腹针治疗颈椎病的疗效观察
|
摘要
研究目的：采用腹针和传统体针治疗颈椎病,观察其临床疗效及相关指标的变化情况,对比二者的疗效,为拓宽颈椎病的临床治疗方法提供依据。
研究方法：将南京市中医院针灸科2010年01月01日-12月30日的门诊颈椎病患者40例,按门门诊先后顺序用薪封数字表1：1分为腹针组,传统针刺各20例。腹针针刺天地针,滑肉门,大横之为主,平补平泻手法,留针30min,每天1次,5次/周,治疗1个月。传统针刺组,针刺大椎,天柱,后溪,颈百劳,颈夹脊,养老为主。用0.3×40-50mm一次性消毒豪针,颈夹脊向脊柱方向45°针刺。其余穴均直刺。采用补虚泻实穴提插手法。每天1次,5次/周,治疗1个月。观察治疗前,后MPQ量表评分及临床疗效。采用Ridit方法进行治疗前、后疗效对比,用采用SPSS17.0软件进行统计学处理,计量资料组间比较采用t检验,计数资料组间比较采用卡方检验。
研究结果：
1.简化MPQ量表评分比较
治疗前2组的简化MPQ量表各项指标比较均无统计学差异(P>0.05),提示组间具有可比性。疗程结束时2组MPQ量表均较治疗前明显改善,2组在疗程结束后各项指标组间比较差异均有显著性意义(P<0.05)。两组病例在治疗前后疼痛积分差值方面比较也存在显著性统计学差异(P<0.05、P<0.01),且差值变化情况表明治疗组的疗效上更优于对照组的治疗方法。
2.疗效比较
腹针组20例患者,症状消失9例,好转10例,无效1例;对照组20例,症状消失2例,好转16例,无效2例。两组显效率有显著性统计学差异(P<0.05),治疗组和对照组总有效率分别为95%,90%,腹针组总有效率有高于传统针刺组的趋势。但无统计学差异(P>0.05)。两组症状消失分别为45%,10%,有显著性统计学差异(P<0.05)；提示腹针和传统体针治疗颈椎均有很好疗效,但有高于传统体针组的趋势,但腹针组的症状消失率明显优于对照组。
研究结论：腹针和传统体针均为治疗颈椎病的有效方法；腹针疗法治疗颈椎病的临床疗效优于传统体针。此外腹针还具有处方标准、操作规范特点。
Subject research purpose:the abdomen needle and traditional TiZhen for the treatment of cervical syndrome, observed the clinical curative effect and related index variations, the curative effect, compared to both the clinical treatment of cervical spondylosis provide rich and excellent methods.
Methods:from nanjing Chinese acupuncture 2010 January 1-on December 30,40 cases of cervical spondylosis patients outpatient PEMS3.1 package, using random two groups according to 1:1 proportion, the treatment group and control group by abdominal needle treatment with traditional TiZhen treatment. Compare two sets of MPQ rating scale before and after treatment, efficacy and so on various observation of change. Ridit methods adopted before and after treatment, by contrast with SPSS 17.0 curative statistical processing software, measuring data set by t-test is compared between between data set, counting compares the chi-square test
Results:
1. Simplified MPQ rating scale
Before treatment of the two groups each index comparison MPQ scale simplified were not significantly difference (P> 0.05), tip groups comparable. At the end of the course 2 groups than indexes before treatment improved obviously, two groups in treatment between groups over the indicators are comparative differences remarkable significance (P< 0.05). Two groups before and after treatment were in pain points difference value is aspects quite significant difference (P < 0.05, P< 0.01), and poor value change situation indicates the treatment group in treatment of curative effect on more than control group therapy.
2. Compare efficacy
Abdominal needle group of 20 patients were recovered 9 cases, improvement,10 cases,1 case ineffective; The control group of 20 patients were recovered in 2 cases, improvement,16 cases, invalid in 2 cases. Two groups of clinical curative effect has significant difference (P< 0.05), and the total effective rate in treatment group and control group for 95% and 90% respectively, two group total effectiveness no significant difference (P> 0.05), two groups of recovery rate for 45% respectively,10%, have significant difference (P< 0.05). Two groups of greater (P> 0.05 compared rate) no significant differences. Clew abdomen needle and conventional in the treatment of cervical TiZhen all have very good curative effect, and abdominal needle with traditional TiZhen group total effective no statistically significant, but compared TiZhen group had a higher than normal, especially the trend of abdominal needle group was better than control rates of healing.
