火针疗法治疗颈型颈椎病的临床研究
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摘要
颈椎病是康复科临床的一种常见病、多发病,颈型颈椎病是颈椎病中较早期的一种类型,临床最常见,以青壮年患者为多,此病的发生多与现代人工作学习的方式和生活因素有关(长时间操作电脑,长期低头伏案工作等),临床表现以头、项、肩、臂的疼痛为主,X线片上没有椎间隙狭窄等明显的退行性改变,但可有颈椎生理曲度的改变,椎体间的不稳定及轻度的骨质增生等变化。目前普遍认为,颈型颈椎病症状的发生原因是由于颈椎不断承受各种负荷、劳损或者意外损伤,从而导致椎间张力下降、椎间松动不稳。椎关节的失稳,一方面会直接引起颈部各肌群间的失平衡,从而引起肌肉的防御性痉挛；另一方面又会引起椎间出血水肿,直接刺激分布于椎间周围的窦椎神经末梢,使颈部出现酸、胀、痛等临床症状。随着社会的发展和电脑的日渐普及,人们学习和工作的方式随之发生了很大的变化,颈型颈椎病的发病率逐年上升,且发病年龄日渐年轻化,严重的影响了人们的工作以及生活质量,对人类的健康造成了越来越大的威胁。目的：
本研究运用临床科研方法学及数理统计分析方法,采用标准化的NPQ颈痛量表、Mcgill疼痛量表、Vernon颈部废用指数、颈部表面肌电功率谱的MF(中位频率)值等量表及指标来开展临床疗效评价,观察火针疗法治疗颈型颈椎病的临床效果,并客观评价火针疗法对颈型颈椎病患者颈痛、颈肌紧张度及颈部活动能力的影响,以求科学地评价火针疗法治疗颈型颈椎病的有效性和安全性,建立一套规范的、临床疗效确切的颈型颈椎病火针治疗方案,为火针疗法治疗颈型颈椎病提供有力的科学证据。方法：
来自中山市中医院针灸门诊,可以作为合格受试者的颈型颈椎病患者60例,按随机数字表法分为两组,治疗组(采用火针治疗)30例,对照组(采用普通针刺治疗)30例。具体如下：首先通过操作SAS统计分析软件得出随机数字,然后由研究人员制成随机分配卡片,加信封密封,信封序号与卡片序号相同。合格病例进入试验时,按其进入的先后次序,拆开号码相同的信封,按信封内卡片规定的分组进行治疗。
治疗组：采用火针治疗。取穴：风池、颈百劳、肩井、阿是穴。在穴位处用安尔碘进行局部消毒。消毒完毕,在穴位上涂以跌打万花油,点燃酒精灯,左手将酒精灯端起,靠近针刺穴位,右手以握笔状持细火针(江苏东方针灸器械厂生产),将针尖针体置入酒精灯外焰烧至白亮,用烧红的针体迅速刺入穴位,并快速拔出,时间大约是1／10秒,出针后用消毒干棉球按压针孔止血,然后再涂上跌打万花油保护创面。风池穴向鼻尖方向进针,针入3分深；颈百劳直刺进针,针入8分深；肩井穴斜刺进针,针入3分深。阿是穴根据具体穴位所在位置决定针刺角度及深度。上述诸穴的进针深度可根据患者肥瘦情况适当调整。5日1次,3次为一疗程(入组当天一次,第5天一次,第10天一次)。二个疗程后进行各项评定,疗程间休息5天。二个疗程后进行各项评定。
对照组：采用普通针刺治疗。取穴：同治疗组。患者取端坐位,针刺穴位常规消毒后,采用0.3×40mm毫针(苏州针灸用品有限公司生产,环球牌无菌针灸针)垂直皮肤进针,刺入穴位深度依穴位部位、体型胖瘦而定,每个穴位采用提插捻转的平补平泻手法,运针至得气后接上海产6805-A型电针仪,采用密波,留针30分钟。每日1次,10次为一疗程。二个疗程后进行各项评定,疗程间休息5天。
采用标准化的NPQ颈痛量表、Mcgill疼痛量表、Vernon颈椎废用指数、颈部表面肌电功率谱的MF(中位频率)值等量表及指标来开展临床疗效评价,对治疗组和对照组均进行两组治疗自身对照以及组间对照。
应用SPSS19.0统计软件对课题所得数据进行分析和处理。属于计量资料的,以均数+标准差来表示；属于计数资料的比较,则用卡方检验；组内治疗的前后比较,用配对t检验；组间疗效的比较,用独立样本t检验。p<0.05为统计学差异有显著性意义,p<0.01为统计学差异有非常显著性意义。
成果：
(1)来自中山市中医院针灸门诊,可以作为合格受试者的颈型颈椎病患者60例,按随机数字表法分为两组,治疗组(采用火针治疗)30例,对照组(采用普通针刺治疗)30例。治疗前两组患者的年龄、性别、病程等一般资料比较,经统计学分析,差异均无统计学意义(P>0.05),两组受试者具有可比性。
(2)临床疗效：治疗组30例中,治愈10例,好转18例,未愈2例,总有效率93.33%；对照组30例中,治愈5例,好转18例,未愈7例,总有效率76.67%。两组治疗前后差异均有统计学意义(P<0.05),两组疗效差异经秩和检验,差异有统计学意义(P<0.05),火针疗法治疗颈型颈椎病的总有效率优于普通针刺治疗。
(3)两组治疗后Mcgill疼痛量表评分均较治疗前明显下降(P<0.05),两组间治疗后评分比较,治疗组优于对照组(P<0.05)。
(4)两组治疗后NPQ颈痛量表评分均较治疗前明显下降(P<0.05),两组间治疗后评分比较,治疗组优于对照组(P<0.05)。
