电动砭术缓解颈型颈椎病疼痛随机对照疗效观察
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摘要
目的:观察电动砭术治疗颈型颈椎病疼痛的临床疗效。方法:2018年9月至12月于北京中医药大学国医堂中医门诊部收集颈型颈椎病疼痛患者57例,随机分为试验组、对照组。试验组29例采用电动砭术——砭钻进行保健治疗,对照组28例采用砭石刮痧疗法。两组治疗部位相同,均为胆经风池至肩井、督脉风府至身柱、膀胱经天柱至肺俞,并做局部定点治疗,治疗前后对患者进行VAS、NDI评分。结果:两组患者治疗前后,自身对照VAS评分均显著降低(P<0.01),组间疼痛变化程度差异无统计学意义。NDI评分结果显示,试验组治愈率、显效率总和为82.8%,对照组为71.4%。结论:电动砭术与刮痧疗法对于颈型颈椎病疼痛症状效果显著,止痛效果无明显差异;在颈椎功能改善方面电动砭术效果稍优。
Objective: To observe the clinical effect of electric stone needle in the treatment of cervical spondylotic pain.Methods: A total of 57 patients with neck type were collected from September 2018 to December 2018 in Guoyitang Chinese Medicine Clinic, Beijing University of Chinese Medicine, and were randomly divided into experimental group and control group.In the test group, 29 people were treated with electric stone needle drill, and 28 people in the control group were treated with paraphrase scraping. The treatment sites of the two groups were the same, all of which were bile through the Fengchi(GB20)to the Jianjing(GB21), the Fengfu(GU16) to the Shenzhu(GU12), the Tianzhu(BL10) to Feishu(BL13), and local fixed-point treatment. Before and after the treatment, the patients were scored with VAS and NDI. Results: The VAS scores were statistically significant in two groups before and after treatment(P<0.01), and there was no statistical significance between the tissues before and after pain. NDI score showed that the total healing and apparent efficiency of the experimental group reached 82.8%, and the total healing and apparent efficiency of the control group was 71.4%. Conclusion: The effect of two therapys are remarkable in the treatment of cervical spondylotic pain, there is no significant difference between electric stone needle and scraping therapy.Electric stone needle is more effective in improving cervical spine function than scraping therapy.
Objective: To observe the clinical effect of electric stone needle in the treatment of cervical spondylotic pain.Methods: A total of 57 patients with neck type were collected from September 2018 to December 2018 in Guoyitang Chinese Medicine Clinic, Beijing University of Chinese Medicine, and were randomly divided into experimental group and control group.In the test group, 29 people were treated with electric stone needle drill, and 28 people in the control group were treated with paraphrase scraping. The treatment sites of the two groups were the same, all of which were bile through the Fengchi(GB20)to the Jianjing(GB21), the Fengfu(GU16) to the Shenzhu(GU12), the Tianzhu(BL10) to Feishu(BL13), and local fixed-point treatment. Before and after the treatment, the patients were scored with VAS and NDI. Results: The VAS scores were statistically significant in two groups before and after treatment(P<0.01), and there was no statistical significance between the tissues before and after pain. NDI score showed that the total healing and apparent efficiency of the experimental group reached 82.8%, and the total healing and apparent efficiency of the control group was 71.4%. Conclusion: The effect of two therapys are remarkable in the treatment of cervical spondylotic pain, there is no significant difference between electric stone needle and scraping therapy.Electric stone needle is more effective in improving cervical spine function than scraping therapy.