Conclusion:
Two groups of patients after treatment compared the comprehensive effect, two groups of clinical curative effect was significant difference (P< 0.05), and the total effective rate in treatment group and control group for 95% and 90% respectively, two group total effectiveness no significant difference (P> 0.05), two groups of recovery rate for 45% respectively,10%, have significant difference (P< 0.05). Two groups of greater (P> 0.05 compared rate) no significant differences. Clew abdomen needle and conventional in the treatment of cervical TiZhen all have very good curative effect, and abdominal needle is significantly better than conventional TiZhen group group. Before treatment 2 groups of choice of words project number, PRI positive feeling points, emotional points, total score, the indicators of PPI VAS, there were no significant difference compared (P> 0.05). Two groups before and after treatment were in pain points difference value is aspects quite significant difference (P< 0.05, P< 0.01), and poor value change situation indicates the treatment group in treatment of curative effect of more than control group.
Conclusion:abdominal needle and conventional TiZhen are of cervical spondylosis effective treatment methods; Abdominal needle treatment of cervical spondylosis TiZhen clinically superior conventional. Besides abdomen needle with prescription standardization, operations standardization, syndrome differentiation of joining abdominal needle clinical characteristics and safety, painless, efficient, quick, indications wide advantages.
研究方法：将南京市中医院针灸科2010年01月01日-12月30日的门诊颈椎病患者40例,按门门诊先后顺序用薪封数字表1：1分为腹针组,传统针刺各20例。腹针针刺天地针,滑肉门,大横之为主,平补平泻手法,留针30min,每天1次,5次/周,治疗1个月。传统针刺组,针刺大椎,天柱,后溪,颈百劳,颈夹脊,养老为主。用0.3×40-50mm一次性消毒豪针,颈夹脊向脊柱方向45°针刺。其余穴均直刺。采用补虚泻实穴提插手法。每天1次,5次/周,治疗1个月。观察治疗前,后MPQ量表评分及临床疗效。采用Ridit方法进行治疗前、后疗效对比,用采用SPSS17.0软件进行统计学处理,计量资料组间比较采用t检验,计数资料组间比较采用卡方检验。
研究结果：
1.简化MPQ量表评分比较
治疗前2组的简化MPQ量表各项指标比较均无统计学差异(P>0.05),提示组间具有可比性。疗程结束时2组MPQ量表均较治疗前明显改善,2组在疗程结束后各项指标组间比较差异均有显著性意义(P<0.05)。两组病例在治疗前后疼痛积分差值方面比较也存在显著性统计学差异(P<0.05、P<0.01),且差值变化情况表明治疗组的疗效上更优于对照组的治疗方法。
2.疗效比较
腹针组20例患者,症状消失9例,好转10例,无效1例;对照组20例,症状消失2例,好转16例,无效2例。两组显效率有显著性统计学差异(P<0.05),治疗组和对照组总有效率分别为95%,90%,腹针组总有效率有高于传统针刺组的趋势。但无统计学差异(P>0.05)。两组症状消失分别为45%,10%,有显著性统计学差异(P<0.05)；提示腹针和传统体针治疗颈椎均有很好疗效,但有高于传统体针组的趋势,但腹针组的症状消失率明显优于对照组。
研究结论：腹针和传统体针均为治疗颈椎病的有效方法；腹针疗法治疗颈椎病的临床疗效优于传统体针。此外腹针还具有处方标准、操作规范特点。
Subject research purpose:the abdomen needle and traditional TiZhen for the treatment of cervical syndrome, observed the clinical curative effect and related index variations, the curative effect, compared to both the clinical treatment of cervical spondylosis provide rich and excellent methods.
Methods:from nanjing Chinese acupuncture 2010 January 1-on December 30,40 cases of cervical spondylosis patients outpatient PEMS3.1 package, using random two groups according to 1:1 proportion, the treatment group and control group by abdominal needle treatment with traditional TiZhen treatment. Compare two sets of MPQ rating scale before and after treatment, efficacy and so on various observation of change. Ridit methods adopted before and after treatment, by contrast with SPSS 17.0 curative statistical processing software, measuring data set by t-test is compared between between data set, counting compares the chi-square test
Results:
1. Simplified MPQ rating scale
Before treatment of the two groups each index comparison MPQ scale simplified were not significantly difference (P> 0.05), tip groups comparable. At the end of the course 2 groups than indexes before treatment improved obviously, two groups in treatment between groups over the indicators are comparative differences remarkable significance (P< 0.05). Two groups before and after treatment were in pain points difference value is aspects quite significant difference (P < 0.05, P< 0.01), and poor value change situation indicates the treatment group in treatment of curative effect on more than control group therapy.