(5)两组治疗后Vernon颈椎废用指数评分均较治疗前明显下降(P<0.05),两组间治疗后评分比较,治疗组优于对照组(P<0.05)。
(6)两组治疗后斜方肌表面肌电中位频率MF值较治疗前明显下降(P<0.05),两组间治疗后数值比较,差异无统计学意义(P>0.05)。
(7)两组治疗后胸锁乳突肌表面肌电中位频率MF值较治疗前明显下降(P<0.05),组间治疗后数值比较,差异无统计学意义(P>0.05)。
结论：
火针法和普通针刺法均能有效改善颈型颈椎病患者的临床症状,对治疗颈型颈椎病都具有良好的疗效,可明显减轻颈型颈椎病患者的颈痛症状,降低其颈肌紧张度,改善其颈部活动能力,均是治疗颈型颈椎病的安全、有效的治疗方法。且火针疗法优于普通针刺疗法,值得临床推广运用。但两组治疗后斜方肌和胸锁乳突肌表面肌电中位频率MF值的差值比较,差异无统计学意义(P>0.05),提示火针疗法和普通针刺治疗在改善斜方肌和胸锁乳突肌表面肌电MF值方面效果相近。
Cervical spondylosis is a common, and frequently occurring disease of the Rehabilitation Apartment, especially the neck type, which happens earlier and more frequently than other types of cervical spondylosis. Among the patients of this type, there are many youth, who suffer from the new working and studying type or other life factors, such as operating computers or bow desk work for a long time. The clinical performances mainly include the pain of head, neck, shoulder and arm. X—ray reports show no vertebral gap narrow, or other obvious changes of degeneration, but changes of cervical physiological curvature, vertebral instability and mild hyperostosis still can be seen. Nowadays, the course of The cervical type cervical spondylosis is basically concerned with the damage of the cervical spine by continual stess, strain or accidental injury which decrease the spine tension and stability. Once the cervical spine becomes unstable, on one hand, the various muscle groups in the heck would be unbalanced, thus giving rise to the defensive muscle spasm; on the other hand, it would cause vertebral hemorrhage edema, so that the spinal nerve endings surrounding the spinal sinus would be irritated, leading to aching paid or other symptoms. With the development of society and the growing popularity of computers, people's study and work have been great changed. The incident rate of The cervical type cervical spondylosis is ncreasing,on the same time, there are more younger age risking of this disease. The cervical type cervical spondylosis has seriously affected people's work and life quality, causind a growing threat to the health of human beings.
