毛刺法治疗颈型颈椎病的疗效观察
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摘要
目的观察毛刺法与常规针刺治疗对颈型颈椎病症状体征改善情况的疗效差异。方法将58例颈型颈椎病患者随机分为治疗组和对照组,每组29例。治疗组采用毛刺法治疗,对照组采用常规针刺治疗。观察两组治疗前后颈部症状体征评分与颈部肌肉僵硬评分的变化情况,并比较两组临床疗效。结果两组首次治疗后、治疗1个疗程后及治疗后颈部症状体征评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组首次治疗后及治疗1个疗程后颈部症状体征评分与对照组比较,差异均具有统计学意义(P<0.05)。两组首次治疗后及治疗后颈部肌肉僵硬感评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组首次治疗后及治疗后颈部肌肉僵硬感评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组总有效率为96.6%,对照组为89.7%,两组比较差异无统计学意义(P>0.05)。结论毛刺法与常规针刺均是治疗颈型颈椎病的有效方法,毛刺法改善颈部症状体征优于常规针刺。
Objective To observe the efficacy difference between shallow acupuncture and ordinary acupuncture in improving symptoms and signs of cervical spondylosis of neck type. Method Fifty-eight patients with cervical spondylosis of neck type were randomized into a treatment group and a control group, with 29 cases in each group. The treatment group was intervened by shallow acupuncture and the control group received ordinary acupuncture. Before and after treatment, the cervical symptom and sign scores and cervical muscle stiffness score of the two groups were observed, and the clinical efficacies were compared. Result The cervical symptom and sign scores showed significant changes after the first treatment, after one treatment course and at the end of the treatment in both groups(P<0.05).The cervical symptom and sign score after the first treatment and after one treatment course in the treatment group were significantly different from those in the control group(P<0.05). The cervical muscle stiffness score changed significantly after the first treatment and at the end of the treatment in both groups(P<0.05). The cervical muscle stiffness score in the treatment group was significantly different from that in the control group after the first treatment and at the end of the treatment(P<0.05). The total effective rate was 96.6% in the treatment group versus 89.7% in the control group, and the between-group difference was statistically insignificant(P>0.05). Conclusion Shallow acupuncture and ordinary acupuncture are both effective for cervical spondylosis of neck type, but shallow acupuncture can improve neck symptoms and signs better.
Objective To observe the efficacy difference between shallow acupuncture and ordinary acupuncture in improving symptoms and signs of cervical spondylosis of neck type. Method Fifty-eight patients with cervical spondylosis of neck type were randomized into a treatment group and a control group, with 29 cases in each group. The treatment group was intervened by shallow acupuncture and the control group received ordinary acupuncture. Before and after treatment, the cervical symptom and sign scores and cervical muscle stiffness score of the two groups were observed, and the clinical efficacies were compared. Result The cervical symptom and sign scores showed significant changes after the first treatment, after one treatment course and at the end of the treatment in both groups(P<0.05).The cervical symptom and sign score after the first treatment and after one treatment course in the treatment group were significantly different from those in the control group(P<0.05). The cervical muscle stiffness score changed significantly after the first treatment and at the end of the treatment in both groups(P<0.05). The cervical muscle stiffness score in the treatment group was significantly different from that in the control group after the first treatment and at the end of the treatment(P<0.05). The total effective rate was 96.6% in the treatment group versus 89.7% in the control group, and the between-group difference was statistically insignificant(P>0.05). Conclusion Shallow acupuncture and ordinary acupuncture are both effective for cervical spondylosis of neck type, but shallow acupuncture can improve neck symptoms and signs better.
引文
[1]高树中,杨骏.针灸治疗学[M].北京:中国中医药出版社,2012:146-147.
[2]曾睿,黄红芳.浮针、电针联合中药治疗神经根型颈椎病疗效观察[J].中医临床研究,2015,7(29):24-25.
[3]中国康复医学会颈椎病专业委员会.颈椎病诊治与康复指南[S].北京:中国康复医学会颈椎病专业委员会,2010:1-7.
[4]高树中,杨骏.针灸治疗学[M].北京:中国中医药出版社,2012:29.
[5]陆永辉.《灵枢》恢刺法治疗颈型颈椎病疗效观察[J].中国针灸,2013,33(1):20-23.
[6]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,1994:186-187.
[7]Han Y,Fang J,Zhang H,et al.Anterior neck soft tissue thickness for airway evaluation measured by MRI in patients with cervical spondylosis:prospective cohort study[J].BMJ Open,2019,9(5):e029987.