2. Compare efficacy
Abdominal needle group of 20 patients were recovered 9 cases, improvement,10 cases,1 case ineffective; The control group of 20 patients were recovered in 2 cases, improvement,16 cases, invalid in 2 cases. Two groups of clinical curative effect has significant difference (P< 0.05), and the total effective rate in treatment group and control group for 95% and 90% respectively, two group total effectiveness no significant difference (P> 0.05), two groups of recovery rate for 45% respectively,10%, have significant difference (P< 0.05). Two groups of greater (P> 0.05 compared rate) no significant differences. Clew abdomen needle and conventional in the treatment of cervical TiZhen all have very good curative effect, and abdominal needle with traditional TiZhen group total effective no statistically significant, but compared TiZhen group had a higher than normal, especially the trend of abdominal needle group was better than control rates of healing.
Conclusion:
Two groups of patients after treatment compared the comprehensive effect, two groups of clinical curative effect was significant difference (P< 0.05), and the total effective rate in treatment group and control group for 95% and 90% respectively, two group total effectiveness no significant difference (P> 0.05), two groups of recovery rate for 45% respectively,10%, have significant difference (P< 0.05). Two groups of greater (P> 0.05 compared rate) no significant differences. Clew abdomen needle and conventional in the treatment of cervical TiZhen all have very good curative effect, and abdominal needle is significantly better than conventional TiZhen group group. Before treatment 2 groups of choice of words project number, PRI positive feeling points, emotional points, total score, the indicators of PPI VAS, there were no significant difference compared (P> 0.05). Two groups before and after treatment were in pain points difference value is aspects quite significant difference (P< 0.05, P< 0.01), and poor value change situation indicates the treatment group in treatment of curative effect of more than control group.
Conclusion:abdominal needle and conventional TiZhen are of cervical spondylosis effective treatment methods; Abdominal needle treatment of cervical spondylosis TiZhen clinically superior conventional. Besides abdomen needle with prescription standardization, operations standardization, syndrome differentiation of joining abdominal needle clinical characteristics and safety, painless, efficient, quick, indications wide advantages.
引文
[1]贾连顺.颈椎病的现代概念[J].脊柱外科杂志,2004,2(2)：123-126
[2]薄智云.神阙布气说与腹针[J].北京中医,1993：(4)：12
[3]王和鸣.中国伤科学[M].中国中医药出版社,2006.4
[4]侯世文,杨积茂.杨积茂老师辨治颈椎病经验拾零[J].甘肃中医.2007,20(8)：22.
[5]刘玉珍,李坚将.颈椎病的病因病机与三步针罐疗法的立法组方原理[J].贵阳中医学院学报,2002,24(4)：30-31.
[6]吕殿忠,叶光明.腰椎间盘突出、颈椎病病因病机琐谈[J].黑龙江中医药,2002(6)：56.
[7]魏毅,梁伟雄,陈炳坤.椎动脉型颈椎病中医证候分布规律的临床流行病学调查[J].新中医,2007,39(7)：47-48.
[8]彭裕文.颈椎病专题座谈会纪要[J].中华外科杂志.1984,22(12)：721.
[9]Tibblin G,Bengtsson C,Furunes B,et al. Symptoms byage and sex. The population studies of men and women inGothenburg, Sweden[J]. Seand J Prim HeMth Care,1990,8(1):9-17.
[10]赵树军,常秀龙,白明泽.中药疗法对156例临床研究[J].社区中医药,2007,6(9)：70.
[11]周林宽,章明.脊髓型颈椎病的辨证论治[J].浙江中医学院学报,1997,21(2)：13-14.
[12]田鑫.中药治疗神经根型颈推病的研究进展[J].黑龙江医药,2009,22(1)：40-42.
[13]叶秀兰,王拥军,施杞(指导).神经根型颈椎病的辨证论治[J].中国中医骨伤科杂志,2001,9(3)：50-52.