Objective
The study use clinical scientific research methodology, mathematical statistical analysis method, standardized NPQ neck pain scale, Mcgill pain scale, Verson neck waste index, and methods of MF (in the bit frequency) of cervical surface myoelectricity power spectrum in order to develop the clinical effect evaluation, observe the effect of fire needle treating the neck type of cervical spondylosis, and objective evaluate the fire needle therapy on neck type cervical disease patients's neck pain, neck muscle tension degrees and the neck activities. With the study, the efficacy and safety of the fire needle treatment for the neck type cervical disease can be evaluated scientifically, so that the standardized programme for fire needle treating the disease with exact clinical therapeutic effect can be established.
Method
According to diagnostic codes and staging standards,60patients consistent with standards from acupuncture clinic of Zhongshan Hospital are selected. They are divided into two groups by random number table,30in the treatment group (with fire-needle therapy) and the other30patients in the control group (with general acupuncture treatment). Follows:firstly, drawing random numbers through the manipulation of SAS statistical analysis software. Secondly, the researchers randomly assign cards, plus and seal envelopes; make sure the envelope sequence numbers are the same with the card numbers. When the eligible cases are into test, according to the priority of access, they should open the same number of envelopes, and accept the treatment that the number of envelope standing for. Treatment group:fire-needle therapy. Points: Fengchi (GB20), Bailao(GV14), Jianjing(GB21), Ar SHI points. Disinfect with anerdian on the points. After that, putting some Entitled flower oil on the points. Then lighting the alcohol lamp, endding up the alcohol lamp with the left hand coming near the points, and holding the fire needle with pen shaped with the right hand. The needle tip and the needle body are reset into alcohol lamp's outer flame. As they are burned to bright, thorning the needle body quickly into points, and fast pulling it out in about1/10second. Then drying the bleeding by pressing the points with disinfective dry cotton ball and fell the entitled flower oil on the points to protect the wound. Needling Fengchi to the direction to nose into3fen deep, perpendicular needling Bailao into8fen deed. Oblique needlign the Jianjing into3fen deep. Needling Ar SHI points shouled base on the specific angle and depth. The acupoints'needling depth can be adjusted depending on whether the patients are fat of skinny. The time for therapy is5days one times,3times for a course. After2courses, the evaluation would be take. Control group:treate with electro-acupuncture. Points:the same with the treatment group. Access sat. After disinfection for the points, using the0.3x40mm filiform needles, perpendicular needling into the points. The needling depth is based on the point location, size and weight of patient. Normal reinforcement and normal reduction by lifting, thrusting and twirling on each point, then connect the needles to the electro-acupuncture apparatus with a wave of condensation for30minutes.1times per day,10times for a course. Evaluation after two treatments. Using standardized NPQ neck pain scale, Mcgill pain scale, Verson neck waste index, and methods of MF (in the bit frequency) of cervical surface myoelectricity power spectrum for clinical evaluation. Self-reflection as well as the comparison between groups should be carried out for the treatment group and the control group.
Using SPSS13.0statistical software to analyze the results. Measurement data are expressed in mean士standard deviation, count data compared with Chi-square test, paired t test for comparison before and after treatment in a group, independent samples t test for comparison between the groups, p<0.05significant difference has a significant meaning, significance of p<0.01there is a significant statistical difference.
Results
(1)60patients consistent with standards from acupuncture clinic of Zhongshan Hospital were selected. They were divided into two groups by random number table,30in the treatment group (with fire-needle therapy) and the other30patients in the control group (with general acupuncture treatment). Analysing two groups of patients'age, sexual, therapy course and other general information before the treatment, there were no statistically significant difference (P>0.05). It shew that two groups of subjects were comparable.
(2) Clinical effect:in the treatment group, cure of10cases, improvement in18cases, uncure2cases, total effective rate of93.33%. In the control group, heal in5cases, improvement in18cases, No healed7cases, total effective rate76.67%. Statistically significant differences existed of both groups before and after treatment (P<0.05). And a statistically significant difference existed between the effect of the two group by rank sum test (P<0.05). The total efficiency of fire-needle therapy for cervical spondylosis of neck type was superior to regular acupuncture treatments.
