摘要
目的:探讨针刀通过降低软组织张力治疗颈型颈椎病的临床疗效及相关机制。方法:选取符合颈型颈椎病诊断标准的60例受试者,采用随机数字表法将受试者按照单盲随机原则分为治疗组和对照组,治疗组30例采用常规针刀治疗,对照组30例采用安慰针刀治疗。分别在治疗前、治疗后及随访时对受试者进行VAS评分、NPQ评分、项部软组织张力及颈项部温度测量。结果:治疗结束后,治疗组临床疗效优于对照组(P<0.05),且治疗组远期疗效持久;两组治疗后VAS评分、NPQ评分较治疗前均显著降低(P<0.05),且治疗后和随访时治疗组VAS评分、NPQ评分较对照组显著降低(P<0.05);两组治疗后测试各部位软组织肌张力均显著降低(P<0.05),且治疗后和随访时治疗组在左测C4~5、双侧肩胛提肌软组织张力显著低于对照组(P<0.05);治疗组治疗后在双侧C4~5、C6~7、肩胛提肌部位温度均显著升高(P<0.05),对照组治疗后在左侧C4~5温度显著升高(P<0.05),且治疗后及随访时治疗组在双侧C4~5、C6~7、肩胛提肌部位的温度均显著高于对照组(P<0.05),两组胸锁乳突肌温度差异无统计学意义(P>0.05)。结论:针刀疗法能有效改善颈型颈椎病临床症状,其作用机制可能与针刀降低软组织张力后提升局部肤温、发挥温通效应有关。
Objective:To explore the clinical efficacy and related mechanisms of acupotomy in the treatment of cervical spondylosis by reducing the tension of soft tissues.Methods:60 patients,who met the diagnosis criteria of cervical spondylosis,were randomly divided into the treatment group and the control group according to the principle of single-blind randomization method,with 30 cases in each group.The treatment group was treated with conventional acupotomy,whereas the control group was treated with sham acupotomy.VAS score,NPQ score,neck soft tissue tension and neck temperature were measured before and after the treatment,as well as during the follow-up.Results:The clinical efficacy of the treatment group was better than that of the control group(P<0.05),and the treatment group had higher long-term efficacy.VAS score and NPQ score were significantly decreased after the treatment compared to those before the treatment in the two groups(P<0.05);of which the decreases were more significant in the treatment group than those in the control group after the treatment and during the follow-up(P<0.05).The muscle tensions of the soft tissues were significantly reduced after the treatment in the two groups(P<0.05);the soft tissue tensions of left C4~5 and bilateral levator scapula were significantly lower in the treatment group than those in the control group after the treatment and during the follow-up(P<0.05).The temperatures of bilateral C4~5,C6~7 and levator scapula were significantly increased in the treatment group after the treatment(P<0.05),which were significantly higher than those in the contorl group(P<0.05);the temperatures of C4~5 on the left side increased significantly in the control group after the treatment(P<0.05);there was no statistical difference in the temperature of sternocleidomastoid muscle between the two groups(P>0.05).Conclusion:Acupotomy therapy can effectively improve the clinical symptoms of cervical spondylosis,which mechanism may be related to raising local skin temperature by reducing the tensio
作者
孙玉香
李园源
柴玉卓
孙季维
张雨晴
李志刚
王荣国
SUN Yuxiang;LI Yuanyuan;CHAI Yuzhuo;SUN Jiwei;ZHANG Yuqing;LI Zhigang;WANG Rongguo(Beijing University of Chinese Medicine, Beijing 100029, China)
出处
《针灸临床杂志》
2021年第10期27-33,共7页
Journal of Clinical Acupuncture and Moxibustion
基金
国家自然科学基金重大项目,编号:81590952
中央高校基本科研业务费专项资金资助,编号:2020-JYB-ZDGG-064
北京中医药大学校级科研纵向发展基金,编号:2019-ZXFZJJ-120。
关键词
颈型颈椎病
软组织张力
温度
温通
针刀疗法
Cervical spondylosis
Soft tissue tension
Temperature
Warming and activating
Acupotomy therapy
