牵引配合毫火针针刺“下颈夹脊穴”对神经根型颈椎病肌电图动作电位峰值、腋神经神经传导速度的影响
|
摘要
目的:观察颈椎牵引配合毫火针治疗神经根型颈椎病的临床效果。方法:选择2015年1月—2015年12月就诊于宜宾市第一人民医院的神经根型颈椎病患者60例,随机分为治疗组和对照组,每组30例。治疗组给予颈椎牵引配合毫火针针刺治疗,对照组给予颈椎牵引配合镇痛灸外敷治疗。治疗两周后观察两组治疗前后肌电图动作电位峰值、腋神经神经传导速度变化情况。结果:治疗组治疗后动作电位峰值优于对照组(P<0.05);治疗组治疗后腋神经神经传导速度优于对照组(P<0.05)。结论:颈椎牵引配合毫火针针刺治疗神经根型颈椎病,能改善患者肌电图动作电位峰值、腋神经神经传导速度。
Objective: To observe the clinical effects of cervical traction combined with fire-acupuncture on nerve-root type cervical spondylosis. Methods: Totally 60 patients with nerve-root type cervical spondylosis treated in the First People' s Hospital of Yibin between January and December 2015 were randomized into treatment group and control group,30 cases in each group. Treatment group were given cervical traction combined with fire-acupuncture while control group were given cervical traction combined with external application of analgesia moxibustion. After 2 weeks of observation,the changes of the action potential peak value of electromyograph and the axillary nerve conduction velocity in both groups were observed. Results: The action potential peak value of electromyography and axillary nerve conduction velocity in treatment group were superior to those in control group( P < 0. 05).Conclusion: Cervical traction combined with fire-acupuncture can improve the action potential peak value of electromyography and axillary nerve conduction velocity in patients with nerve-root type cervical spondylosis.
Objective: To observe the clinical effects of cervical traction combined with fire-acupuncture on nerve-root type cervical spondylosis. Methods: Totally 60 patients with nerve-root type cervical spondylosis treated in the First People' s Hospital of Yibin between January and December 2015 were randomized into treatment group and control group,30 cases in each group. Treatment group were given cervical traction combined with fire-acupuncture while control group were given cervical traction combined with external application of analgesia moxibustion. After 2 weeks of observation,the changes of the action potential peak value of electromyograph and the axillary nerve conduction velocity in both groups were observed. Results: The action potential peak value of electromyography and axillary nerve conduction velocity in treatment group were superior to those in control group( P < 0. 05).Conclusion: Cervical traction combined with fire-acupuncture can improve the action potential peak value of electromyography and axillary nerve conduction velocity in patients with nerve-root type cervical spondylosis.
引文
[1]郑德采,李漾,郭程湘.郭氏点穴疗法对照传统定位旋转复位治疗神经根型颈椎病的临床观察[J].四川中医,2013,31(1):134.
[2]许成君,范学玲.神经根型颈椎病的诊断与治疗[J].健康必读·新医学导刊,2005,4(12):25-26.
[3]王启才.针灸治疗学[M].北京:中国中医药出版社,2007:210.
[4]陈晓英,杨强,李明波,等.针刺"下颈夹脊穴”治疗神经根型颈椎病的临床观察[J].中国医药导报,2014,11(36):76-78.
[5]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,1994:33-34.
[6]孙宇,陈琅福.第二届颈椎病专题座谈会纪要[J].解放军医学杂志,1994,19(2):156-168.
[7]沈甜,张彩荣,李忠仁.火针的临床应用探讨[J].时珍国医国药,2012,23(1):221-223.
[8]梅荣军,赵虎,宋兢民,等.神经根型颈椎病疼痛症状治疗研究进展[J].中医药信息,2012,29(3):138-139.
[9]鄂远,马勇.中药内服治疗神经根型颈椎病研究进展[J].河南中医,2014,34(9):1747-1748.
[10]陈诗敏,何兴伟,胡宋锋,等.针灸治疗椎动脉型颈椎病从通督升阳论治探讨[J].江西中医药,2013,51(2):59-61.
