灵龟八法联合常规针刺治疗颈型颈椎病的前瞻性对照研究
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摘要
目的探讨灵龟八法联合常规针刺治疗颈型颈椎病的临床疗效。方法选取2015-12月-2017-12收治的90例颈型颈椎病患者,通过随机数字表法分为观察组和对照组各45例。其中,对照组采用常规取穴针刺治疗,观察组采用灵龟八法取穴联合常规针刺治疗。两组均治疗1个月后进行疗效观察。结果两组治疗1个月后的VAS评分、NDI指数和颈部症状积分均显著改善(P<0.05),且观察组的3项指标改善程度均显著优于对照组(P<0.05);观察组的治疗有效率为97.8%(44/45),显著高于对照组的82.2%(37/45),差异有统计学意义(P<0.05)。结论采用灵龟八法取穴联合常规针刺治疗颈型颈椎病,可进一步减轻疼痛等症状,改善功能障碍,提高整体疗效,有临床应用价值。
Objective To explore the clinical effect of eight methods of intelligent turtle combined with routine acupuncture on cervical spondylotic myelopathy. Methods From December 2015 to December 2017, 90 patients with cervical spondylotic myelopathy admitted to our hospital were selected and divided into observation group and control group by random number table method, with 45 cases in each group. The control group was treated with routine acupuncture, while the observation group was treated with eight methods of intelligent turtle combined with routine acupuncture. The two groups were treated for 1 month and then the curative effect was observed. Results After treatment for 1 month, the VAS score, cervical NDI index and score of cervical symptoms of two groups were significantly improved(P<0.05), and the improvement of the three indicators of the observation group were significantly better than those of the control group(P<0.05). The effective rate of the observation group was 97.8%(44/45), which was significantly higher than that of the control group [82.2%(37/45], the difference was statistically significant(P<0.05). Conclusion Eight methods of intelligent turtle combined with routine acupuncture in the treatment of cervical spondylosis can further alleviate pain and other symptoms,improve functional disorders, improve the overall effect, and has clinical value.
Objective To explore the clinical effect of eight methods of intelligent turtle combined with routine acupuncture on cervical spondylotic myelopathy. Methods From December 2015 to December 2017, 90 patients with cervical spondylotic myelopathy admitted to our hospital were selected and divided into observation group and control group by random number table method, with 45 cases in each group. The control group was treated with routine acupuncture, while the observation group was treated with eight methods of intelligent turtle combined with routine acupuncture. The two groups were treated for 1 month and then the curative effect was observed. Results After treatment for 1 month, the VAS score, cervical NDI index and score of cervical symptoms of two groups were significantly improved(P<0.05), and the improvement of the three indicators of the observation group were significantly better than those of the control group(P<0.05). The effective rate of the observation group was 97.8%(44/45), which was significantly higher than that of the control group [82.2%(37/45], the difference was statistically significant(P<0.05). Conclusion Eight methods of intelligent turtle combined with routine acupuncture in the treatment of cervical spondylosis can further alleviate pain and other symptoms,improve functional disorders, improve the overall effect, and has clinical value.
引文
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[3]樊莉,段权,文幸.运用谢感共教授“灵龟八法开穴简表”治疗急性脑梗塞吞咽障碍的临床研究[C].//广东省针灸学会第十次学术交流会论文汇编.2007.
[4]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:186.
[5]罗晓,刘康,杨维新.某医院2014-2016年颈椎病住院患者流行病学现状分析[J].解放军预防医学杂志,2018,36(01):124-126.
[6]焦龙,赵超臣,厉勇,等.颈型颈椎病的症状与软组织的变化研究[J].临床医药文献电子杂志,2018,5(63):15+17.
[5]刘亮先,王祖红,段晓荣,等.时空针灸灵龟八法治疗面瘫急性期的疗效观察[J].上海针灸杂志,2018,37(07):758-762.
[6]邱世光,王高岸.灵龟八法结合少阳经穴治疗偏头痛疗效观察[J].检验医学与临床,2018,15(11):1587-1589.
[7]洪秋阳,杨惠民,赵吉平,等.灵龟八法结合火针治疗心脾两虚型失眠疗效观察[J].中华全科医学,2018,16(02):296-298+312.
[8]首倩倩,熊瑜,赵彩娇.灵龟八法的临床运用近况[J].广西中医药大学学报,2018,21(01):77-81.
[9]刘涛,朱建平.“飞腾八法”与“灵龟八法”渊源考[J].天津中医药,2017,34(02):110-112