scale, VAS)量表对两组临床疗效进行分析评价。结果：经过两周治疗，TTYS、NDI、VAS结果显示两组疗法对神经根型颈椎病的治疗均有一定疗效，可改善神经根型颈椎病患者的临床症状及功能障碍(P < 0.05)，治疗总有效率观察组(92.0%)、对照组(82.0%)，两组治疗总有效率比较差异有统计学意义(P < 0.05)。结论：“基于脊神经节段理论针刀刺骨疗法”用于CSR的治疗，能够迅速见效，且疗效良好。

Abstract: To observe the effectiveness of treating cervical spondylosis with radiculopathy (Cervical Spondylotic Radiculopathy, CSR) using the “segmental spinal nerve theory-based needle knife bone therapy”. Methods: A total of 100 patients with CSR from March 2024 to February 2025 were randomly assigned to the observation group (50 cases) and the control group (50 cases) in our hospital acupuncture department. The observation group received treatment using the “segmental spinal nerve theory-based needle knife bone therapy”, while the control group followed the conventional acupuncture treatment for cervical spondylosis as described in Acupuncture Therapy. Both groups were evaluated using the Cervical Spondylosis Symptom and Function Scale (Total Tanaka Yasuku Score, TTYS), the Cervical Dysfunction Index questionnaire (Neck Disability Index, NDI), and the Visual Analog Scale for Pain (Visual Analogue Scale, VAS) before and after treatment to assess clinical outcomes. Results: After two weeks of treatment, the TTYS, NDI, and VAS results showed that both therapies had a certain therapeutic effect on cervical spondylosis of the nerve root type, which could improve the clinical symptoms and functional impairments of patients with cervical spondylosis of the nerve root type (P < 0.05). The total effective rate of treatment was observed in the group (92.0%) and the control group (82.0%), and the difference between the two groups was statistically significant (P < 0.05). Conclusion: The “segmental spinal nerve theory-based needle knife bone therapy” for treating CSR can achieve rapid and effective results.