[摘要] 目的 探讨远近配穴针刺联合脊柱微调手法治疗神经根型颈椎病的疗效。 方法 选择2018年3月～2019年8月在我院治疗的90例神经根型颈椎病患者，随机数字表法分为针刺组、手法组及治疗组，针刺组行单纯远近配穴针刺治疗，手法组行单纯脊柱微调手法治疗，治疗组行远近配穴针刺联合脊柱微调手法治疗，比较三组斜方肌肌张力、疼痛程度、颈椎曲度、颈部残障指数、患者症状改善程度及临床疗效。 结果 治疗后，治疗组患者斜方肌肌张力Rauc水平及Aauc水平、颈椎曲度均显著高于手法组及针刺组（P<0.05），VAS评分及颈部残障指数均显著低于手法组及针刺组（P<0.05）;三组患者CASCS评分均无显著差异（P>0.05），治疗后，治疗组患者CASCS评分、治疗总有效率显著高于针刺组及手法组（P<0.05）。 结论 对神经根型颈椎病患者实施远近配穴针刺联合脊柱微调手法治疗，疗效显著，可改善患者疼痛及颈部、上肢活动障碍等症状。
　　[关键词] 脊柱微调手法;远近配穴针刺治疗;神经根型颈椎病;疼痛程度;活动障碍
　　[Abstract] Objective To exploreze the therapeutic effect of acupuncture near and far acupoints combined with spinal fine-tuning manipulation on cervical spondylotic radiculopathy. Methods Ninety patients with cervical spondylotic radiculopathy treated in our hospital from March 2018 to August 2019 were selected. They were divided into acupuncture group， manipulation group and treatment group according to the random number table method. The acupuncture group was treated with acupuncture near and far acupoints. The manipulation group received simple spinal fine-tuning manipulation. And the treatment group received acupuncture near and far acupoints combined with spinal fine-tuning manipulation. The trapezius muscle tension， pain degree， cervical spine curvature， cervical disability index， patients’ symptom improvement and clinical efficacy between three groups were compared. Results After treatment， trapezoid muscle tension Rauc level and Aauc level and cervical spine curvature were significantly higher in the treatment group than those in the manipulation group and the acupuncture group（P