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目的:观察经穴疏导加痛点揉拨推拿手法配合牵引治疗神经根型颈椎病(CSR)的疗效及对白介素-1β(IL-1β)的影响,探讨经穴疏导加痛点揉拨推拿手法治疗CSR的作用机制,并讨论以IL-1β水平作为判断CSR病情变化的一项参考指标的可行性。方法将60例CSR患者采用随机数字表分为治疗组(推拿结合颈椎牵引)和对照组(单纯颈椎牵引)进行比较,观察两组治疗前后的病情和IL-1β水平的变化。结果治疗组的疗效明显优于对照组,且IL-1β水平下降的幅度明显大于对照组。结论经穴疏导加痛点揉拨推拿手法可以使CSR患者的IL-1β水平明显降低,IL-1β水平可以作为判断CSR病情变化的一项参考指标。“,”s:Objective To observe the curative effect of channels-acupoints dredge combined with pain point knead dial massage ma-nipulation and traction in treatment of cervical spondylotic radiculopathy( CSR) and its effect on IL-1β.Methods According to the ran-dom number table,60 cases of CSR patients were divided into the treatment group( massage with cervical traction ) and control group( pure cervical traction).And observe the differences of patients’ healthy states and level of 1L-1β.Results The curative effect of treatment group was was significantly better than that of the control group, and the level of IL-1 beta was significantly higher than that of the control group.Conclusion Channels-acupoints dredge combined with pain point knead dial massage manipulation can remarkably reduce the level of 1L-1βof the patients and 1L-1βcan be used as a reference index to judge the change of illness state of CSR.