[14]杨百明,李娟.神经根型颈椎病的中医辨证施治[J].新疆中医药,1999,17(3)：17-18.
[15]宋琪,姜淑洁.固本舒筋汤治疗神经根型颈椎病122例临床观察[J].北京中医,2007,26(9)：595-597.
[16]林定坤,王羽丰,孔畅.椎动脉型颈椎病中医辨证规律的探讨[J].中国医学工程,2005,13(4)：444-445.
[17]鄢卫平.针灸治疗颈椎病100例小结[J].甘肃中医,2003,16(11)：33-34;
[18]张冷,黄丽萍.“关刺”疗法治疗椎动脉型颈椎病24例[J].吉林中医药,2007,27(6)：40-41
[19]张铁英,孙琳,黄梅颖.辨经取穴治疗神经根型颈椎病360例疗效观察[J].针灸临床杂志,2005,21(5)：18-19.
[20]胡天燕,欧阳八四.大椎穴合谷刺法治疗椎动脉型颈椎病34例[J].湖南中医杂志,2006,24(6)：34-35.
[21]何常春,尹林玉.经筋针刺法治疗神经根型颈椎病60例临床观察[J].中医药导报,2009,15(4)：66-67
[22]秦秀娣,赵海音.汤氏头针治疗椎动脉型颈椎病28例[J].上海针灸杂志,2000,19(3)：29-30.
[23]贾怀玉.头针治疗颈椎病46例.上海针灸杂志,1993,12(3)：113
[24]夏阳,王朝阳.头针治疗椎动脉型颈椎病56例[J].针灸临床杂志,1999,15(9)：41
[25]陈世忠.腕踝针治疗颈椎病105例[J].中国针灸,1999,19(5)：318-319
[26]朱晓平,文幸,李勇.苍龟探穴针法治疗颈型颈椎病36例[J].中国临床康复,2006,10(15)：162-163.
[27]郭艳幸,赵庆安,陈燕坤.颈型颈椎病的分型与针灸治疗[J].中医止骨,2004,10(16)：27-28.
[28]王升旭,赖新生,李树成,等.电针夹脊穴治疗颈椎病的临床研究[J].针刺研究,1999,24(3)：227-230.
[29]刘大平.电针颈夹脊穴为主治疗颈椎病116例[J].辽宁中医药大学学报,2006,8(5)：43-44
[30]蔡圣朝.项丛五针配合温灸治疗颈椎病312例[J].中国针灸,1996,(5)：19.
[31]周文学.温针灸治疗椎动脉型颈椎病78例[J].针灸临床杂志,2003,19(6)：42-43.
[32]袁秀丽,刘驰,李培.活血通窍刺灸法治疗椎动脉型颈椎病的临床研究[J].上海针灸杂志,2006,25(1)：11-12.
[33]周长斗.风池穴温针灸治疗颈性眩晕疗效观察[J].中国针灸,2000,20(5)：277-278.
[34]傅玉红.针灸治疗颈椎病50例临床观察[J].中国骨伤,2004,17(12)：728-729.
[35]王艳,陈昌乐.针灸治疗椎动脉型颈椎病的疗效观察[J].陕西中医,2008,29(6)：714-715.
[36]何爽,骆钧梵.超短波配合针灸治疗椎动脉型颈椎病的疗效观察[J].深圳中西医结合杂志,2006,16(2)：99-100.
