夹脊温针灸联合发散式冲击波疗法辅助逐瘀汤治疗神经根型颈椎病临床研究

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[关键词」神经根型颈椎病；夹脊温针灸；发散式冲击波疗法；逐瘀汤；颈椎功能；疼痛程度

[中图分类号］R681.5 [文献标志码］A [文章编号]0256-7415（2025）17-0078-05DOI：10.13457/j.cnki.jncm.2025.17.014

Clinical Study of Integrated Jiaji Warm Needle Moxibustion and Radial Shockwave Therapy as Adjunctive Treatment to Zhuyu Decoction for Cervical Radiculopathy

SHAO Weiping YuyaoHospitalof TraditionalChineseMedicine，Yuyao Zhejiang3154OO，China

Abstract：Objective：To observe the clinical efficacy of integrated Jiaji warm needle moxibustion and radial shockwave therapy（RSWT）as adjunctive treatment to Zhuyu Decoction for cervicalradiculopathy.Methods：Atotalof 200 patients with cervical radiculopathy admited to Yuyao Hospital of Traditional Chinese Medicine between January 2023 and December 2O24 were divided into the control group and the observation group using the random number table method，with 10O cases each.The control group received conventionaltherapy，while the observation group received additional Jiaji warm needle moxibustion，RSWT，and Zhuyu Decoction.Both groups were treated for four weeks. Clinical eficacy，and changes in traditional Chinese medicine syndrome scores，pain intensity（McGillPain Questionnaire），and Neck Disability Index（NDI）were assessed inthetwo groups.Results：The total clinical efficacy in the observation group was 92.00% （92/100），higher than the 77.00% （77/100）in the control group（ P<0.05 ）

After treatment，traditional Chinese medicine syndrome scores decreased in both groups （ P<0.05 ），with lower scores in the observation group （ P<0.05 ）.After treatment，Visual Analogue Scale（VAS），Pain Rating Index（PRI），and Present Pain Intensity（PPI） scores decreased in both groups （ P<0.05 ），with lower scores in the observation group （ P<0.05 ）.After treatment，NDI scores decreased in both groups （ P<0.05 ），with greater reduction in the observation group （ P<0.05 ）.Conclusion： The integrated Jiaji warm needle moxibustion and RSWT as adjunctive treatment to Zhuyu Decoction efectively alleviate pain，restore cervical function，and enhance therapeutic outcomes in cervical radiculopathy.

Keywords： Cervical radiculopathy；Jiaji warm needle moxibustion；Radial shockwave therapy；Zhuyu Decoction；Cervical function；Pain intensity

神经根型颈椎病由于颈椎间盘退变、颈椎骨质增生等原因，致使颈椎间隙变窄，压迫神经根，从而引发颈部疼痛、上肢放射性疼痛、麻木及无力等一系列症状，严重影响患者的日常生活和工作，给患者身心带来极大痛苦[1-2]。（剩余5979字）