摘要
目的探讨颈型颈椎病的治疗方法。方法将150例患者随机分为解结针刺合药组、解结针刺组、常规针刺组,每组50例。常规针刺组:取风池、颈夹脊、天柱、肩井、后溪、合谷、外关等穴,用毫针泻法或平补平泻法;解结针刺组:切循受累经筋,采用直接多方透刺局部压痛点、结节及条索样病变结构;解结针刺合药组:在解结针刺的基础上,口服壮筋束骨丸。观察比较各组治疗前后VAS评分、ROM评分及颈椎生理曲度的变化。结果临床疗效:解结针刺合药组、解结针刺组的近期疗效及远期疗效均优于常规针刺组(P <0.01);解结针刺合药组的远期疗效优于解结针刺组(P <0.05)。VAS及ROM评分:与治疗前比较,3组患者近期及远期评分均有较大幅度降低(P <0.01),解结针刺合药组、解结针刺组近期及远期评分均低于常规针刺组(P <0.01)。颈椎生理曲度:3组均较治疗前均显著增高(P <0.01),解结针刺合药组、解结针刺组均高于常规针刺组(P <0.05)。复发率:3组复发率比较均有统计学意义(χ2=10.84,P=0.004),常规针刺组最高,解结针刺合药组最低。结论解结针刺能有效治疗颈型颈椎病,配合中成药治疗远期疗效更好。
Objective To investigate the treatment of neck type cervical spondylosis.Methods 150 NTCS patients were randomized into a jiejie acupuncture plus medication group,a jiejie acupuncture group and a conventional acupuncture group,50 cases in each one.In the conventional acupuncture group,Fengchi(GB 20),Cervical Jiaji(EX-B2),Tianzhu(BL 10),Jianjing(GB 21),Houxi(SI 3),Hegu(LI 4),Waiguan(SJ 5)and other acupoints were selected and stimulated with the acupuncture by using the needling method of Twirling-reducing or Reinforcing-reducing.In the jiejie acupuncture group,patients were pressed along the points on the muscle regions,using direct multi-penetrating needling pressure points,nodules and strip-like lesion structure.In the jiejie acupuncture plus medication group,they took zhuangjinshugu pills on the basis of jiejie acupuncture.The VAS scores,ROM scores and cervical physiological curvature were observed and compared before and after treatment in the three groups.Results In terms of clinical efficacy,the short-term and long-term effects of jiejie acupuncture plus medication group and jiejie acupuncture group were better than those of conventional acupuncture group(P<0.01),and the long-term effect of jiejie acupuncture plus medication group was better than that of jiejie acupuncture group(P<0.05).In terms of VAS and ROM scores,compared with those before treatment,the short-term and long-term scores of the three groups were significantly lower(P<0.01).The short-term and long-term scores of jiejie acupuncture plus medication group and jiejie acupuncture group were lower than those of conventional acupuncture group(P<0.01).In terms of cervical physiological curvature,the three groups were significantly higher than before treatment(P<0.01).The jiejie acupuncture plus medication group and jiejie acupuncture group were higher than the conventional acupuncture group(P<0.05).In terms of recurrence rate,the recurrence rate of the three groups had statistical significance(χ^2=10.84,P=0.004),the conventional acupuncture group had the highest recurrence rate,and jiejie acupuncture plus medication group had the lowest recurrence rate.Conclusion The jiejie acupuncture can effectively treat neck type cervical spondylosis,and has better long-term curative effect combined with traditional Chinese medicine.
作者
胡厚君
朱中书
HU Hou-jun;ZHU Zhong-shu(Linyi City Traditional Chinese Medicine Hospital,Linyi 276002,China)
出处
《山东医学高等专科学校学报》
2018年第5期351-355,共5页
Journal of Shandong Medical College
基金
临沂市科技创新发展计划(医学类)项目(NO.201717040)
关键词
颈型颈椎病
横络解结
针刺
壮筋束骨丸
Neck Type Cervical Spondylosis
Hengluojiejie
Acupuncture
Zhuangjinshugu Pills
作者简介
胡厚君,男,本科,副主任中医师,研究方向:针灸基础理论研究与常见病的临床治疗。