[11]李琳.神经根型颈椎病康复治疗疗效指标评定的探讨[J].实用医技杂志,2007,14(13):1683-1684.
[12]陈雨函,孙霞,唐颖会.EMG指导神经根型颈椎病在临床运用中的探讨[J].按摩与康复医学,2012,5(3):70-71.
[13]林敏婵,卢泽培.神经根型颈椎病的电生理诊断分析[J].中国物理医学与康复杂志,1999,21(3):144-145.
[14]毛湄,黄石玺,王映辉.“毫火针”的临床观察及安全性探讨[J].针灸临床杂志,2008,24(7):32-33.
[15]林妙君,侯乐,唐咏,等.温针治疗椎动脉型颈椎病50例疗效观察[J].现代中西医结合杂志,2011,20(23):2915-2916.
[16]徐昌荣,许明辉.火针治疗颈椎病的概况[J].广西中医药大学学报,2013,16(3):81.
[17]陈诗敏,何兴伟,胡宋锋,等.针灸治疗椎动脉型颈椎病从通督升阳论治探讨[J].江西中医药,2013,44(2):59-61.
[18]姜京明,何新群,陈秘密.节段性膀胱经排刺法为主治疗神经根型颈椎病[J].针灸临床杂志,2010,26(8):44-46.
[19]安光辉,赵毅,孙鹏.夹脊穴治疗颈椎病的理论与运用[J].中国组织工程研究,2006,10(31):129-131.
[2]许成君,范学玲.神经根型颈椎病的诊断与治疗[J].健康必读·新医学导刊,2005,4(12):25-26.
[3]王启才.针灸治疗学[M].北京:中国中医药出版社,2007:210.
[4]陈晓英,杨强,李明波,等.针刺"下颈夹脊穴”治疗神经根型颈椎病的临床观察[J].中国医药导报,2014,11(36):76-78.
[5]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,1994:33-34.
[6]孙宇,陈琅福.第二届颈椎病专题座谈会纪要[J].解放军医学杂志,1994,19(2):156-168.
[7]沈甜,张彩荣,李忠仁.火针的临床应用探讨[J].时珍国医国药,2012,23(1):221-223.
[8]梅荣军,赵虎,宋兢民,等.神经根型颈椎病疼痛症状治疗研究进展[J].中医药信息,2012,29(3):138-139.
[9]鄂远,马勇.中药内服治疗神经根型颈椎病研究进展[J].河南中医,2014,34(9):1747-1748.
[10]陈诗敏,何兴伟,胡宋锋,等.针灸治疗椎动脉型颈椎病从通督升阳论治探讨[J].江西中医药,2013,51(2):59-61.
[11]李琳.神经根型颈椎病康复治疗疗效指标评定的探讨[J].实用医技杂志,2007,14(13):1683-1684.
[12]陈雨函,孙霞,唐颖会.EMG指导神经根型颈椎病在临床运用中的探讨[J].按摩与康复医学,2012,5(3):70-71.
[13]林敏婵,卢泽培.神经根型颈椎病的电生理诊断分析[J].中国物理医学与康复杂志,1999,21(3):144-145.
[14]毛湄,黄石玺,王映辉.“毫火针”的临床观察及安全性探讨[J].针灸临床杂志,2008,24(7):32-33.
[15]林妙君,侯乐,唐咏,等.温针治疗椎动脉型颈椎病50例疗效观察[J].现代中西医结合杂志,2011,20(23):2915-2916.
[16]徐昌荣,许明辉.火针治疗颈椎病的概况[J].广西中医药大学学报,2013,16(3):81.
[17]陈诗敏,何兴伟,胡宋锋,等.针灸治疗椎动脉型颈椎病从通督升阳论治探讨[J].江西中医药,2013,44(2):59-61.
[18]姜京明,何新群,陈秘密.节段性膀胱经排刺法为主治疗神经根型颈椎病[J].针灸临床杂志,2010,26(8):44-46.
[19]安光辉,赵毅,孙鹏.夹脊穴治疗颈椎病的理论与运用[J].中国组织工程研究,2006,10(31):129-131.