CAJ | 학술논문

目的：观察针刀干预对颈椎病兔颈椎X线影像学的的影响。方法：6月龄新西兰兔随机分为空白组、模型组、针刀组、电针组，采用长期低头位方法制备颈椎病模型。造模后对针刀组、电针组进行治疗干预。各组动物于造模前后、干预后3个时间节点拍摄颈椎X线片。结果：颈椎X线片显示造模后颈椎曲度改变，出现反张，椎间隙变窄，部分见椎间孔变小、椎体前后缘见骨质增生；针刀干预后见颈椎曲度改善较明显，曲度由反张变为较直，部分见椎间孔较治疗前变大、椎间隙有所改善，治疗前后骨质增生未见明显变化；电针干预后见部分兔颈椎反张有改善，治疗前后椎间隙、椎间孔、骨质增生未见明显变化。造模后，模型组、针刀组、电针组颈椎X线积分均明显升高，与空白组相比差异具有统计学意义（ P＜0.01）；针刀干预后X线积分改善程度与模型组比较差异具有统计学意义（P＜0.01）；电针干预后X线积分改善程度与模型组比较差异无统计学意义（P＞0.05）；针刀组干预后X线积分改善程度较电针明显，二组比较差异具有统计学意义（P＜0.05）。结论：针刀干预颈椎病可有效恢复颈椎曲度，改善颈椎X线影像学表现，纠正颈椎力学平衡。
목적：관찰침도간예대경추병토경추X선영상학적적영향。방법：6월령신서란토수궤분위공백조、모형조、침도조、전침조，채용장기저두위방법제비경추병모형。조모후대침도조、전침조진행치료간예。각조동물우조모전후、간예후3개시간절점박섭경추X선편。결과：경추X선편현시조모후경추곡도개변，출현반장，추간극변착，부분견추간공변소、추체전후연견골질증생；침도간예후견경추곡도개선교명현，곡도유반장변위교직，부분견추간공교치료전변대、추간극유소개선，치료전후골질증생미견명현변화；전침간예후견부분토경추반장유개선，치료전후추간극、추간공、골질증생미견명현변화。조모후，모형조、침도조、전침조경추X선적분균명현승고，여공백조상비차이구유통계학의의（ P＜0.01）；침도간예후X선적분개선정도여모형조비교차이구유통계학의의（P＜0.01）；전침간예후X선적분개선정도여모형조비교차이무통계학의의（P＞0.05）；침도조간예후X선적분개선정도교전침명현，이조비교차이구유통계학의의（P＜0.05）。결론：침도간예경추병가유효회복경추곡도，개선경추X선영상학표현，규정경추역학평형。
Objective:This study was expected to observe the effects of acupotomy treatment on cervical X -rays in a rabbit model of cer-vical spondylosis ( CS) .Methods:Six months old New Zealand rabbits were divided into 4 groups randomly:normal control group ,model group,acupotomy group,electro-acupuncture group.CS models were made by the method of flexed neck posture for long-term.After modeling ,acupotomy and electro-acupuncture were applied to treat acupotomy group and electro-acupuncture group respectively .Changes of cervical X-rays taken before and after modeling ,and after treatment.Results:After modeling,cervical X-rays showed that there were changes in cervical lordosis ,narrowed lordotic curve with posterior convexity ,a decrease in discs height ,narrowed intervertebrale foramen and overgrowth of osteophytes in anterior and posterior vertebral bodies in some rabbits .There was obvious improvement in X-rays after acupotomy treatment;cervical lordosis straightened ,intervertebral foramen widened in some rabbits ,and there was no obvious change of osteophytes before and after treatment .After modeling,the cervical X-ray scores of the model group ,acupotomy group and electro-acu-puncture group increased significantly in comparison with that of normal control group (P<0.01).The reduction of X-ray scores before and after treatment in acupotomy group had a significant difference in comparison with those of model group (P<0.01).The reduction of X-ray scores before and after treatment in electro-acupuncture group had no significant difference with those of model group (P>0.05). The reduction of X-ray scores before and after treatment in acupotomy group had a significant difference compared with the electro -acu-puncture group (P<0.05).Conclusion:Acupotomy in the treatment of cervical spondylosis can effectively restore cervical lordosis ,im-prove cervical X-ray image,reestablish cervical biomechanical balance .