摘要
目的观察基于“颈腰同治”理论温针灸治疗颈型颈椎病患者的临床疗效及安全性。方法按照随机数字表法将120例颈型颈椎病患者分为对照组与观察组各60例。对照组患者实施常规温针灸进行治疗,观察组患者实施基于“颈腰同治”理论的温针灸进行治疗,两组患者均连续治疗2周。比较治疗前后两组的颈椎活动度评分、颈部症状积分、颈痛程度评分、内皮素(ET)、前列环素(PGI2)、内皮源性超极化因子(EDHF)水平及白细胞介素-6(IL-6)、白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)水平,观察两组不良反应发生情况。结果观察组与对照组的总有效率分别为91.67%、80.00%,观察组明显高于对照组(P<0.05)。治疗后,观察组的颈椎活动度评分、颈部症状积分、颈痛程度评分均明显低于对照组(P<0.05);观察组的血清ET水平均明显低于对照组(P<0.05),血清PGI2、EDHF水平均明显高于对照组(P<0.05);观察组的血清IL-6、IL-1β、TNF-α水平均明显低于对照组(P<0.05)。观察组与对照组的不良反应发生率分别为5.00%、1.67%,差异无统计学意义(P>0.05)。结论基于“颈腰同治”理论温针灸治疗颈型颈椎病的疗效显著,能够显著改善患者的颈椎活动度、颈部症状、疼痛程度、局部血液循环,抑制炎症反应,且不增加不良反应。
Objective:To explore the clinical efficacy and safety of warm acupuncture on patients with neck type cervical spondylopathy based on the theory of“treatment both the neck and lumbus”.Methods:120 patients were divided into the control group and the observation group,60 cases in each.The control group was treated with conventional warm acupuncture,while the observation group was treated with warm acupuncture based on the theory of"treatment both the neck and lumbus".Both groups were treated continuously for 2 weeks.The cervical mobility score,neck symptom score,neck pain score,ET,PGI2,EDHF and inflammatory factors,such as IL-6,IL-1βand TNF-α,were compared between two groups before and after treatment.The adverse reaction was observed.Results:The total effective rate of the observation group and the control group was 91.67%and 80.00%,respectively and the observation group was significantly higher than the control group(P<0.05).After treatment,the cervical mobility score,neck symptom score,neck pain score of the observation group were significantly lower than those of the control group(P<0.05).The serum levels of ET,IL-6,IL-1βand TNF-αof the observation group were significantly lower than those of control group(P<0.05),and the serum levels of PGI2 and EDHF of the observation group were significantly higher than those of control group(P<0.05).The incidence rate of adverse reactions of the observation group and the control group was 5.00%and 1.67%,respectively and the difference was not statistically significant(P>0.05).Conclusion:The therapeutic effect was significant of warm acupuncture on patients with neck type cervical spondylopathy based on the theory of“treatment both the neck and lumbus”.It can significantly improve the patients′cervical mobility,neck symptoms,pain degree and local blood circulation,and inhibit inflammatory reactions,without increasing the adverse reactions.
作者
杨昆鹏
田国杰
廖明娟
袁梅
廖海燕
Yang Kunpeng;Tian Guojie;Liao Mingjuan;Yuan Mei;Liao Haiyan(Qijiang Hospital of Traditional Chinese Medicine,Chongqing,Qijiang 401420,China)
出处
《中国中医急症》
2020年第10期1781-1783,1797,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
重庆市卫生健康委中医药科技项目(ZY201602132)。
关键词
颈型颈椎病
“颈腰同治”理论
温针灸
局部血液循环
炎症反应
Neck type cervical spondylopathy
Theory of“treatment both the neck and lumbus”
Warm acupuncture
Local blood circulation
Inflammatory reactions
