世界针灸学会联合会

针刺浅筋膜法治疗颈型颈椎病48例

作者:孙梦晓 来源:本站原创 点击:972次 更新:1523868052

  <p>SONG Zhong-yang (宋忠阳)<sup>1</sup>,&nbsp; &nbsp;QIN Xiao-guang (秦晓光)<sup>1</sup> ,&nbsp; &nbsp;FANG Xiao-li (方晓丽)<sup>1</sup>, YAO Xiao-qiang (姚小强)<sup>2</sup>,&nbsp; &nbsp;CHEN Yu-chan (陈玉婵)<sup>3</sup></p><p><br/></p><p style="text-align: justify;">1. School of Acupuncture-moxibustion and Tuina, Gansu University of Chinese Medicine, Lanzhou 730000,Gansu Province, China; 2. Acupuncture-moxibustion Department of Affiliated Hospital of Gansu University of Chinese Medicine; 3. Cooperation of Chinese and Western Medicine Department, Gansu University of Chinese Medicine(1. 甘肃中医药大学针灸推拿学院,甘肃兰州 730000,中国;2. 甘肃中医药大学附属医院针灸科;3. 甘肃中医药大学中西医结合学院)</p><p><br/></p><p><strong>ABSTRACT</strong></p><p style="text-align: justify;"><strong>Objective</strong>&nbsp; To observe the clinical efficacy of acupuncture at the superficial fascia for cervical type of cervical spondylosis. <strong>Methods</strong>&nbsp; Acupuncture at the superficial fascia was carried out for 48 patients with cervical type of&nbsp; cervical spondylosis by selecting the tender points on both sides of the cervical vertebral body and on the neck and shoulders. The treatment was conducted for once a day and treatment for 5 times was considered as 1 course of treatment. Two days were free from treatment between courses, and 3 courses were needed in total. The scores of McGill pain questionnaire [MPQ,including three indexes: Pain rating index (PRI), Visual analogue scale (VAS) and Present pain intensity (PPI) ] of patients before and after treatment were compared, therapeutic effct of cervical type of&nbsp; cervical spondylosis was evaluated.<strong> Results&nbsp;</strong> According to the comparison before and after treatment, the scores of PRI (29.44±9.26 vs13.15±7.04), VAS (5.63±2.73 vs 1.23±1.15), and PPI (3.00±1.24 vs 0.38±0.49) of patients with cervical type of cervical spondylosis reduced significantly (all P&lt;0.05), indicating that the differences were statistically significant. Among 48 cases, cured 40 cases (83.33%), markedly effective 4 cases (8.34%), effective 3 cases (6.25%), ineffective 1 case (2.08%). The total effective rate was 97.92% (47/48). <strong>Conclusion</strong>&nbsp; The curative effect of acupuncture at the superficial fascia for cervical type of&nbsp; cervical spondylosis was satisfactory.</p><p><br/></p><p><strong>KEY WORDS</strong>: cervical type of&nbsp; cervical spondylosis; acupuncture-moxibustion therapy; superficial fascia; “fishing with golden fishhook” acupuncture manipulation</p><p><strong>ABSTRACT IN CHINESE</strong></p><p style="text-align: justify;">[摘 要] 目的:观察针刺浅筋膜法治疗颈型颈椎病的临床疗效。方法:48例符合颈型颈椎病诊断标准的患者,以颈椎椎体两侧及颈肩部的压痛点为主,采用针刺浅筋膜的方法治疗。1次/天,治疗5次为1个疗程,间歇2天,共治疗3个疗程。3个疗程后,比较患者治疗前后McGill疼痛量表(MPQ)各项评分,并采用尼莫地平法计算疗效。结果:治疗前后比较,颈型颈椎病患者PRI(29.44±9.26 vs13.15±7.04)、VAS(5.63±2.73 vs 1.23±1.15)、PPI(3.00±1.24 vs 0.38±0.49)评分均明显降低(P&lt;0.05),差异有统计学意义。治愈40例,显效4例,有效3例,无效1例,总有效率97.92%(47/48)。结论:针刺浅筋膜治疗颈型颈椎病疗效满意,能够有效改善患者疼痛症状,值得进一步推广和应用。</p><p style="text-align: justify;">[关键词] 颈型颈椎病 针灸疗法 “金钩钓鱼” 针法 浅筋膜</p><p><br/></p>

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