[37]阎怀士.温针灸颈夹脊治疗颈椎病75例[J].安徽中医学院学报,1999,18(3)：39
[38]彭恩衍.耳穴贴压治疗颈椎综合征182例临床观察[J].江西中医学院学报,197,9(4)：13
[39]张卓才.针灸加药物治疗颈椎病96例临床观察[J].中医药导报,2009,15(5)：63-64
[40]姚金珍,刘树明,张雅萍.针灸加药枕治疗椎动脉型颈椎病5例[J].卫生职业教育,2008,16(2)：141-142
[41]陈选朝.羌活胜湿汤加针灸治疗颈椎病125例[J].中华现代医学与临床,2006,4(5)：97-981
[42]胡纪原,韩咏竹.水针百劳穴治疗椎动脉型颈椎病32例[J].安徽中医学院学报,1998；17(1)：38
[43]关强,张慰民.穴位注射治疗颈椎病518例临床观察[J].中国针灸,1990,10(1)：10
[44]宋吉岩,郑军.火针疗法治疗颈型颈椎病临证举隅[J].吉林中医药,2008,28(8)：597-598
[45]刘宝环,董春哲.电磁疗法治疗颈椎病84例疗效观察[J].白求恩医科大学学报,1999,25(5)：669
[46]常静玲,李凤婷,宋兰萍.针刺及局部穴位涂药加灸治疗颈椎病68例[J].中国针灸,1999,19(6)：341
[47]石柳芳.艾灸加电针治疗颈椎病58例[J].广西中医药,2000,25(3)：36-37
[48]王光月,屈凤林.穴位注射配合温针灸治疗颈椎病482例[J].中医杂志,1998,39(12)：741
[49]余梅英,柴兆璋.七星针叩剌拔罐治疗神经根型颈椎病50例[J].上海针灸杂志,1998,17(2)：46
[50]余梅英,柴兆璋.七星针叩刺拔罐治疗神经根型颈椎病50例[J].上海针灸杂志,1998,17(2)：46
[51]薄智云.神阙布气说与腹针[M].北京中医,1993：(4)：12
[52]薄智云.谈谈腹针疗法[J].中国针灸,2001,21(8)：474-476
[53]祝晓忠.腹针加正骨手法治疗腰椎间盘突出症的临床研究[J].现代中西医结合杂志,2005,14(15)：2005
[54]车建丽.腹针配合刺络放血治疗中风后遗症30例——附体针治疗20例对照[J].浙江中医杂志,2003,(12)：518.
[55]雷跃,华云辉.腹针透刺配合耳穴贴压治疗单纯性肥胖症的临床研究[J].中医药通报,2005,4(3)：32
[56]曹媛.颈牵配合腹针治疗颈椎病98例小结[J].湖南中医药导报,2003,9(2)：38
[57]张晖,王桂萍.颈三针结合腹针治疗颈性眩晕52例疗效观察[J].上海针灸杂志,2004,23(11)：1
[58]熊同学.腹针治疗颈椎病疗效观察[J].针灸临床杂志,2007,23(10)：15
[59]施杞.要重视对颈椎病的研究[J].中国中医骨伤科杂志,1997,7(1)：1-3.
[60]赵定麟.颈椎伤病学[M].上海科技教育出版社,1994,8,147-192.
[61]王冰,段义萍,张友常.颈椎病患病特征的流行病学研究[J].中南大学学报(医学版)2004,29(4)：472-473
[62]梁秋发,原林,黄立清,广东省佛山市3所大学成年教职工及其家属颈椎病的流行病学调查并3年随访分析[J].中国临床康复,2006,10(16)：3-5
[63]Chiu. TT,Ku WY,LeeMH,et aLA Study On the prevalence of and risk factors forneck pain among university academic ataff in Hong Kong[J]. J,Occup Rehabil2002,12(2):77-91
[64]云利欣,张浩玲,邢淑霞.颈椎病病因与分型鉴别探讨[J].现代康复,2000,12(4)：61.
[65]贾连顺.颈椎病的现代概念[J].脊柱外科杂志,2004,2(2)：123-126
[66]吴毅文,余家阔,占磊.安徽医科大学学报,1990,25(1)
[67]占磊,吴毅文.安徽医科大学学报,1990,25(1)
[68]胡嘉彦,金耀清,王继铭.中国医科大学学报,1982,11(2)：67.
[69]余家阔,吴毅文,汪发贵.实验性颈椎应力应变分布对颈椎病组织结构的影响[J]中华外科杂志,1993,31(8)：26-27.
[70]潘福琼.颈椎病的病因、诊断及治疗进展[J].现代康复,2001,5(4)：86
[71]赵进海,赵树森,庞玉森.高枕对颈椎病的影响[J].中国康复医学,1988,3(5)：19-20
[72]潘福琼.颈椎病的病因、诊断及治疗进展[J].现代康复,2001,5(4)：86
[73]潘福琼.颈椎病的病因、诊断及治疗进展[J].现代康复,2001,5(4)：86
[74]彭宝淦,施祀,贾连顺.退变颈椎间盘致炎机理的实验研究[J].第二军医大学学报.1999,20：501-504.