(3) The McGill pain scale scores of both groups after treatment dropped than before significantly (P<0.05). Compared between the two groups, the treatment group was superior to the control group (P<0.05).
(4) The NPQ neck pain scale scores of both groups after treatment dropped than before significantly (P<0.05). Compared between the two groups, the treatment group was superior to the control group (P<0.05).
(5) The Verson neck waste index scores of both groups after treatment dropped than before significantly (P<0.05). Compared between the two groups, the treatment group was superior to the control group (P<0.05).
(6) The surface EMG frequency MF poor value scores of trapezius muscle of both groups after treatment dropped than before significantly (P<0.05). Compared between the two groups, the difference was not statistically significant (P>0.05).
(7) The surface EMG frequency MF poor value scores of sternocleidomastoid muscle of both groups after treatment dropped than before significantly (P<0.05). Compared between the two groups, the difference was not statistically significant (P>0.05).
Conclusions
Both fire needle and general acupuncture are effective in general improving the clinical symptoms of patients with cervical spondylosis of neck type. Both can significantly reduce neck pain, lower neck muscle tension, improve the ability of the neck of patients. They can treat The cervical type cervical spondylosis safely and effectively. And fire needle therapy is superior to the general acupuncture therapy, so that the fire needle should be promoted to use for the disease. But compared with the surface EMG frequency MF poor value scores of trapezius and sternocleidomastoid muscle between the two groups, the difference are not statistically significant (P>0.05), which means the two therapy is similar on improving the MF scores of trapezius and sternocleidomastoid muscle.
本研究运用临床科研方法学及数理统计分析方法,采用标准化的NPQ颈痛量表、Mcgill疼痛量表、Vernon颈部废用指数、颈部表面肌电功率谱的MF(中位频率)值等量表及指标来开展临床疗效评价,观察火针疗法治疗颈型颈椎病的临床效果,并客观评价火针疗法对颈型颈椎病患者颈痛、颈肌紧张度及颈部活动能力的影响,以求科学地评价火针疗法治疗颈型颈椎病的有效性和安全性,建立一套规范的、临床疗效确切的颈型颈椎病火针治疗方案,为火针疗法治疗颈型颈椎病提供有力的科学证据。方法：
来自中山市中医院针灸门诊,可以作为合格受试者的颈型颈椎病患者60例,按随机数字表法分为两组,治疗组(采用火针治疗)30例,对照组(采用普通针刺治疗)30例。具体如下：首先通过操作SAS统计分析软件得出随机数字,然后由研究人员制成随机分配卡片,加信封密封,信封序号与卡片序号相同。合格病例进入试验时,按其进入的先后次序,拆开号码相同的信封,按信封内卡片规定的分组进行治疗。
治疗组：采用火针治疗。取穴：风池、颈百劳、肩井、阿是穴。在穴位处用安尔碘进行局部消毒。消毒完毕,在穴位上涂以跌打万花油,点燃酒精灯,左手将酒精灯端起,靠近针刺穴位,右手以握笔状持细火针(江苏东方针灸器械厂生产),将针尖针体置入酒精灯外焰烧至白亮,用烧红的针体迅速刺入穴位,并快速拔出,时间大约是1／10秒,出针后用消毒干棉球按压针孔止血,然后再涂上跌打万花油保护创面。风池穴向鼻尖方向进针,针入3分深；颈百劳直刺进针,针入8分深；肩井穴斜刺进针,针入3分深。阿是穴根据具体穴位所在位置决定针刺角度及深度。上述诸穴的进针深度可根据患者肥瘦情况适当调整。5日1次,3次为一疗程(入组当天一次,第5天一次,第10天一次)。二个疗程后进行各项评定,疗程间休息5天。二个疗程后进行各项评定。
对照组：采用普通针刺治疗。取穴：同治疗组。患者取端坐位,针刺穴位常规消毒后,采用0.3×40mm毫针(苏州针灸用品有限公司生产,环球牌无菌针灸针)垂直皮肤进针,刺入穴位深度依穴位部位、体型胖瘦而定,每个穴位采用提插捻转的平补平泻手法,运针至得气后接上海产6805-A型电针仪,采用密波,留针30分钟。每日1次,10次为一疗程。二个疗程后进行各项评定,疗程间休息5天。
