针推联合刺络放血疗法治疗气滞血瘀型颈椎病35例
|
摘要
目的:探讨针推联合刺络放血疗法对治疗颈椎病(气滞血瘀型)的临床疗效。方法:将确诊为气滞血瘀型颈椎病的70例患者按随机数表法随机平均分为针推联合刺络放血组(治疗组)和针推治疗组(对照组)。治疗组采用颈椎旋提手法、针灸结合刺络放血疗法进行治疗,对照组采用颈椎旋提手法和针灸进行治疗。隔天做一次治疗,一周为一个疗程,做两个疗程。观察比较两组患者疗程治疗前后的疗效情况,并于治疗结束后3个月以电话或者门诊复诊形式进行疗效回访,观察两组患者的远期疗效和复发情况。结果:治疗组35例,治愈20例,其中显效7例,好转6例,无效2例,治愈率为57.1%,总有效率为94.3%;对照组35例,其中治愈14例,显效5例,好转8例,无效8例,治愈率为40.0%,总有效率为77.1%。两组间疗效比较P<0.05,差异有统计学意义。治疗结束3个月后随访,治疗组临床疗效仍优于对照组,组间差异有统计学意义(P<0.05)。结论:针推联合刺络放血疗法治疗气滞血瘀型颈椎病的临床疗效优于针推组。
Objective:To observe the clinical effect of manipulation,acupuncture and blood-letting therapy in treating cervical spondylosis(Qi stagnation and blood stasis syndrome).Methods:Seventy cases were randomly divided into treatment group and control group on average according to the method of random number table.Patients in the treatment group were treated with rotation-traction manipulation,acupuncture and blood-letting therapy,while the others in the control group were treated with rotation-traction manipulation and acupuncture,every other day and a week was a course of treatment,two courses continuously.We observed the clinical effect of two groups and compared the long-term effect after three months.Results:There were 35 cases in the treatment group and 20 cases obtained an excellent result,7 obviously effective,6 effective and 2 invalid and the cure rate was 57.1%,the total effective rate was 94.3% while 14 patients obtained an excellent result,5 obviously effective,8 effective and 8 invalid in the control group.There was statistic difference between the two groups′ curative effect(P<0.05).Three months after treatment,the treatment group was still better than the control group(P<0.05).Conclusion:The clinical effect of manipulation,acupuncture and blood-letting therapy is better than manipulation and acupuncture only in treating cervical spondylosis of Qi stagnation and blood stasis syndrome.
Objective:To observe the clinical effect of manipulation,acupuncture and blood-letting therapy in treating cervical spondylosis(Qi stagnation and blood stasis syndrome).Methods:Seventy cases were randomly divided into treatment group and control group on average according to the method of random number table.Patients in the treatment group were treated with rotation-traction manipulation,acupuncture and blood-letting therapy,while the others in the control group were treated with rotation-traction manipulation and acupuncture,every other day and a week was a course of treatment,two courses continuously.We observed the clinical effect of two groups and compared the long-term effect after three months.Results:There were 35 cases in the treatment group and 20 cases obtained an excellent result,7 obviously effective,6 effective and 2 invalid and the cure rate was 57.1%,the total effective rate was 94.3% while 14 patients obtained an excellent result,5 obviously effective,8 effective and 8 invalid in the control group.There was statistic difference between the two groups′ curative effect(P<0.05).Three months after treatment,the treatment group was still better than the control group(P<0.05).Conclusion:The clinical effect of manipulation,acupuncture and blood-letting therapy is better than manipulation and acupuncture only in treating cervical spondylosis of Qi stagnation and blood stasis syndrome.
引文
[1] 中国康复医学会颈椎病专业委员会.颈椎病诊治及康复指南[S].北京:中国康复医学会颈椎病专业委员会,2010.
[2] 胥少汀,葛宝丰,徐印坎.实用骨科学[M].北京:人民军医出版社,2015:1974-1978.
[3] 李增春,陈德玉.第三届颈椎病专题座谈会纪要[J].中华外科杂志,2008,23(46):1798.
[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,1994:186-189.
[5] 王晓东,朱立国,于杰,等.旋提手法治疗椎动脉型颈椎病患者30例临床观察[J].中医杂志,2016,57(13):1129-1132.
[6] 国家中医药管理局.中华人民共和国中医药行业标准:中医病证诊断疗效标准[M].南京:南京大学出版社,1994:136.
[7] 王晓东,朱立国,于杰,等.旋提手法治疗椎动脉型颈椎病患者30例临床观察[J].中医杂志,2016,57(13):1129-1132.
[8] 胡悦.旋提手法治疗颈型颈椎病临床疗效的随机对照研究[D].北京:中国中医科学院,2013.
[9] 王乾,朱立国,高景华,等.旋提手法治疗神经根型颈椎病的疗效观察[J].中医正骨,2009,21(6):9-11.
[10] 郭亚丽,洪佳璇,詹建华.刺血疗法治疗小儿外感发热50例[J].浙江中医杂志,2016,51(12):923.
[11] 杨微,吴景东.耳尖放血+痤疮合剂联合粉刺针清术治疗肺胃热盛痤疮随机平行对照研究[J].实用中医内科杂志,2017,31(5):62-64.
