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2 The Third Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450046, China, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=河南省卫生健康委员会专项课题 (20-21ZY2125,2023ZY2104)), CN=ArticleExt(id=1304438813430935708, articleId=1304438811837100187, tenantId=1146029695717560320, journalId=1302318977290174537, language=CN, title=针刀联合温针灸对神经根型颈椎病患者椎动脉血流动力学及颈椎关节活动度的影响, columnId=1303760931671011820, journalTitle=中医药学报, columnName=针灸经络, runingTitle=null, highlight=null, articleAbstract=目的: 探究针刀、温针灸联用的中医方案在神经根型颈椎病(CSR)治疗中对椎动脉血流以及颈椎关节活动度等的改善价值。 方法: 选取河南中医药大学第三附属医院疼痛科2023年6月—2024年6月诊治的92例CSR患者为研究对象,以随机数字表法分成对照组和观察组,每组46例。对照组采用温针灸规律治疗,观察组同时辅助针刀,在3个疗程(3周)后对比两组的椎动脉血流、颈椎关节活动度、中医证候积分、有效率及不良反应。 结果: 治疗3周后,两组的双侧椎动脉血流速度及双侧椎动脉血流量较治疗前均明显改善(P < 0.05),观察组的双侧椎动脉血流速度及双侧椎动脉血流量均更大(P <0.01)。治疗3周后,两组的颈椎关节活动度评分较治疗前均明显下降(P < 0.05),观察组评分低于对照组(P < 0.01)。治疗3周后,两组的中医证候积分较治疗前均明显下降(P < 0.05),观察组的中医证候积分明显低于对照组(P < 0.01)。治疗3周后,观察组的有效率高于对照组(P < 0.05)。两组就诊者的不良反应发生率差异无统计学意义(P > 0.05)。 结论: 针刀、温针灸联合方案用于CSR患者的治疗中对椎动脉血流、颈椎关节活动度有显著改善作用,利于提升治疗疗效,且安全性有保障。, authors=魏家琳1, 张艳杰1, 刘宜军2, authorsList=魏家琳, 张艳杰, 刘宜军, authorCompany=1 河南中医药大学,河南 郑州 450046;
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针刀联合温针灸对神经根型颈椎病患者椎动脉血流动力学及颈椎关节活动度的影响
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中医药学报 | 针灸经络 2026,54(2): 53-57
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中医药学报 |针灸经络 2026 , 54 (2) : 53 -57
针刀联合温针灸对神经根型颈椎病患者椎动脉血流动力学及颈椎关节活动度的影响
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魏家琳1, 张艳杰1, 刘宜军2
作者信息
    1 河南中医药大学,河南 郑州 450046;
    2 河南中医药大学第三附属医院,河南 郑州 450046
通讯作者:
* 刘宜军(1972-),男,博士,副教授,副主任医师,从事针灸治疗疼痛疾病的基础与临床研究。
作者简介:
魏家琳(2000-),女,硕士研究生,从事针灸治疗疼痛疾病的临床研究。
Effect of Acupotomy Combined with Warm Acupuncture and Moxibustion on Vertebral Artery Hemodynamics and Cervical Joint Range of Motion in Patients with Cervical Spondylotic Radiculopathy
  • WEI Jialin1, ZHANG Yanjie1, LIU Yijun2
  • Affiliations
      1 Henan University of Chinese Medicine, Zhengzhou 450046, China;
      2 The Third Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450046, China
    doi: 10.19664/j.cnki.1002-2392.260033
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    目的: 探究针刀、温针灸联用的中医方案在神经根型颈椎病(CSR)治疗中对椎动脉血流以及颈椎关节活动度等的改善价值。 方法: 选取河南中医药大学第三附属医院疼痛科2023年6月—2024年6月诊治的92例CSR患者为研究对象,以随机数字表法分成对照组和观察组,每组46例。对照组采用温针灸规律治疗,观察组同时辅助针刀,在3个疗程(3周)后对比两组的椎动脉血流、颈椎关节活动度、中医证候积分、有效率及不良反应。 结果: 治疗3周后,两组的双侧椎动脉血流速度及双侧椎动脉血流量较治疗前均明显改善(P < 0.05),观察组的双侧椎动脉血流速度及双侧椎动脉血流量均更大(P <0.01)。治疗3周后,两组的颈椎关节活动度评分较治疗前均明显下降(P < 0.05),观察组评分低于对照组(P < 0.01)。治疗3周后,两组的中医证候积分较治疗前均明显下降(P < 0.05),观察组的中医证候积分明显低于对照组(P < 0.01)。治疗3周后,观察组的有效率高于对照组(P < 0.05)。两组就诊者的不良反应发生率差异无统计学意义(P > 0.05)。 结论: 针刀、温针灸联合方案用于CSR患者的治疗中对椎动脉血流、颈椎关节活动度有显著改善作用,利于提升治疗疗效,且安全性有保障。
    针刀  /  温针灸  /  神经根型颈椎病  /  椎动脉血流  /  颈椎关节活动度
