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从腋神经与手太阳经循行探讨肩背部针刀拔罐治疗神经根型颈椎病的疗效 被引量:10

Effect of Acupotomology Combined with Cupping on Shoulder and Back to CSR through Axillary Nerve and Taiyang Small Intestine Meridian of Hand
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摘要 目的从腋神经与手太阳经循行探讨于肩背部行针刀拔罐治疗神经根型颈椎病(CSR)的疗效。方法将2018年12月—2019年8月该院门诊及住院部收治的神经根型颈椎病患者,按照一定标准筛选出60例,随机数分为两组,对照组30例予"颈椎病"常规针刺疗法;治疗组30例每7 d予进行肩胛部痛点行针刀配合拔罐放血一次配合隔日常规针刺。两组患者均治疗3周。治疗后,采用JOA量表、VAS评分进行评分,对比两组疗效率及复发率作为疗效程度评比。结果治疗后两组的VAS评分降低、JOA评分升高,有统计学意义(均P<0.05);治疗组有效率为89.7%(26/29),优于对照组的66.7%(20/30)(P<0.05)。治疗组复发率10.7%(3/28)低于对照组34.5%(10/29)(P<0.05)。结论从腋神经与手太阳经循行于肩背部针刀拔罐治疗CSR疗效确切,值得进一步研究。 Objective To explore the effect of acupotomology combined with cupping on shoulder and back to cervical spondylotic radiculopathy(CSR)through the axillary nerve and Taiyang Small Intestine Meridian of Hand.Methods From December 2018 to August 2019,60 patients with CSR admitted to the outpatient and inpatient department of our hospital were screened out according to certain criteria and randomly divided into two groups.In the control group,30 cases were treated with routine acupuncture for"cervical spondylopathy".In the treatment group,30 patients were treated with acupotomology and cupping and bleeding at the pain point of scapular every 7 days and routine acupuncture every other day.Both groups were treated for 3 weeks.After treatment,JOA scale and VAS score were used to evaluate the efficacy and recurrence rates of the two groups.Results VAS score decreased and JOA score increased in the two groups,which were statistically significant(P<0.05).The effective rate of the treatment group was 89.7%(26/29),which was better than that of the control group(66.7%,20/30)P<0.05).The recurrence rate of the treatment group was 10.7%(3/28),lower than that of the control group(34.5%,10/29)(P<0.05).Conclusion The curative effect of acupotomology combined with cupping on shoulder and back to CSR through the axillary nerve and Taiyang Small Intestine Meridian of Hand is definite and worthy of further study.
作者 伍紫炫 蔡旻捷 周小红 陈晖 吕朝晖 WU Zixuan;CAI Minjie;ZHOU Xiaohong;CHEN Hui;LU Zhaohui(Guangzhou University of Chinese Medicine,Guangzhou 510405,Guangdong,China;Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510095,Guangdong,China;Southern Medical University,Guangzhou 510515,Guangdong,China)
出处 《辽宁中医杂志》 CAS 2021年第3期175-178,共4页 Liaoning Journal of Traditional Chinese Medicine
基金 国家中医药管理局全国名老中医药专家传承工作室建设项目(中国中医药人教发[2013]47号)。
关键词 腋神经 手太阳经小肠经 肩胛部 压痛点 针刀 拔罐放血 神经根型型颈椎病 axillary nerve Small Intestine Meridian of Hand-Taiyang shoulder department pressure point needle knife cupping and bleeding cervical spondylotic radiculopathy
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