[12] 郭少阳.血府逐瘀汤配合刺络放血治疗中风后肢体麻木临床观察[J].实用中医药杂志,2017,33(5):508-509.
[13] 付水兵,王婷,周庆,等.周庆治疗小儿食积痰热咳嗽经验[J].湖南中医杂志,2016,32(6):38-39.
[14] 罗燕,范郁山.刺络放血法治疗虚证验案5则[J].河南中医,2006,26(3):59-60.
[15] 牛乾,刘立公,梁子钧.刺血过程中血液流变学指标的即时效应[J].上海针灸杂志,2011,30(7):477-478.
[16] 屈超超,金军,岳颖,等.手十二井穴刺络放血对一氧化碳中毒小鼠去甲肾上腺素含量和细胞色素氧化酶活性的影响[J].天津中医药大学学报,2012,31(1):27-30.
[17] 李坚将,刘辉,陈狄,等.针刺背俞穴加刺络拔罐治疗慢性荨麻疹及对其血清白细胞介素4、γ干扰素和免疫球蛋白E的影响研究[J].中国全科医学,2011,14(10A):3292-3294.
[18] 郑光宪.刺络放血疗法治疗气滞血瘀型颈椎病的临床观察[J].广西中医药,2015,38(3):39-40.
[19] 姜京明,叶禹,杨武,等.刺络拔罐治疗血瘀型颈椎病100例[J].中医药导报,2009,15(2):59.
[20] 贾群社,赵瑞勤,张聪敏.自制圆头针穴位按研法治疗椎基底动脉供血不足性眩晕89例[J].陕西中医,2009,30(10):1370-1371.
[21] 刘新,贾春生,王建岭,等.基于数据挖掘的刺络疗法中放血量与方法的研究[J].中国针灸,2014,34(3):257-260.
[2] 胥少汀,葛宝丰,徐印坎.实用骨科学[M].北京:人民军医出版社,2015:1974-1978.
[3] 李增春,陈德玉.第三届颈椎病专题座谈会纪要[J].中华外科杂志,2008,23(46):1798.
[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,1994:186-189.
[5] 王晓东,朱立国,于杰,等.旋提手法治疗椎动脉型颈椎病患者30例临床观察[J].中医杂志,2016,57(13):1129-1132.
[6] 国家中医药管理局.中华人民共和国中医药行业标准:中医病证诊断疗效标准[M].南京:南京大学出版社,1994:136.
[7] 王晓东,朱立国,于杰,等.旋提手法治疗椎动脉型颈椎病患者30例临床观察[J].中医杂志,2016,57(13):1129-1132.
[8] 胡悦.旋提手法治疗颈型颈椎病临床疗效的随机对照研究[D].北京:中国中医科学院,2013.
[9] 王乾,朱立国,高景华,等.旋提手法治疗神经根型颈椎病的疗效观察[J].中医正骨,2009,21(6):9-11.
[10] 郭亚丽,洪佳璇,詹建华.刺血疗法治疗小儿外感发热50例[J].浙江中医杂志,2016,51(12):923.
[11] 杨微,吴景东.耳尖放血+痤疮合剂联合粉刺针清术治疗肺胃热盛痤疮随机平行对照研究[J].实用中医内科杂志,2017,31(5):62-64.
[12] 郭少阳.血府逐瘀汤配合刺络放血治疗中风后肢体麻木临床观察[J].实用中医药杂志,2017,33(5):508-509.
[13] 付水兵,王婷,周庆,等.周庆治疗小儿食积痰热咳嗽经验[J].湖南中医杂志,2016,32(6):38-39.
[14] 罗燕,范郁山.刺络放血法治疗虚证验案5则[J].河南中医,2006,26(3):59-60.
[15] 牛乾,刘立公,梁子钧.刺血过程中血液流变学指标的即时效应[J].上海针灸杂志,2011,30(7):477-478.
[16] 屈超超,金军,岳颖,等.手十二井穴刺络放血对一氧化碳中毒小鼠去甲肾上腺素含量和细胞色素氧化酶活性的影响[J].天津中医药大学学报,2012,31(1):27-30.
[17] 李坚将,刘辉,陈狄,等.针刺背俞穴加刺络拔罐治疗慢性荨麻疹及对其血清白细胞介素4、γ干扰素和免疫球蛋白E的影响研究[J].中国全科医学,2011,14(10A):3292-3294.
[18] 郑光宪.刺络放血疗法治疗气滞血瘀型颈椎病的临床观察[J].广西中医药,2015,38(3):39-40.
[19] 姜京明,叶禹,杨武,等.刺络拔罐治疗血瘀型颈椎病100例[J].中医药导报,2009,15(2):59.
[20] 贾群社,赵瑞勤,张聪敏.自制圆头针穴位按研法治疗椎基底动脉供血不足性眩晕89例[J].陕西中医,2009,30(10):1370-1371.
[21] 刘新,贾春生,王建岭,等.基于数据挖掘的刺络疗法中放血量与方法的研究[J].中国针灸,2014,34(3):257-260.