摘要
目的基于颈后伸肌肌容积及颈椎矢状位参数评价浮针治疗颈型颈椎病的效果及其与疗效的相关性。方法回顾性选择2023年1—8月收治的50例颈型颈椎病患者。所有患者均采用浮针治疗,治疗前后行颈椎核磁共振成像(MRI)和侧位X线检查。采用影像归档和通信系统(PACS)在颈椎侧位片上测量颈椎矢状位参数序列。采用Image J软件测量MRI轴向图像上C 3~7上终板的浅伸肌面积(SEA)和深伸肌面积(DEA)。测量并分析DEA与相应的颈椎体面积(CBA)之比。比较治疗前后颈椎矢状位参数及颈后伸肌肌容积的差异。采用Pearson相关分析颈后伸肌肌容积与颈椎矢状位参数和颈椎功能(JOA)评分及疗效的关系。结果相比治疗前,治疗后的颈椎矢状位参数的变化差异显著,C 2~7 SVA和C 7 S明显减小,而C 0~2 Cobb角和C 2~7 Cobb角均明显增大。相比治疗前,治疗后患者DEA/CBA比值明显增加,其中,差异最为显著的指标为C 3、C 4、C 5;C 3水平DEA/CBA比值与C 2~7 SVA(r=-0.380)和C 7 S呈弱负相关(r=-0.322),且C 4水平DEA/CBA比值与C 2~7 SVA、C 7 S呈中度负相关(r=-0.489,r=-0.477)。SEA/CBA比值与颈椎矢状位参数呈无或极弱相关。颈后伸肌肌容积及颈椎矢状位参数与JOA评分、疗效均呈正的强或中相关性关系(P<0.05)。结论浮针治疗颈型颈椎病的效果显著,颈后伸肌肌容积及颈椎矢状位参数与JOA评分、疗效均呈正的强或中相关性关系。
Objective To evaluate the efficacy of Fu’s subcutaneous needling therapy on cervical spondylosis based on the volume of the posterior extensor muscle and sagittal parameters of the cervical spine,and its correlation with efficacy.Methods A total of 50 patients with cervical spondylosis admitted from January to August 2023 were selected retrospectively.All patients were treated with Fu’s subcutaneous needling therapy and underwent cervical magnetic resonance imaging(MRI)and lateral X-ray examination before and after treatment.The picture archiving and communication system(PACS)was used to measure the sequence of sagittal parameters of the cervical spine on lateral radiographs.Image J software was used to measure the superficial extensor area(SEA)and deep extensor area(DEA)of C 3-7 upper endplate on MRI axial images.The ratio of DEA to corresponding cervical body area(CBA)was measured and analyzed.The sagittal parameters of the cervical spine and the volume of the posterior extensor muscle were compared before and after treatment.Pearson correlation analysis was used to analyze the relationship between volume of the posterior extensor muscle and sagittal parameters of the cervical spine,cervical function(JOA)score and curative effect.Results Compared to before treatment,there was a significant difference in the changes in sagittal parameters of the cervical spine after treatment.C 2-7 SVA and C 7 S were significantly reduced,while C 0-2 Cobb angle and C 2-7 Cobb angle were significantly increased.Compared to before treatment,the DEA/CBA ratio of patients after treatment significantly increased,with the most significant differences being observed in C 3,C 4,and C 5 indicators;The DEA/CBA ratio at the C 3 level was weakly negatively correlated with C 2-7 SVA(r=-0.380)and C 7 S(r=-0.322),while the DEA/CBA ratio at the C 4 level was moderately negatively correlated with C 2-7 SVA and C 7 S(r=-0.489,r=-0.477).There was no or extremely weak correlation between SEA/CBA ratio and sagittal parameters of the cervical spine.There was a strong or moderate correlation(P<0.05)between the volume of the posterior extensor muscle and the sagittal parameters of the cervical spine,as well as the JOA score and efficacy.Conclusion The effect of Fu’s subcutaneous needling therapy on cervical spondylosis is significant,and there is a strong or moderate correlation between the volume of the cervical extensor muscle and the sagittal parameters of the cervical spine,JOA score,and therapeutic effect.
作者
汪剑晖
冯家琪
曾鹏程
周光进
WANG Jianhui;FENG Jiaqi;ZENG Pengcheng;ZHOU Guangjin(Radiology Department,the People’s Hospital of Gaoming District of Foshan City,Guangdong,Foshan 528500,China;Department of Traditional Chinese Medicine,the People’s Hospital of Gaoming District of Foshan City,Guangdong,Foshan 528500,China)
出处
《中国医药科学》
2024年第17期100-104,共5页
China Medicine And Pharmacy
基金
广东省佛山市卫生健康局医学科研项目(20230820A010222)。
关键词
颈型颈椎病
浮针
颈后伸肌肌容积
颈椎矢状位参数
相关性
Cervical spondylosis
Fu’s subcutaneous needling
Volume of the posterior extensor muscle
Sagittal parameters of the cervical spine
Correlation