    Objective: To explore the effect of acupotomy combined with warm acupuncture and moxibustion on the improvement of vertebral artery blood flow and cervical joint range of motion in the treatment of cervical spondylotic radiculopathy (CSR).Methods: 92 patients with CSR diagnosed and treated in the Pain Department of the Third Affiliated Hospital of Henan University of Traditional Chinese Medicine from June 2023 to June 2024 were selected as the research objects. They were divided into two groups by random number table. 46 patients in the control group were treated by warming acupuncture and moxibustion regularly, and 46 patients in the observation group were assisted with acupotomy at the same time. After three courses of treatment (three weeks), the vertebral artery blood flow, cervical joint range of motion, TCM syndrome score, effective rate and adverse reactions of the two groups were compared.Results: After 3 weeks of treatment, both groups showed significant improvement in bilateral vertebral artery blood flow velocity and bilateral vertebral artery blood flow compared to before treatment. The observation group had higher bilateral vertebral artery blood flow velocity and bilateral vertebral artery blood flow (P <0.05). After 3 weeks of treatment, the cervical joint range of motion scores in both groups decreased significantly compared to before treatment, with the observation group scoring lower than the control group (P < 0.05). After 3 weeks of treatment, the TCM syndrome scores of both groups decreased significantly compared to before treatment (P <0.05), and the TCM syndrome scores of the observation group were significantly lower than those of the control group (P < 0.05). After 3 weeks of treatment, the effective rate of the observation group was higher than that of the control group (P < 0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups of patients (P > 0.05).Conclusion: The combined scheme of acupotomy and warm acupuncture and moxibustion has significantly improved the vertebral artery blood flow and the cervical joint range of motion in the treatment of CSR population, which is conducive to improving the therapeutic effect and ensuring the safety.
    Acupotomy  /  Warming acupuncture and moxibustion  /  Cervical spondylotic radiculopathy  /  Vertebral artery blood flow  /  Cervical joint mobility
    魏家琳, 张艳杰, 刘宜军. 针刀联合温针灸对神经根型颈椎病患者椎动脉血流动力学及颈椎关节活动度的影响. 中医药学报, 2026 , 54 (2) : 53 -57 . DOI: 10.19664/j.cnki.1002-2392.260033
    WEI Jialin, ZHANG Yanjie, LIU Yijun. Effect of Acupotomy Combined with Warm Acupuncture and Moxibustion on Vertebral Artery Hemodynamics and Cervical Joint Range of Motion in Patients with Cervical Spondylotic Radiculopathy[J]. Acta Chinese Medicine and Pharmacology, 2026 , 54 (2) : 53 -57 . DOI: 10.19664/j.cnki.1002-2392.260033

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    doi: 10.19664/j.cnki.1002-2392.260033
    • 接收时间:2025-03-03
    • 首发时间:2026-09-09
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    2种不同金属材料的力学参数

    Family
    属数
    Number of
    genus
    种数
    Number of
    species
    占总种数比例
    Percentage of
    total species (%)

    Genus
    种数
    Number of
    species
    占总种数比例
    Percentage of total
    species (%)
    鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
    小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
    多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
    红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
    小菇属 Mycena 11 5.26
    光柄菇属 Pluteus 5 2.39
    红菇属 Russula 17 8.13
    栓菌属 Trametes 5 2.39
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