采用标准化的NPQ颈痛量表、Mcgill疼痛量表、Vernon颈椎废用指数、颈部表面肌电功率谱的MF(中位频率)值等量表及指标来开展临床疗效评价,对治疗组和对照组均进行两组治疗自身对照以及组间对照。
应用SPSS19.0统计软件对课题所得数据进行分析和处理。属于计量资料的,以均数+标准差来表示；属于计数资料的比较,则用卡方检验；组内治疗的前后比较,用配对t检验；组间疗效的比较,用独立样本t检验。p<0.05为统计学差异有显著性意义,p<0.01为统计学差异有非常显著性意义。
成果：
(1)来自中山市中医院针灸门诊,可以作为合格受试者的颈型颈椎病患者60例,按随机数字表法分为两组,治疗组(采用火针治疗)30例,对照组(采用普通针刺治疗)30例。治疗前两组患者的年龄、性别、病程等一般资料比较,经统计学分析,差异均无统计学意义(P>0.05),两组受试者具有可比性。
(2)临床疗效：治疗组30例中,治愈10例,好转18例,未愈2例,总有效率93.33%；对照组30例中,治愈5例,好转18例,未愈7例,总有效率76.67%。两组治疗前后差异均有统计学意义(P<0.05),两组疗效差异经秩和检验,差异有统计学意义(P<0.05),火针疗法治疗颈型颈椎病的总有效率优于普通针刺治疗。
(3)两组治疗后Mcgill疼痛量表评分均较治疗前明显下降(P<0.05),两组间治疗后评分比较,治疗组优于对照组(P<0.05)。
(4)两组治疗后NPQ颈痛量表评分均较治疗前明显下降(P<0.05),两组间治疗后评分比较,治疗组优于对照组(P<0.05)。
(5)两组治疗后Vernon颈椎废用指数评分均较治疗前明显下降(P<0.05),两组间治疗后评分比较,治疗组优于对照组(P<0.05)。
(6)两组治疗后斜方肌表面肌电中位频率MF值较治疗前明显下降(P<0.05),两组间治疗后数值比较,差异无统计学意义(P>0.05)。
(7)两组治疗后胸锁乳突肌表面肌电中位频率MF值较治疗前明显下降(P<0.05),组间治疗后数值比较,差异无统计学意义(P>0.05)。
结论：
火针法和普通针刺法均能有效改善颈型颈椎病患者的临床症状,对治疗颈型颈椎病都具有良好的疗效,可明显减轻颈型颈椎病患者的颈痛症状,降低其颈肌紧张度,改善其颈部活动能力,均是治疗颈型颈椎病的安全、有效的治疗方法。且火针疗法优于普通针刺疗法,值得临床推广运用。但两组治疗后斜方肌和胸锁乳突肌表面肌电中位频率MF值的差值比较,差异无统计学意义(P>0.05),提示火针疗法和普通针刺治疗在改善斜方肌和胸锁乳突肌表面肌电MF值方面效果相近。
Cervical spondylosis is a common, and frequently occurring disease of the Rehabilitation Apartment, especially the neck type, which happens earlier and more frequently than other types of cervical spondylosis. Among the patients of this type, there are many youth, who suffer from the new working and studying type or other life factors, such as operating computers or bow desk work for a long time. The clinical performances mainly include the pain of head, neck, shoulder and arm. X—ray reports show no vertebral gap narrow, or other obvious changes of degeneration, but changes of cervical physiological curvature, vertebral instability and mild hyperostosis still can be seen. Nowadays, the course of The cervical type cervical spondylosis is basically concerned with the damage of the cervical spine by continual stess, strain or accidental injury which decrease the spine tension and stability. Once the cervical spine becomes unstable, on one hand, the various muscle groups in the heck would be unbalanced, thus giving rise to the defensive muscle spasm; on the other hand, it would cause vertebral hemorrhage edema, so that the spinal nerve endings surrounding the spinal sinus would be irritated, leading to aching paid or other symptoms. With the development of society and the growing popularity of computers, people's study and work have been great changed. The incident rate of The cervical type cervical spondylosis is ncreasing,on the same time, there are more younger age risking of this disease. The cervical type cervical spondylosis has seriously affected people's work and life quality, causind a growing threat to the health of human beings.
