通讯作者: 邝涛, 995711640@qq.com

DOI：10.12201/bmr.202512.00071

Clinical Observation of Acupotomy Combined with Gegen–Jianghuang Powder for Neck-type Cervical Spondylosis

• 摘要：目的：本研究旨在评估针刀联合葛根姜黄散治疗颈型颈椎病的临床疗效,并分析其在疼痛缓解、功能改善及生活质量提升方面的作用。方法：选取2024年5月至2025年7月在湖南中医药大学第一附属医院脊柱二科就诊的70例颈型颈椎病患者,依据随机分组原则分为治疗组(针刀联合葛根姜黄散)和对照组(单纯针刀),每组33例。分别采用视觉模拟评分法(VAS)、颈部功能障碍指数(NDI)、中医证候评分及颈椎病临床评价量表(CASCS)对两组患者治疗前后进行评估,并记录不良反应。结果：治疗后,两组患者上述指标均较基线明显改善,且治疗组VAS、NDI、中医证候评分及临床评价量表的改善幅度均显著优于对照组(P＜0.05)。治疗组总有效率为90.63%,显著高于对照组的69.70%(P＜0.05)。两组均仅出现1例轻度晕针,经短暂休息后缓解,未见其他严重不良反应。结论：针刀联合葛根姜黄散治疗颈型颈椎病可显著缓解疼痛、改善颈部功能及临床症状,安全性良好,较单纯针刀治疗具有更优的临床优势,值得在临床进一步推广与应用。

  关键词： 颈型颈椎病; 葛根姜黄散; 针刀; 中医证候评分; 疗效

   

  Abstract: Objective: This study aimed to evaluate the clinical efficacy of acupotomy combined with Gegen–Jianghuang Powder in the treatment of neck-type cervical spondylosis and to analyze its effects on pain relief, functional improvement, and enhancement of quality of life. Methods: A total of 70 patients with neck-type cervical spondylosis who were treated in the Department of Spine Surgery II of the First Affiliated Hospital of Hunan University of Chinese Medicine from May 2024 to July 2025 were enrolled and randomly assigned to a treatment group (acupotomy combined with Gegen–Jianghuang Powder) or a control group (acupotomy alone), with 33 patients in each group. The Visual Analog Scale (VAS), Neck Disability Index (NDI), Traditional Chinese Medicine (TCM) syndrome scores, and clinical evaluation scale for cervical spondylosis were used to evaluate both groups before and after treatment. Adverse reactions were also recorded. Results: After treatment, both groups showed significant improvements in all evaluated indicators compared with baseline, and the treatment group demonstrated significantly greater improvements in VAS, NDI, TCM syndrome scores, and clinical evaluation scale scores than the control group (P < 0.05). The total effective rate in the treatment group was 90.63%, which was significantly higher than that in the control group (69.70%) (P < 0.05). Mild needle-induced dizziness occurred in one patient in each group and resolved after brief rest; no other serious adverse reactions were observed. Conclusion: Acupotomy combined with Gegen–Jianghuang Powder can significantly relieve pain, improve cervical function, and alleviate clinical symptoms in patients with neck-type cervical spondylosis. It demonstrates good safety and superior clinical efficacy compared with acupotomy alone, and thus warrants further clinical application and promotion.

  Key words: Neck-type cervical spondylosis; Gegen–Jianghuang Powder; Acupotomy; Traditional Chinese medicine syndrome score; Therapeutic Efficacy

  提交时间：2025-12-26

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• 序号	提交日期	编号	操作
  1	2025-12-08	10.12201/bmr.202512.00071V1	下载

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