Abstract:

Objective　To analyze the application value of dragon-tiger fighting acupuncture combined with six-meridian syndrome differentiation massage in the treatment of cervical spondylotic radiculopathy (CSR) with qi stagnation and blood stasis syndrome. Methods　A total of 90 patients with CSR who were treated with six-meridian syndrome differentiation massage in Xi'an Third Hospital from March 2022 to May 2023 were selected as a control group, and another 90 patients with CSR who were treated with dragon-tiger fighting acupuncture combined with six-meridian syndrome differentiation massage from June 2023 to August 2024 were selected as an observation group. There were 48 males and 42 females in the control group, aged (40.86±5.51) years, with a body mass index of (22.66±1.32) kg/m² and a course of disease of (15.33±5.24) months. There were 47 males and 43 females in the observation group, aged (40.12±5.23) years, with a body mass index of (22.54±1.26) kg/m² and a course of disease of (15.57±2.25) months. Dragon-tiger fighting acupuncture and six-meridian syndrome differentiation massage were once a day, and both groups were treated for 2 weeks. The clinical efficacies of the two groups were compared, as well as cervical spine function [Neck Disability Index (NDI)], pain level [Visual Analogue Scale (VAS)], levels of inflammatory factors [interleukin-6 (IL-6), IL-1β, and tumor necrosis factor-α (TNF-α)] before and after treatment. χ² test, rank sum test, independent sample t test, and analysis of variance were used for statistical analysis. Results　The total effective rate of the observation group was higher than that of the control group [95.56% (86/90) vs. 86.67% (78/90)] (P<0.05). The NDI, VAS score, and IL-6, IL-1β, and TNF-α levels in both groups showed a decreasing trend with treatment time; after treatment for 1 week and 2 weeks, the NDI [(25.14±3.21)% and (17.55±2.12)%], VAS score [(3.54±0.67) points and (1.96±0.55) points], and IL-6 [(35.44±4.52) ng/L and (25.14±3.54) ng/L], IL-1β [(7.54±1.12) ng/L and (4.86±1.02) ng/L], and TNF-α levels [(12.86±2.65) mg/L and (9.20±1.46) mg/L] in the observation group were lower than those in the control group [(28.25±3.02)%, (20.54±3.11)%, (4.63±0.75) points, (2. 74±0.64) points, (46.23±4.84) ng/L, (34.28±4.54) ng/L, (8.62±1.06) ng/L, (6.52±1.11) ng/L, (15.45±2.04) mg/L, and (12.57±1.22) mg/L] (all P<0.05). Conclusion　The dragon-tiger fighting acupuncture combined with six-meridian syndrome differentiation massage can effectively improve the cervical spine function of CSR patients with qi stagnation and blood stasis syndrome, relieve the pain, reduce the inflammation level, and improve the clinical efficacy.

Key words:

Cervical spondylotic radiculopathy, Qi stagnation and blood stasis syndrome, Dragon-tiger fighting acupuncture, Six-meridian syndrome differentiation massage, Application value

摘要：

目的　分析龙虎交战针法联合六经辨证手法推拿在气滞血瘀证神经根型颈椎病（CSR）中的应用价值。方法　选取2022年3月至2023年5月西安市第三医院采取六经辨证手法推拿治疗的90例CSR患者为对照组，另选取2023年6月至2024年8月采取龙虎交战针法联合六经辨证手法推拿治疗的90例CSR患者为观察组。对照组男48例，女42例；年龄（40.86±5.51）岁；体重指数（22.66±1.32）kg/m²；病程（15.33±5.24）个月。观察组男47例，女43例；年龄（40.12±5.23）岁；体重指数（22.54±1.26）kg/m²；病程（15.57±2.25）个月。龙虎交战针法、六经辨证手法推拿治疗均每天一次，两组均持续治疗2周。比较两组临床疗效，治疗前后颈椎功能［颈椎功能障碍指数（NDI）］、疼痛水平［视觉模拟评分法（VAS）］、炎症因子水平［白细胞介素-6（IL-6）、IL-1β、肿瘤坏死因子-α（TNF-α）］。采用χ²检验、秩和检验、独立样本t检验、方差分析进行统计学分析。结果　观察组总有效率高于对照组［95.56%（86/90）比86.67%（78/90）］（P<0.05）。两组NDI、VAS评分、IL-6、IL-1β、TNF-α水平均随治疗时间呈下降趋势；治疗1、2周，观察组NDI［（25.14±3.21）%、（17.55±2.12）%］、VAS评分［（3.54±0.67）分、（1.96±0.55）分］、IL-6［（35.44±4.52）ng/L、（25.14±3.54）ng/L］、IL-1β［（7.54±1.12）ng/L、（4.86±1.02）ng/L］、TNF-α［（12.86±2.65）mg/L、（9.20±1.46）mg/L］水平均低于对照组［（28.25±3.02）%、（20.54±3.11）%、（4.63±0.75）分、（2.74±0.64）分、（46.23±4.84）ng/L、（34.28±4.54）ng/L、（8.62±1.06）ng/L、（6.52±1.11）ng/L、（15.45±2.04）mg/L、（12.57±1.22）mg/L］（均P<0.05）。结论　龙虎交战针法联合六经辨证手法推拿可以有效改善气滞血瘀证CSR患者的颈椎功能，缓解疼痛程度，降低炎症因子水平，提高临床疗效。

关键词:

神经根型颈椎病, 气滞血瘀证, 龙虎交战针法, 六经辨证手法推拿, 应用价值