Objective
The study use clinical scientific research methodology, mathematical statistical analysis method, standardized NPQ neck pain scale, Mcgill pain scale, Verson neck waste index, and methods of MF (in the bit frequency) of cervical surface myoelectricity power spectrum in order to develop the clinical effect evaluation, observe the effect of fire needle treating the neck type of cervical spondylosis, and objective evaluate the fire needle therapy on neck type cervical disease patients's neck pain, neck muscle tension degrees and the neck activities. With the study, the efficacy and safety of the fire needle treatment for the neck type cervical disease can be evaluated scientifically, so that the standardized programme for fire needle treating the disease with exact clinical therapeutic effect can be established.
Method
According to diagnostic codes and staging standards,60patients consistent with standards from acupuncture clinic of Zhongshan Hospital are selected. They are divided into two groups by random number table,30in the treatment group (with fire-needle therapy) and the other30patients in the control group (with general acupuncture treatment). Follows:firstly, drawing random numbers through the manipulation of SAS statistical analysis software. Secondly, the researchers randomly assign cards, plus and seal envelopes; make sure the envelope sequence numbers are the same with the card numbers. When the eligible cases are into test, according to the priority of access, they should open the same number of envelopes, and accept the treatment that the number of envelope standing for. Treatment group:fire-needle therapy. Points: Fengchi (GB20), Bailao(GV14), Jianjing(GB21), Ar SHI points. Disinfect with anerdian on the points. After that, putting some Entitled flower oil on the points. Then lighting the alcohol lamp, endding up the alcohol lamp with the left hand coming near the points, and holding the fire needle with pen shaped with the right hand. The needle tip and the needle body are reset into alcohol lamp's outer flame. As they are burned to bright, thorning the needle body quickly into points, and fast pulling it out in about1/10second. Then drying the bleeding by pressing the points with disinfective dry cotton ball and fell the entitled flower oil on the points to protect the wound. Needling Fengchi to the direction to nose into3fen deep, perpendicular needling Bailao into8fen deed. Oblique needlign the Jianjing into3fen deep. Needling Ar SHI points shouled base on the specific angle and depth. The acupoints'needling depth can be adjusted depending on whether the patients are fat of skinny. The time for therapy is5days one times,3times for a course. After2courses, the evaluation would be take. Control group:treate with electro-acupuncture. Points:the same with the treatment group. Access sat. After disinfection for the points, using the0.3x40mm filiform needles, perpendicular needling into the points. The needling depth is based on the point location, size and weight of patient. Normal reinforcement and normal reduction by lifting, thrusting and twirling on each point, then connect the needles to the electro-acupuncture apparatus with a wave of condensation for30minutes.1times per day,10times for a course. Evaluation after two treatments. Using standardized NPQ neck pain scale, Mcgill pain scale, Verson neck waste index, and methods of MF (in the bit frequency) of cervical surface myoelectricity power spectrum for clinical evaluation. Self-reflection as well as the comparison between groups should be carried out for the treatment group and the control group.
Using SPSS13.0statistical software to analyze the results. Measurement data are expressed in mean士standard deviation, count data compared with Chi-square test, paired t test for comparison before and after treatment in a group, independent samples t test for comparison between the groups, p<0.05significant difference has a significant meaning, significance of p<0.01there is a significant statistical difference.
Results
(1)60patients consistent with standards from acupuncture clinic of Zhongshan Hospital were selected. They were divided into two groups by random number table,30in the treatment group (with fire-needle therapy) and the other30patients in the control group (with general acupuncture treatment). Analysing two groups of patients'age, sexual, therapy course and other general information before the treatment, there were no statistically significant difference (P>0.05). It shew that two groups of subjects were comparable.