[8]Liu B,Liu X,Chen Y,et al.Clinical effect observation of intravenous application of zoledronic acid in patients with cervical spondylosis and osteoporosis after anterior cervical discectomy and fusion:A randomized controlled study[J].J Orthop Surg(Hong Kong),2019,27(2):2309499019847028.
[9]Hao YJ,Yu L,Zhang Y,et al.Surgical treatment of cervical vertebral hemangioma associated with adjacent cervical spondylotic myelopathy[J].Spine J,2013,13(12):1774-1779.
[10]Ito K,Nakamura T,Horiuchi T,et al.Surgical treatment of cervical spondylosis in patients 80 years of age and older-A retrospective observational study[J].PLoSOne,2019,14(6):e0217725.
[11]郑君,张昆.腧穴本真探究[J].江苏中医药,2011,43(10):6-7.
[12]李子腾,刘佳,温玉洁,等.《内经》毛刺法治疗颈型颈椎病对照观察[J].针灸临床杂志,2019,35(4):33-36.
[13]王明明,蔡圣朝.蔡圣朝运用毛刺法治疗面肌痉挛临床经验[J].山东中医杂志,2017,36(4):315-316.
[14]胡璐曼,傅杉宁,尹小虎,等.毛刺法治疗带状疱疹后遗神经痛理论初探[J].新中医,2018,50(4):196-197.
[15]王世义.针推配合中药熏蒸治疗颈性眩晕性颈椎病的临床观察[J].中国农村卫生,2016,9(22):38-39.
[16]侯新聚,马红梅,熊伟.针推配合中药熏蒸治疗颈性眩晕性颈椎病的临床观察[J].药品评价,2017,14(14):43-45.
[17]刁鸿辉,邓聪,张泽胜.针推配合中频治疗颈性眩晕性颈椎病120例临床疗效观察[J].内蒙古中医药,2016,35(1):81-82.
[18]王楠.采用电尺胫针治疗颈痛性颈椎病的临床疗效观察[J].中国医学工程,2016,24(11):73-74.
[19]何伟,马洪癸.针刺结合桂枝加葛根汤治疗颈型颈椎病疗效观察[J].实用中医药杂志,2019,35(2):131-132.
[20]张伟,袁燕洁,龚英凤.无火恒温灸治疗颈型颈椎病疗效观察[J].上海针灸杂志,2018,37(2):230-233.
[21]曹舜,丁洪伟.桂枝加葛根汤联合针刺治疗颈型颈椎病的疗效及对炎性细胞因子IL-6、TNF-α水平的影响[J].时珍国医国药,2019,30(1):134-135.
[22]张婉瑜,丁影,靳勇,等.八脉交会穴治疗颈型颈椎病即刻疗效观察:随机对照研究[J].上海针灸杂志,2018,37(10):1197-1201.
[23]Deng YZ,Xu LG,Chen L,et al.Effectiveness of acupuncture in the management of cervical spondylosis:a meta-analysis[J].J Biol Regul Homeost Agents,2017,31(4):1017-1022.
[24]Zhang H,Guo M,Lu X.Pulse changes in patients with cervical spondylosis before and after acupuncture treatment[J].J Tradit Chin Med,2016,36(1):63-70.
[25]Gu CL,Yan Y,Zhang D,et al.An evaluation of the effectiveness of acupuncture with seven acupointpenetrating needles on cervical spondylosis[J].J Pain Res,2019,12:1441-1445.
[26]Meng XW,Wang Y,Piao SA,et al.Wet Cupping Therapy Improves Local Blood Perfusion and Analgesic Effects in Patients with Nerve-Root Type Cervical Spondylosis[J].Chin J Integr Med,2018,24(11):830-834.
[27]柴玉华,张玉英,程增秀.毛刺法治疗中风的临床应用体会[J].中国实用医药,2012,7(11):225-226.
[28]Xie YF,Ruan YD,Wei WZ,et al.Clinical study on skin needling plus heat-sensitive moxibustion for chronic facial paralysis[J].J Acupunct Tuina Sci,2015,13(3):185-188.
[2]曾睿,黄红芳.浮针、电针联合中药治疗神经根型颈椎病疗效观察[J].中医临床研究,2015,7(29):24-25.
[3]中国康复医学会颈椎病专业委员会.颈椎病诊治与康复指南[S].北京:中国康复医学会颈椎病专业委员会,2010:1-7.
[4]高树中,杨骏.针灸治疗学[M].北京:中国中医药出版社,2012:29.
