摘要
目的:观察“气伤痛”理论指导下针刺合谷穴、太冲穴治疗颈椎病的临床疗效。方法:选取2020年1月至2022年7月上海市静安区中医医院收治的颈椎病患者112例,按照随机数字表法分为对照组与研究组各56例。对照组给予常规针刺治疗,研究组在对照组治疗的基础上行“气伤痛”理论指导下针刺合谷穴、太冲穴治疗。观察两组患者治疗前后症状评分、疼痛视觉模拟评分(visual analogue scale, VAS)、血清肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、C反应蛋白(C-reactive protein, CRP)、P物质(substance p, SP)、血管阻力指数(resistant index, RI)、搏动指数(pulsitility index, PI)、收缩期峰值血流速度(peak systolic velocity, PSV)及临床疗效。结果:研究组有效率为94.64%,对照组有效率为82.14%,研究组有效率高于对照组,差异有统计学意义(P<0.05);研究组治疗后症状评分高于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05);研究组治疗后TNF-α、CRP、SP低于对照组,差异有统计学意义(P<0.05);研究组治疗后RI、PI低于对照组,PSV高于对照组,差异有统计学意义(P<0.05)。结论:“气伤痛”理论指导下针刺合谷穴、太冲穴治疗颈椎病,能有效减轻患者疼痛,改善患者症状。
Objective:To observe the clinical efficacy of acupuncture at Hegu(114)and Taichong(LR 3)under the guidance of the theory of"damage of qi causing pain"on cervical spondylopathy.Methods:A total of 112 patients with cervical spondylosis admitted to Shanghai Jing'an District Traditional Chinese Medicine Hospital from January 2020 to July 2022 were selected and randomly divided into the control group and the research group,with 56 cases in each group.The control group received routine acupuncture treatment,while the research group received acupuncture at Hegu(LI 4)and Taichong(LR 3)under the guidance of the theory of"damage of qi causing pain"on the basis of the control group's treatment.The symptom score,visual analog scale(VAS)of pain,tumor necrosis factor-α,(TNF-α),C-reactive protein(CRP),substance p(SP),resistant index(RI),pulsitility index(PI),peak systolic velocity(PSV)of the two groups before and after treatment,and the clinical efficacy before and after treatment were observed.Results:The effective rate of the research group was 94.64%,while that of the control group was 82.14%.The effective rate of the study group was higher than that of the control group,with a statistically significant difference(P<0.05).After treatment,the symptom score of the research group was higher than that of the control group,while the VAS score was lower than that of the control group,with statistically significant differences(P<0.05);TNF-α,CRP and SP in the research group were lower than those in the control group,with statistically significant differences(P<0.05);The RI and PI of the research group were lower than those of the control group,while the PSV was higher than that of the control group,with statistically significant differences(P<0.05).Conclusion:Under the guidance of the theory of"damage of qi causing pain",acupuncture at Hegu(LI 4)and Taichong(LR 3)can effectively alleviate pain and improve symptoms in patients with cervical spondylosis.
作者
吴倩扉
张宇
龚惠娣
张毅明
李瑷同
WU Qian-fei;ZHANG Yu;GNG Hui-di;ZHANG Yi-ming;LI Ai-tong(Shanghai Jing'an District Hospital of Traditional Chinese Medicine,Shanghai,China,200072;Shanghai Bansongyuan Community Health Service Center,Shanghai,China,200011)
出处
《河南中医》
2023年第4期607-611,共5页
Henan Traditional Chinese Medicine
基金
上海市卫生和计划生育委员会中医特色诊疗技术提升项目[ZY(2018-2020)-ZYJS]。
关键词
颈椎病
“气伤痛”理论
针刺疗法
合谷穴
太冲穴
疼痛
cervical spondylopathy
the theory of"damage of qi causing pain"
acupuncture
Hegu(LI 4)
Taichong(LR 3)
pain