引文
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[14]王继芳,王鲁林,彭冲,等.“泗滨砭石”地质特征及成因分析.山东国土资源,2018,34(7):40-48
[15]殷科,洪汉烈,吴钰,等.一种纳米粒级砭石的矿物学特征与成因.矿物学报,2013,33(1):38-44
[16]谢先德,王辅亚,谢楠柱,等.泗滨砭石的岩石矿物研究.I.岩石化学和岩石结构特征与红外发射功能的关系.矿物岩石地球化学通报,2008,27(1):1-5
[17]谢先德,王辅亚,孙振亚,等.泗滨砭石的矿物组成特征及其与砭石理疗功能的关系.矿物岩石地球化学通报,2007,6(增刊):125-127
[18]白云绮,姚洁琼,李晓蔻,等.海盐、砭石热敷与艾灸对于穴位影响的物理学分析.中国中医药现代远程教育,2017,15(2):115-117
[19]谢先德,孙振亚,王辅亚,等.泗滨砭石的岩石矿物研究:矿物组成特征与红外发射功能的关系.矿物岩石地球化学通报,2008,27(1):6-12
[20]方汉军.电热砭石疗法治疗风寒湿型肩凝症的临床疗效观察.北京:中国中医科学院,2017
[21]王广军,张宇沁,王瑞红,等.电热砭石对手背局部皮肤血流影响的试验研究.天津中医药,2009,26(5):382-384
[22]郭长青,芮娜,刘焰刚,等.新砭石疗法治疗肩周炎多中心随机对照研究.中国针灸,2007(9):633-637
[23]赵朋娜,王燕平,古菲菲,等.健康人十二经原穴血流量失衡度的初步观察.针刺研究,2017,42(5):439-443
[24]史东燕,王海泉,杨丽.经络与微循环关系研究进展.河南中医,2014,34(8):1604-1606
[2]唐曦,殷坚,韩国栋,等.针刺配合肌内效贴贴扎疗法治疗颈型颈椎病疗效观察.湖南中医药大学学报,2017,37(1):70-74
[3]伍晓鸣,田丰玮,谢昭鹏,等.颈型颈椎病阿是穴的超声影像研究.中国针灸,2017,37(4):395-399
[4]陈选宁,程维.颈椎病康复指南.武汉:湖北科学技术出版社,2012:1
[5]korthals-de BOSIB,Hoving J L,van Tinder M W,et al.Cost effectiveness of physiotherapy,manual therapy,and general practitioner care for neck pain:economic evaluation alongside a randomised controlled trial I.BMJ,2003,326(7395):911
[6]Paula T Hakala,Arja H Rimpel?,Lea A Saarni,et al.Frequent computer-related activities increase the risk of neck-shoulder and low back pain in adolescents.The European Journal of Public Health,2006,16(5):536-541
[7]胥少汀,葛宝丰,徐印坎.实用骨科学.北京:人民军医出版社,2012:1974
[8]中国康复医学会.中国颈椎病诊治与康复指南(2010版).北京:中国康复医学会颈椎病专业委员会,2010:1-7
[9]耿乃光.新砭石疗法.北京:学苑出版社,2000:6-21
[10]季冠芳,杨子彬.远红外线的生物学效应及其应用.天津医药,2007,35(1):78-80
[11]费伦,承焕生,蔡德亨,等.经络物质基础及其功能性特征的实验探索和研究展望.科学通报,1998(6):658-672
[12]Kwong K K,Kloetzer L,Wong K K,et al.Biolumines-cence imaging of heine oxygenase-1 upregulation in the Gua Sha procedure.J Vis Exp,2009,28(30):1385
[13]崔向清.刮痧疗法对大鼠及人体抗氧化及免疫功能影响的初步研究.北京:中国中医科学院,2009
[14]王继芳,王鲁林,彭冲,等.“泗滨砭石”地质特征及成因分析.山东国土资源,2018,34(7):40-48
[15]殷科,洪汉烈,吴钰,等.一种纳米粒级砭石的矿物学特征与成因.矿物学报,2013,33(1):38-44
[16]谢先德,王辅亚,谢楠柱,等.泗滨砭石的岩石矿物研究.I.岩石化学和岩石结构特征与红外发射功能的关系.矿物岩石地球化学通报,2008,27(1):1-5
[17]谢先德,王辅亚,孙振亚,等.泗滨砭石的矿物组成特征及其与砭石理疗功能的关系.矿物岩石地球化学通报,2007,6(增刊):125-127
[18]白云绮,姚洁琼,李晓蔻,等.海盐、砭石热敷与艾灸对于穴位影响的物理学分析.中国中医药现代远程教育,2017,15(2):115-117
[19]谢先德,孙振亚,王辅亚,等.泗滨砭石的岩石矿物研究:矿物组成特征与红外发射功能的关系.矿物岩石地球化学通报,2008,27(1):6-12
[20]方汉军.电热砭石疗法治疗风寒湿型肩凝症的临床疗效观察.北京:中国中医科学院,2017
[21]王广军,张宇沁,王瑞红,等.电热砭石对手背局部皮肤血流影响的试验研究.天津中医药,2009,26(5):382-384
[22]郭长青,芮娜,刘焰刚,等.新砭石疗法治疗肩周炎多中心随机对照研究.中国针灸,2007(9):633-637
[23]赵朋娜,王燕平,古菲菲,等.健康人十二经原穴血流量失衡度的初步观察.针刺研究,2017,42(5):439-443
[24]史东燕,王海泉,杨丽.经络与微循环关系研究进展.河南中医,2014,34(8):1604-1606