[75]周章武.颈椎病牵引位置的探讨[J].中国中医骨伤科杂志,1996,4(1)：35
[76]李晶,郑春来.从生物力学观点探讨颈椎牵引时间[J].中华理疗杂志,1995,18(2)：99
[77]章家福,胡蔚琼.推拿治疗椎动脉型颈椎病例[J].湖北中医杂志,1995,17(4)：5
[78]吴弥群,朱贞国.经颅多普勒评价分米波治疗椎一基动脉型颈椎病的疗效[J].中国超声医学杂志,1997,13(4)：61
[79]丁义美,丁肃穆综合治疗椎动脉缺血型颈椎病例临床报告[J].按摩与导引,1997,(4)：11
[80]刘竹生.高校保健医学研究与实践[J].2006,3(3)
[81]林素蕊中国医学创新[J].2010,07(28)：188
[82]刘希良,张建华,秦黎红.不同年龄阶段颈椎病临床研究进展[J].针灸临床杂志,2008,24(10)：53.
[83]赵例黎,陈利.腹针治疗颈椎病的疗效观察[J].广东省中医出版社2009.0063.02.
[84]王和鸣.中国伤科学[M].中国中医药出版社,2006.4
[85]薄智云.腹针疗法[M].中国科学技术出版社,1999,2,8-9,100.
[86]李静茁,王晓燕,王巍等.针刺减肥210例[J].陕西中医,2003,24(1)：67.
[2]薄智云.神阙布气说与腹针[J].北京中医,1993：(4)：12
[3]王和鸣.中国伤科学[M].中国中医药出版社,2006.4
[4]侯世文,杨积茂.杨积茂老师辨治颈椎病经验拾零[J].甘肃中医.2007,20(8)：22.
[5]刘玉珍,李坚将.颈椎病的病因病机与三步针罐疗法的立法组方原理[J].贵阳中医学院学报,2002,24(4)：30-31.
[6]吕殿忠,叶光明.腰椎间盘突出、颈椎病病因病机琐谈[J].黑龙江中医药,2002(6)：56.
[7]魏毅,梁伟雄,陈炳坤.椎动脉型颈椎病中医证候分布规律的临床流行病学调查[J].新中医,2007,39(7)：47-48.
[8]彭裕文.颈椎病专题座谈会纪要[J].中华外科杂志.1984,22(12)：721.
[9]Tibblin G,Bengtsson C,Furunes B,et al. Symptoms byage and sex. The population studies of men and women inGothenburg, Sweden[J]. Seand J Prim HeMth Care,1990,8(1):9-17.
[10]赵树军,常秀龙,白明泽.中药疗法对156例临床研究[J].社区中医药,2007,6(9)：70.
[11]周林宽,章明.脊髓型颈椎病的辨证论治[J].浙江中医学院学报,1997,21(2)：13-14.
[12]田鑫.中药治疗神经根型颈推病的研究进展[J].黑龙江医药,2009,22(1)：40-42.
[13]叶秀兰,王拥军,施杞(指导).神经根型颈椎病的辨证论治[J].中国中医骨伤科杂志,2001,9(3)：50-52.
[14]杨百明,李娟.神经根型颈椎病的中医辨证施治[J].新疆中医药,1999,17(3)：17-18.
[15]宋琪,姜淑洁.固本舒筋汤治疗神经根型颈椎病122例临床观察[J].北京中医,2007,26(9)：595-597.
[16]林定坤,王羽丰,孔畅.椎动脉型颈椎病中医辨证规律的探讨[J].中国医学工程,2005,13(4)：444-445.
[17]鄢卫平.针灸治疗颈椎病100例小结[J].甘肃中医,2003,16(11)：33-34;
[18]张冷,黄丽萍.“关刺”疗法治疗椎动脉型颈椎病24例[J].吉林中医药,2007,27(6)：40-41
[19]张铁英,孙琳,黄梅颖.辨经取穴治疗神经根型颈椎病360例疗效观察[J].针灸临床杂志,2005,21(5)：18-19.
[20]胡天燕,欧阳八四.大椎穴合谷刺法治疗椎动脉型颈椎病34例[J].湖南中医杂志,2006,24(6)：34-35.
[21]何常春,尹林玉.经筋针刺法治疗神经根型颈椎病60例临床观察[J].中医药导报,2009,15(4)：66-67
[22]秦秀娣,赵海音.汤氏头针治疗椎动脉型颈椎病28例[J].上海针灸杂志,2000,19(3)：29-30.
