刃针治疗神经根型颈椎病的研究进展

乔春林 姚啸生

【摘 要】  神经根型颈椎病是目前临床常见疾病，传统经常采用针灸、牵引、理疗、针刀等保守治疗方法，但具有创伤大、治疗时间长、易于反复等弊端，目前采用刃针治疗神经根型颈椎病取得良好临床疗效，且刃针疗法具有操作简单，见效快、创伤小，患者易于接受等优势，值得临床推广。

【关键词】  刃针疗法;神经根型颈椎病;研究进展

【中图分类号】R245.3   【文献标志码】A    【文章编号】1007-8517（2020）11-0050-04

Advances in the Research of  Needle Knief in the Treatment of Cervical Spondylotic Radiculopathy

QIAO Chunlin YAO Xiaosheng*

1.Liaoning University of Traditional Chinese Medicine，Shenyang 110032，China;

2.Affiliated Hospital of Liaoning University of Traditional Chinese Medicine，Shenyang 110032，China

Abstract： Cervical spondylotic ridiculapathy （CSR） is characterized by cervical degenerative lesions， mainly due to a series of clinical symptoms caused by cervical osteogenesis， cervical spine joint or ligament looseness， misalignment of intervertebral foramen and compression of nerves Is the most common type of cervical spondylosis， accounting for about 60%[1]. Because CSR is mostly mild to moderate， and surgical treatment is traumatic， and there are relatively many postoperative complications， the current treatment of CSR is mostly conservative treatment， and conservative treatment is mostly nutritional nerves， topical plasters， cervical traction and acupuncture The treatment is mainly， but it is prone to long treatment time， poor curative effect， easy to repeat and so on.[2] In recent years， the use of  needle  knief to treat CSR has achieved good clinical effects. The mechanism of action， operation method， and combination therapy were reviewed.

Key words： Needle  Knief  ; Nerve Root Cervical Spondylosis ;Clinical Review

神经根型颈椎病（Cervical Spondylotic Ridiculapathy，CSR）以颈椎退行性病变为特征，主要由骨质增生、关节或韧带松弛、错位导致椎间孔狭窄进而压迫神经产生的一系列临床症状[1]。主要表现为颈肩部疼痛的轴性症状及上肢的疼痛麻木等根性症状[2]。它是所有颈椎病中最常见的一种类型，其发病率约占所有颈椎病的60%[3]。既往多采用针灸、推拿、牵引、针刀等保守治疗为主，但其治疗时间较长，疗效不佳，反复发作[4]。而手术治疗费用高、创伤大，术后并发症较多。刃针治疗采用对局部压痛点切刺的方法，松解局部变性或痉挛软组织，加强局部血液循环，促进炎症物质吸收、扩散及软组织的修复，进而有效的消除CSR的相关临床症状。刃针治疗疗效显著，经济实惠，无药物毒副作用，临床中被广泛应用。因此，笔者查阅大量相关文献，对刃针治疗CSR的作用机制、操作方法、临床应用治疗及展望进行综述性分析。

1 机制

神经根型颈椎病属于传统医学中“痹证”“颈肩痛”“项痹”“眩晕”范畴。外因多由风、寒、湿邪侵袭或长期姿势不良及外伤所致颈部经络脉道痹阻不通，气血不畅，不通則痛。……