摘要
目的观察针刺上下项线处结筋病灶点治疗颈性眩晕头痛的临床疗效。方法收集2019年5月—2020年12月就诊于辽宁中医药大学附属医院、辽宁中医药大学附属第二医院、北方战区总医院的椎动脉型颈椎病患者104例,采用简单随机数表法将患者随机分为观察组和对照组,每组52例。对照组采用常规毫针刺法治疗,取颈夹脊、天柱、后溪、申脉、百会、风池等常用腧穴。观察组采用经筋针刺疗法,先对枕骨后部上下项线处进行触诊,选取6~10个结筋病灶点进行针刺。两组均针刺得气后留针15 min,隔天治疗一次,两周为1疗程,共治疗2个疗程。比较治疗前后疼痛视觉模拟评分(Visual Analogue Scale,VAS)、眩晕障碍评分(Dizziness Handicap Inventory,DHI)、颈椎功能障碍指数(Neck Disabilitv Index,NDI)并对临床疗效进行评价。结果经过治疗,两组VAS、DHI、NDI评分均明显降低(P<0.05),且观察组评分明显低于对照组(P<0.05),观察组总有效率97.43%明显优于对照组87.17%(P<0.05),差异有统计学意义。结论针刺上下项线处结筋病灶点治疗椎动脉型颈椎病的治疗效果显著,能极大地改善患者眩晕及不适症状,值得临床推广应用。
Objective To observe the clinical effect of acupuncture at the upper and lower neck line on cervical vertigo and headache.Methods A total of 104 patients with cervical spondylosis of vertebral artery type who visited the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,the Second Affiliated Hospital and the Northern Theater General Hospital from May 2019 to December 2020 were collected.Patients were randomly divided into observation group and control group by simple random number table,with 52 cases in each group.The control group was treated with conventional filiform needling,and common acupoints such as cervical Jiaji,Tianzhu,Houxi,Shenmai,Baihui and Fengchi were selected.The observation group was treated with acupuncture via tendons,and the upper and lower nape lines at the back of occipital bone were palpated first,select 6~10 focal points for acupuncture.Two groups were treated once every other day for 15 min after needling,with two weeks as a course of treatment.Pain visual analogue scale(VAS),vertigo score(DHI)and cervical dysfunction index(NDI)were compared before and after treatment,and the clinical efficacy was evaluated.Results After treatment,the VAS,DHI and NDI scores of the two groups were significantly decreased(P<0.05),and the scores of the observation group were significantly lower than those of the control group(P<0.05).The total effective rate of the observation group,97.43%,was significantly better than that of the control group,87.17%(P<0.05).Conclusion Acupuncture at the upper and lower neck line is effective in treating cervical spondylosis of vertebral artery type,which can greatly improve the dizziness and discomfort of patients,and is worthy of clinical application.
作者
焦子彧
董宝强
徐文嵩
王刚
林星星
富昱
王垒钞
JIAO Ziyu;DONG Baoqiang;XU Wensong;WANG Gang;LIN Xingxing;FU Yu;WANG Leichao(College of Acupuncture and Tuina,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China;General Hospital of Northern Theater Command,Shenyang 110000,Liaoning,China)
出处
《实用中医内科杂志》
2022年第6期101-104,共4页
Journal of Practical Traditional Chinese Internal Medicine
基金
辽宁省科学技术厅重点研发计划(2019JH2/10300012)
辽宁省“兴辽英才计划”科技创新领军人才项目(XLYC1902115)。
关键词
椎动脉型颈椎病
针刺
结筋病灶点
临床观察
Cervical spondylosis of vertebral artery type
Acupuncture
The focal point of tendon knot
clinical observation
作者简介
焦子彧(1995-),女,辽宁鞍山人,硕士研究生,研究方向:针灸推拿结合运动康复防治疾病的机制与临床。;通讯作者:董宝强(1969-),男,辽宁沈阳人,教授,博士研究生导师,博士,研究方向:针灸推拿结合运动康复防治疾病的机理与临床。E-mail:pe-terbaoqiang@163.com。