[23]贾怀玉.头针治疗颈椎病46例.上海针灸杂志,1993,12(3)：113
[24]夏阳,王朝阳.头针治疗椎动脉型颈椎病56例[J].针灸临床杂志,1999,15(9)：41
[25]陈世忠.腕踝针治疗颈椎病105例[J].中国针灸,1999,19(5)：318-319
[26]朱晓平,文幸,李勇.苍龟探穴针法治疗颈型颈椎病36例[J].中国临床康复,2006,10(15)：162-163.
[27]郭艳幸,赵庆安,陈燕坤.颈型颈椎病的分型与针灸治疗[J].中医止骨,2004,10(16)：27-28.
[28]王升旭,赖新生,李树成,等.电针夹脊穴治疗颈椎病的临床研究[J].针刺研究,1999,24(3)：227-230.
[29]刘大平.电针颈夹脊穴为主治疗颈椎病116例[J].辽宁中医药大学学报,2006,8(5)：43-44
[30]蔡圣朝.项丛五针配合温灸治疗颈椎病312例[J].中国针灸,1996,(5)：19.
[31]周文学.温针灸治疗椎动脉型颈椎病78例[J].针灸临床杂志,2003,19(6)：42-43.
[32]袁秀丽,刘驰,李培.活血通窍刺灸法治疗椎动脉型颈椎病的临床研究[J].上海针灸杂志,2006,25(1)：11-12.
[33]周长斗.风池穴温针灸治疗颈性眩晕疗效观察[J].中国针灸,2000,20(5)：277-278.
[34]傅玉红.针灸治疗颈椎病50例临床观察[J].中国骨伤,2004,17(12)：728-729.
[35]王艳,陈昌乐.针灸治疗椎动脉型颈椎病的疗效观察[J].陕西中医,2008,29(6)：714-715.
[36]何爽,骆钧梵.超短波配合针灸治疗椎动脉型颈椎病的疗效观察[J].深圳中西医结合杂志,2006,16(2)：99-100.
[37]阎怀士.温针灸颈夹脊治疗颈椎病75例[J].安徽中医学院学报,1999,18(3)：39
[38]彭恩衍.耳穴贴压治疗颈椎综合征182例临床观察[J].江西中医学院学报,197,9(4)：13
[39]张卓才.针灸加药物治疗颈椎病96例临床观察[J].中医药导报,2009,15(5)：63-64
[40]姚金珍,刘树明,张雅萍.针灸加药枕治疗椎动脉型颈椎病5例[J].卫生职业教育,2008,16(2)：141-142
[41]陈选朝.羌活胜湿汤加针灸治疗颈椎病125例[J].中华现代医学与临床,2006,4(5)：97-981
[42]胡纪原,韩咏竹.水针百劳穴治疗椎动脉型颈椎病32例[J].安徽中医学院学报,1998；17(1)：38
[43]关强,张慰民.穴位注射治疗颈椎病518例临床观察[J].中国针灸,1990,10(1)：10
[44]宋吉岩,郑军.火针疗法治疗颈型颈椎病临证举隅[J].吉林中医药,2008,28(8)：597-598
[45]刘宝环,董春哲.电磁疗法治疗颈椎病84例疗效观察[J].白求恩医科大学学报,1999,25(5)：669
[46]常静玲,李凤婷,宋兰萍.针刺及局部穴位涂药加灸治疗颈椎病68例[J].中国针灸,1999,19(6)：341
[47]石柳芳.艾灸加电针治疗颈椎病58例[J].广西中医药,2000,25(3)：36-37
[48]王光月,屈凤林.穴位注射配合温针灸治疗颈椎病482例[J].中医杂志,1998,39(12)：741
[49]余梅英,柴兆璋.七星针叩剌拔罐治疗神经根型颈椎病50例[J].上海针灸杂志,1998,17(2)：46
[50]余梅英,柴兆璋.七星针叩刺拔罐治疗神经根型颈椎病50例[J].上海针灸杂志,1998,17(2)：46
[51]薄智云.神阙布气说与腹针[M].北京中医,1993：(4)：12
[52]薄智云.谈谈腹针疗法[J].中国针灸,2001,21(8)：474-476
[53]祝晓忠.腹针加正骨手法治疗腰椎间盘突出症的临床研究[J].现代中西医结合杂志,2005,14(15)：2005
[54]车建丽.腹针配合刺络放血治疗中风后遗症30例——附体针治疗20例对照[J].浙江中医杂志,2003,(12)：518.
