组合型棍针推拨病筋治疗甲状腺术后肩颈痛临床研究

Clinical Study on Combined Rod-Needle Pushing and Plucking of Pathological Sinews in the Treatment of Shoulder-Neck Pain After Thyroid Surgery

摘要:

目的：观察组合型棍针推拨病筋治疗甲状腺术后肩颈痛的临床效果。方法：选取浙江中医药大学附属第一医院2024年1月—2025年6月期间收治的甲状腺外科住院手术治疗的患者100例，采用随机数字表法按照1∶1随机分为棍针组和常规组各50例（均无剔除及脱落病例）。常规组给予常规干预，棍针组在常规组的基础上给予组合型棍针推拨病筋治疗。疗程均为3天。比较2组临床疗效、视觉模拟评分法（VAS） 评分、颈痛量表问卷（NPQ） 评分、中医证候评分及不良反应。结果：治疗后，棍针组总有效率为96.00%（48/50），常规组为82.00% （41/50），2组比较，差异有统计学意义（P＜0.05）。治疗后，2组VAS、NPQ评分均较治疗前降低（P＜0.05），且棍针组2项评分均低于常规组（P＜0.05）。治疗后，2组肩颈刺痛、头晕、肢体麻木、头痛评分均较治疗前降低（P＜0.05），且棍针组上述各项评分均低于常规组（P＜0.05）。治疗期间，2组患者均未发生严重不良反应。结论：组合型棍针推拨病筋治疗甲状腺术后肩颈痛疗效显著，可明显减轻术后疼痛及中医证候。

Abstract:

Abstract：Objective：To observe the clinical effect of combined rod-needle pushing and plucking of pathological sinews in the treatment of shoulder-neck pain after thyroid surgery. Methods： A total of 100 inpatients undergoing thyroid surgery at the First Affiliated Hospital of Zhejiang Chinese Medical University from January 2024 to June 2025 were selected and randomly divided into the rod-needle group and the conventional group using a random number table method in a 1：1 ratio，with 50 cases in each group （no cases were excluded or dropped out）. The conventional group received routine intervention， while the rod-needle group received additional treatment with combined rodneedle pushing and plucking of pathological sinews on the basis of the conventional group. The treatment course for both groups was three days. Clinical efficacy，scores of Visual Analogue Scale （VAS），Neck Pain Questionnaire （NPQ）， traditional Chinese medicine syndrome， and incidence of adverse reactions were compared between the two groups. Results：After treatment，the total effective rate in the rod-needle group was 96.00% （48/50），significantly higher than that of 82.00% （41/50） in the conventional group （P＜0.05）. After treatment，the VAS and NPQ scores in both groups were decreased when compared with those before treatment （P＜0.05），and the scores in the rod-needle group were lower than those in the conventional group （P＜0.05）. After treatment， the scores for shoulder-neck stabbing pain， dizziness， limb numbness， and headache in both groups were decreased when compared with those before treatment （P＜0.05）， and the scores in the rod-needle group were lower than those in the conventional group （P＜ 0.05）. No severe adverse reactions occurred in either group during treatment. Conclusion： Combined rod-needle pushing and plucking of pathological sinews is effective in treating shoulder-neck pain after thyroid surgery， significantly alleviating postoperative pain and traditional Chinese medicine syndrome manifestations.