(2) Clinical effect:in the treatment group, cure of10cases, improvement in18cases, uncure2cases, total effective rate of93.33%. In the control group, heal in5cases, improvement in18cases, No healed7cases, total effective rate76.67%. Statistically significant differences existed of both groups before and after treatment (P<0.05). And a statistically significant difference existed between the effect of the two group by rank sum test (P<0.05). The total efficiency of fire-needle therapy for cervical spondylosis of neck type was superior to regular acupuncture treatments.
(3) The McGill pain scale scores of both groups after treatment dropped than before significantly (P<0.05). Compared between the two groups, the treatment group was superior to the control group (P<0.05).
(4) The NPQ neck pain scale scores of both groups after treatment dropped than before significantly (P<0.05). Compared between the two groups, the treatment group was superior to the control group (P<0.05).
(5) The Verson neck waste index scores of both groups after treatment dropped than before significantly (P<0.05). Compared between the two groups, the treatment group was superior to the control group (P<0.05).
(6) The surface EMG frequency MF poor value scores of trapezius muscle of both groups after treatment dropped than before significantly (P<0.05). Compared between the two groups, the difference was not statistically significant (P>0.05).
(7) The surface EMG frequency MF poor value scores of sternocleidomastoid muscle of both groups after treatment dropped than before significantly (P<0.05). Compared between the two groups, the difference was not statistically significant (P>0.05).
Conclusions
Both fire needle and general acupuncture are effective in general improving the clinical symptoms of patients with cervical spondylosis of neck type. Both can significantly reduce neck pain, lower neck muscle tension, improve the ability of the neck of patients. They can treat The cervical type cervical spondylosis safely and effectively. And fire needle therapy is superior to the general acupuncture therapy, so that the fire needle should be promoted to use for the disease. But compared with the surface EMG frequency MF poor value scores of trapezius and sternocleidomastoid muscle between the two groups, the difference are not statistically significant (P>0.05), which means the two therapy is similar on improving the MF scores of trapezius and sternocleidomastoid muscle.
引文
[1]仲卫红、冯居平等.福州市中青年伏案工作者颈椎病的流行病学调查及危险因素的研究.中国中医骨伤科杂志,2010,18(2)：50-51.
[2]Echarri JJ. Forriol F. Effect of axial load on the cervical spine:a study of Congolese woodboarers. Int Onhop 2002;26(3):141-144.
[3]刘岩,蔡克勤,杨克勤,等.颈椎病773例临床分析U1.中华骨科杂志,1989,9：282-283.)。
[4]王冰.等.颈椎病患病特征的流行病学研究.中南大学学报：医学版.2004,29(4)：472-474.
[5]王拥军,施杞.颈椎病发病因素的流行病学概况[J].中医正骨,1999,(3)：41-43.
[6]谢兴文、王春晓,李宁.颈椎病发病特征与影响因素的流行病学调查.中国中医骨伤科杂志,2012,20(7)：46-47.
[7]王拥军,施杞,等.颈椎病危险因素的病例对照研究.中国中医骨伤科杂志,1997,5(6)：12.
[8]卢志明,唐占英,叶秀兰.颈椎病的发病机理及传统手法治疗研究进展[J].中国中医骨伤科杂志,2011,19(1),61：64)
[9]贾连顺.颈椎病的现代概念[J].脊柱外科杂志,2004,2(2)：123-126.
[10]廖俊星,周良安.颈型颈椎病的诊断与治疗[J].新医学,1997,28(5)：232.
[11]姜淑云,房敏,左亚忠,等.颈部肌群与颈椎病[J].颈腰痛杂志,2006,27(3)：235-238.
[12]周述强,张敏霞.颈椎相关肌肉慢性损伤与颈椎病[J].安徽中医临床杂志,2003,15(3)：247-248.
[13]姜京明,廖恒,陈秘密,等.针刺加穴位注射治疗神经根型颈椎病的临床疗效观察[J].针灸临床杂志,2009,25(5)：6-7.