[5]陆永辉.《灵枢》恢刺法治疗颈型颈椎病疗效观察[J].中国针灸,2013,33(1):20-23.
[6]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,1994:186-187.
[7]Han Y,Fang J,Zhang H,et al.Anterior neck soft tissue thickness for airway evaluation measured by MRI in patients with cervical spondylosis:prospective cohort study[J].BMJ Open,2019,9(5):e029987.
[8]Liu B,Liu X,Chen Y,et al.Clinical effect observation of intravenous application of zoledronic acid in patients with cervical spondylosis and osteoporosis after anterior cervical discectomy and fusion:A randomized controlled study[J].J Orthop Surg(Hong Kong),2019,27(2):2309499019847028.
[9]Hao YJ,Yu L,Zhang Y,et al.Surgical treatment of cervical vertebral hemangioma associated with adjacent cervical spondylotic myelopathy[J].Spine J,2013,13(12):1774-1779.
[10]Ito K,Nakamura T,Horiuchi T,et al.Surgical treatment of cervical spondylosis in patients 80 years of age and older-A retrospective observational study[J].PLoSOne,2019,14(6):e0217725.
[11]郑君,张昆.腧穴本真探究[J].江苏中医药,2011,43(10):6-7.
[12]李子腾,刘佳,温玉洁,等.《内经》毛刺法治疗颈型颈椎病对照观察[J].针灸临床杂志,2019,35(4):33-36.
[13]王明明,蔡圣朝.蔡圣朝运用毛刺法治疗面肌痉挛临床经验[J].山东中医杂志,2017,36(4):315-316.
[14]胡璐曼,傅杉宁,尹小虎,等.毛刺法治疗带状疱疹后遗神经痛理论初探[J].新中医,2018,50(4):196-197.
[15]王世义.针推配合中药熏蒸治疗颈性眩晕性颈椎病的临床观察[J].中国农村卫生,2016,9(22):38-39.
[16]侯新聚,马红梅,熊伟.针推配合中药熏蒸治疗颈性眩晕性颈椎病的临床观察[J].药品评价,2017,14(14):43-45.
[17]刁鸿辉,邓聪,张泽胜.针推配合中频治疗颈性眩晕性颈椎病120例临床疗效观察[J].内蒙古中医药,2016,35(1):81-82.
[18]王楠.采用电尺胫针治疗颈痛性颈椎病的临床疗效观察[J].中国医学工程,2016,24(11):73-74.
[19]何伟,马洪癸.针刺结合桂枝加葛根汤治疗颈型颈椎病疗效观察[J].实用中医药杂志,2019,35(2):131-132.
[20]张伟,袁燕洁,龚英凤.无火恒温灸治疗颈型颈椎病疗效观察[J].上海针灸杂志,2018,37(2):230-233.
[21]曹舜,丁洪伟.桂枝加葛根汤联合针刺治疗颈型颈椎病的疗效及对炎性细胞因子IL-6、TNF-α水平的影响[J].时珍国医国药,2019,30(1):134-135.
[22]张婉瑜,丁影,靳勇,等.八脉交会穴治疗颈型颈椎病即刻疗效观察:随机对照研究[J].上海针灸杂志,2018,37(10):1197-1201.
[23]Deng YZ,Xu LG,Chen L,et al.Effectiveness of acupuncture in the management of cervical spondylosis:a meta-analysis[J].J Biol Regul Homeost Agents,2017,31(4):1017-1022.
[24]Zhang H,Guo M,Lu X.Pulse changes in patients with cervical spondylosis before and after acupuncture treatment[J].J Tradit Chin Med,2016,36(1):63-70.
[25]Gu CL,Yan Y,Zhang D,et al.An evaluation of the effectiveness of acupuncture with seven acupointpenetrating needles on cervical spondylosis[J].J Pain Res,2019,12:1441-1445.
[26]Meng XW,Wang Y,Piao SA,et al.Wet Cupping Therapy Improves Local Blood Perfusion and Analgesic Effects in Patients with Nerve-Root Type Cervical Spondylosis[J].Chin J Integr Med,2018,24(11):830-834.
[27]柴玉华,张玉英,程增秀.毛刺法治疗中风的临床应用体会[J].中国实用医药,2012,7(11):225-226.
[28]Xie YF,Ruan YD,Wei WZ,et al.Clinical study on skin needling plus heat-sensitive moxibustion for chronic facial paralysis[J].J Acupunct Tuina Sci,2015,13(3):185-188.