【目的】 观察动筋针联合温针灸治疗神经根型颈椎病（CSR）的临床疗效。【方法】 选取2024年7月至2024年12月东莞市 中医院针灸科病房及门诊收治的 60例明确诊断为 CSR 的患者为研究对象。按随机数字表将患者随机分为观察组和对照组， 每组各 30 例。对照组给予温针灸治疗。观察组在对照组治疗的基础上，给予动筋针法治疗。每周治疗 3 次，治疗 10 次为 1 个疗程，共治疗1个疗程。治疗10次后，评价2组临床疗效。观察2组患者治疗前后田中靖久颈椎病症状量表评分的变化 情况，以及疼痛视觉模拟量表（VAS）评分的情况。比较2组患者治疗前后颈椎关节活动度的变化情况。并评价2组的安全性 及不良反应的发生情况。【结果】（1）观察组总有效率为93.33%（28/30），对照组为80.00%（24/30）。观察组临床疗效优于对照 组，差异有统计学意义（P＜0.05）。（2）治疗后，2组患者田中靖久颈椎病症状量表评分明显改善（P＜0.05），且观察组在改善 田中靖久颈椎病症状量表评分方面明显优于对照组，差异有统计学意义（P＜0.05）。（3）治疗后，2组患者 VAS评分明显改善 （P＜0.05），且观察组在改善VAS评分方面明显优于对照组，差异有统计学意义（P＜0.05）。（4）治疗后，2组患者颈椎关节活 动度明显改善（P＜0.05），且观察组在改善颈椎关节活动度方面明显优于对照组，差异有统计学意义（P＜0.05）。（5）观察组不 良反应发生率为 3.33%（1/30）；对照组无不良反应事件。观察组与对照组的不良反应发生率比较，差异无统计学意义（P＞ 0.05）。【结论】 动筋针联合温针灸治疗神经根型颈椎病，能有效改善患者的颈椎功能，减轻患者的疼痛症状，安全性高，临 床疗效显著。

Objective To evaluate the clinical efficacy of dynamic muscle-regulating acupuncture combined with warm needling in treating cervical spondylotic radiculopathy（CSR）. Methods Sixty patients diagnosed with CSR at the Acupuncture Department of Dongguan Traditional Chinese Medicine Hospital from July to December 2024 were enrolled and randomly divided into an observation group and a control group using a random number table，with 30 cases in each group. The control group received warm needling therapy，while the observation group received additional dynamic muscle-regulating acupuncture. Treatments were administered three times weekly for a total of 10 sessions（one treatment course）. After 10 sessions，clinical efficacy was evaluated，and total effective rates， changes in Yasuhiko Tanaka’s cervical spondylosis symptom scale scores，Visual Analogue Scale（VAS） of pain scores were observed. The cervical range of motion（ROM），and incidence of adverse reactions were evaluated. Results （1） The total effective rate of the observation group was 93.33%（28/30）， and the control group was 80.00%（24/30）. The clinical efficacy of the observation group was superior to that of the control group，and the difference was statistically significant（P＜0.05）.（2） After treatment， the cervical spondylosis symptom scale scores of Yasuhisa Tanaka in the two groups significantly improved（P＜0.05）， and the observation group was significantly superior to the control group in improving the cervical spondylosis symptom scale scores of Yasuhisa Tanaka，with a statistically significant difference（P＜0.05）.（3） After treatment，the VAS scores of patients in the two groups significantly improved（P＜0.05）， and the observation group was significantly superior to the control group in improving the VAS scores，and the difference was statistically significant（P＜0.05）.（4） After treatment， the cervical joint mobility of patients in the two groups significantly improved（P＜0.05）， and the observation group was significantly superior to the control group in improving cervical joint mobility， with a statistically significant difference（P＜0.05）.（5） The incidence rate of adverse reactions in the observation group was 3.33%（1/30）；there were no adverse reaction events in the control group. The difference in the incidence rate of adverse reactions between the observation group and the control group was not statistically significant（P＞0.05）. Conclusion The combination of dynamic muscle-regulating acupuncture and warm needling effectively improves cervical function， alleviates pain symptoms， and demonstrates high safety with significant clinical efficacy in treating CSR.

R246.9

薛爱国广东省名中医药专家传承工作室建设资助项目（编号：粤中医办函[2023]108 号）；陈婕东莞市名中医药传承工作室建设 资助项目（编号：5000297）