摘要
目的:观察颈腰经筋温通法治疗寒湿痹阻型颈型颈椎病的临床疗效。方法:将64例寒湿痹阻型颈型颈椎病患者随机分为观察组和对照组,各32例。对照组采用常规针刺方法,观察组在对照组基础上联合颈腰经筋温通法。两组均隔日治疗1次,5次为1个疗程,共治疗2个疗程。两组分别于治疗前、治疗1个疗程和治疗两个疗程行病情评估,于治疗结束后1个月随访,并比较两组的临床疗效。结果:组内比较,颈痛量表(NPQ)评分两组随访时较治疗两疗程差异均无统计学意义(P>0.05),余组内各时间段比较差异均有统计学意义(P<0.05);简式McGill疼痛量表(SF-MPQ)、疼痛分级指数(PRI)与中医症候积分两组组内各时间段比较差异均有统计学意义(P<0.05);治疗1个疗程、两个疗程与随访时,两组视觉模拟量表(VAS)、现有疼痛强度(PPI)评分较治疗前均降低(P<0.05);组间比较,NPQ、PRI、VAS、PPI及SF-MPQ评分在治疗1个疗程、2个疗程后及随访时观察组均低于对照组(P<0.05);中医症候积分在治疗两个疗程后及随访时观察组低于对照组(P<0.05)。观察组的愈显率高于对照组(P<0.05),两组总有效率均为100%(32/32)。结论:颈腰经筋温通法和常规针刺均能有效治疗颈型颈椎病。颈腰经筋温通法起效更迅速,在改善疼痛相关的日常功能障碍、调整疼痛相关的情绪认知等方面具有优势,疗效维持时间长。
Objective:To observe the clinical effect of neck-waist meridian-sinew warming-dredging method in treatment of cervical spondylosis of cervical type due to cold-dampness obstruction.Methods:64 cases of cervical spondylosis of cervical type due to cold-dampness obstruction were randomly divided into the observation group and the control group,with 32 cases in each group.The control group was treated with conventional acupuncture;on which basis,the observation group was also treated with neck-waist meridian-sinew warming-dredging therapy.Both groups were treated once every other day,5 times as a course,a total of two courses of treatment.The two groups were evaluated before the treatment,after one course and two courses of the treatment,respectively.The patients were followed up one month after the treatment,and the clinical efficacy was compared between the two groups.Results:In terms of intra-group comparison,there was no statistical significance in NPQ score between during the follow-up and after 2 courses of treatment(P>0.05),but there was statistical significance in the remaining time period(P<0.05);the scores of simple McGill Pain Scale(SF-MPQ),pain grading index(PRI)and TCM symptoms were statistically significant at different time periods(P<0.05);after 1 course and 2 courses of treatment and during the follow-up,the scores of visual analog scale(VAS)and present pain intensity(PPI)were decreased compared with those before the treatment in the two groups(P<0.05).In terms of inter-group comparison,the scores of NPQ,PRI,VAS,PPI and SF-MPQ were lower in the observation group than those in the control group after 1 course and 2 courses of treatment and during the follow-up(P<0.05);the TCM symptoms score was lower in the observation group than that in the control group after 2 courses of treatment and during the follow-up(P<0.05).The remarkable curative effective rate of the observation group was higher than that of the control group(P<0.05),and the total effective rate was 100%(32/32)in both groups.Conclusion:Both
作者
邓越
王桂玲
袁芳
毛雪文
洪秋阳
白鹏
DENG Yue;WANG Guiling;YUAN Fang;MAO Xuewen;HONG Qiuyang;BAI Peng(The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China;Shunyi Hospital of Beijing Hospital of Traditional Chinese Medicine,Beijing 101300,China;Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China)
出处
《针灸临床杂志》
2024年第1期44-49,共6页
Journal of Clinical Acupuncture and Moxibustion
基金
国家自然科学基金,编号:82205246
国家中医药管理局项目,编号:2019XZZX-ZJ002
青年岐黄学者支持项目,编号:国中医药人教函[2022]256号
北京中医医院顺义医院院级课题,编号:SYYJ201504。
关键词
经筋温通法
火针
筋结点
颈腰同治
颈椎病
Meridian-sinew warming-dredging method
Fire needling
Sinew knot
Simultaneous neck-waist treatment
Cervical spondylosis