[55]雷跃,华云辉.腹针透刺配合耳穴贴压治疗单纯性肥胖症的临床研究[J].中医药通报,2005,4(3)：32
[56]曹媛.颈牵配合腹针治疗颈椎病98例小结[J].湖南中医药导报,2003,9(2)：38
[57]张晖,王桂萍.颈三针结合腹针治疗颈性眩晕52例疗效观察[J].上海针灸杂志,2004,23(11)：1
[58]熊同学.腹针治疗颈椎病疗效观察[J].针灸临床杂志,2007,23(10)：15
[59]施杞.要重视对颈椎病的研究[J].中国中医骨伤科杂志,1997,7(1)：1-3.
[60]赵定麟.颈椎伤病学[M].上海科技教育出版社,1994,8,147-192.
[61]王冰,段义萍,张友常.颈椎病患病特征的流行病学研究[J].中南大学学报(医学版)2004,29(4)：472-473
[62]梁秋发,原林,黄立清,广东省佛山市3所大学成年教职工及其家属颈椎病的流行病学调查并3年随访分析[J].中国临床康复,2006,10(16)：3-5
[63]Chiu. TT,Ku WY,LeeMH,et aLA Study On the prevalence of and risk factors forneck pain among university academic ataff in Hong Kong[J]. J,Occup Rehabil2002,12(2):77-91
[64]云利欣,张浩玲,邢淑霞.颈椎病病因与分型鉴别探讨[J].现代康复,2000,12(4)：61.
[65]贾连顺.颈椎病的现代概念[J].脊柱外科杂志,2004,2(2)：123-126
[66]吴毅文,余家阔,占磊.安徽医科大学学报,1990,25(1)
[67]占磊,吴毅文.安徽医科大学学报,1990,25(1)
[68]胡嘉彦,金耀清,王继铭.中国医科大学学报,1982,11(2)：67.
[69]余家阔,吴毅文,汪发贵.实验性颈椎应力应变分布对颈椎病组织结构的影响[J]中华外科杂志,1993,31(8)：26-27.
[70]潘福琼.颈椎病的病因、诊断及治疗进展[J].现代康复,2001,5(4)：86
[71]赵进海,赵树森,庞玉森.高枕对颈椎病的影响[J].中国康复医学,1988,3(5)：19-20
[72]潘福琼.颈椎病的病因、诊断及治疗进展[J].现代康复,2001,5(4)：86
[73]潘福琼.颈椎病的病因、诊断及治疗进展[J].现代康复,2001,5(4)：86
[74]彭宝淦,施祀,贾连顺.退变颈椎间盘致炎机理的实验研究[J].第二军医大学学报.1999,20：501-504.
[75]周章武.颈椎病牵引位置的探讨[J].中国中医骨伤科杂志,1996,4(1)：35
[76]李晶,郑春来.从生物力学观点探讨颈椎牵引时间[J].中华理疗杂志,1995,18(2)：99
[77]章家福,胡蔚琼.推拿治疗椎动脉型颈椎病例[J].湖北中医杂志,1995,17(4)：5
[78]吴弥群,朱贞国.经颅多普勒评价分米波治疗椎一基动脉型颈椎病的疗效[J].中国超声医学杂志,1997,13(4)：61
[79]丁义美,丁肃穆综合治疗椎动脉缺血型颈椎病例临床报告[J].按摩与导引,1997,(4)：11
[80]刘竹生.高校保健医学研究与实践[J].2006,3(3)
[81]林素蕊中国医学创新[J].2010,07(28)：188
[82]刘希良,张建华,秦黎红.不同年龄阶段颈椎病临床研究进展[J].针灸临床杂志,2008,24(10)：53.
[83]赵例黎,陈利.腹针治疗颈椎病的疗效观察[J].广东省中医出版社2009.0063.02.
[84]王和鸣.中国伤科学[M].中国中医药出版社,2006.4
[85]薄智云.腹针疗法[M].中国科学技术出版社,1999,2,8-9,100.
[86]李静茁,王晓燕,王巍等.针刺减肥210例[J].陕西中医,2003,24(1)：67.