[14]李畅居,卢祖仪.从肝肾辨治颈椎病53例[J].新中医,2000,32(12)：42.
[15]王元元.中药补肾养肝治疗颈椎病体会[J].山西预防医学,2002,n(2)：219.
[16]曹维娜.颈椎病的中医辨治与临床分析[J].中国现代药物应用,2009,9：111.
[17]于竹力.从肾虚血淤论治椎动脉型颈椎病[J].黑龙江医药,1999,12(3).
[18]徐宁.补肾活血法在痹证中的应用[J].山西中医,1993,9(5)：10-11.
[19]叶秀兰,谢兴文,李宁,等.从肝、脾、肾论治颈椎病—施祀教授治疗颈椎病学术思想之一[J].中国中医骨伤科杂志,2005,13(4)：46-47.)
[20]JaeksonR. Theeerviealsyndromeand:pringfiled[J]. Charles Thomas,1985,4:26.
[21]王以进,王介麟.骨科生物力学[M].北京：人民军医出版社,1989.232.
[22]周述强张敏霞.颈椎相关肌肉慢性损伤与颈椎病[J].安徽中医临床杂志.2003,15(3),247：248.
[23]Seidel H. Long-termefects of whold-boby vibration, a cervical surrey[J]. Int Arch Occup Health,1986,58:1.
[24]赵英,何浪.颈椎病的发病机制及相关因素[J].中国社区医师,2008,24(11)：12.
[25]Yuichiro Morishita, Masatoshi Naito, Henry Hymanson, Masashi Miyazaki and Guizhong Wu, etal. The relationship between the cervical spinal canal diameter and the pathological changes in the cervical spine. European Spine Journal,2009,18 (6):877-883
[26]朱晓平,文幸,李勇.苍龟探穴针法治疗颈型颈椎病36例[J].中国临床康复,2006,10(15)：162-163.
[27]罗建平,欧阳松,李先棵.颈椎病常见的病因病理分析[J].内蒙古中医,2008,25(7)：35-37.
[28]王拥军,施祀.关于颈椎病的理论与临床探讨[J].中国中医骨伤科杂志,1997,5(3)：60.
[29]MendelT, Aralk. Thehistologyof lumbar interVertebraldi ses [J]. soine,1992,17:32.
[30]饶凤英,陈彪.颈椎病发病机理的解剖学探讨[J].中国民族民间医药,2012,21(17),84.
[31]杨世斌.颈肌与颈型颈椎病的关系[J].颈腰痛杂志,2008,29(1),77：79.
[32]S. Mustafah Khwaja, Max Minnerop, Adam J. Singer, Comparison of ibuprofen, cyclobenzaprine or both in patients with acute cervical strain:a randomized controlled trial. CJEM.2010,12 (1):39-44
[33]谢秀文,高慧贤;王帝娣.骨增舒液直流电离子导人治疗颈椎病的临床观察.齐齐哈尔医学院学报.2008,29(13)：1628-1629
[34]李学卿.中药离子透入叠加电摩治疗颈椎病54例.中国中医急针刺治疗颈推病颈痛的穴位特异性研究症.2008,17(9)：1301
[35]陈银生,刘彦平.中频治疗机中药离子导入治疗颈椎病102例效果观察.中国校医.2008,22(2)：137-138
[36]肖志刚,杨世忠,谢国水等.银质针导热疗法治疗颈椎病疗效观察.武警医学.2008.19(5)：477-478
[37]李勇,李振宇,鲁尧等.不同角度牵引治疗颈椎病的力学效果分析研究.中国中医骨伤科杂志.2008,16(9)：41-42
[38]苑洁,陈国民(指导).非手术疗法治疗颈型颈椎病的临床研究进展.中国文献杂志,2007,(1)：61-64
[39]邓晋丰,刘金文.中西医结合骨伤科学.科学出版社,2003,9(1)：373-381
[40]Cervical spondylosis with spinal cord encroachment:should preventive surgery be recommended? Donald R Murphy, Christopher M Coulis and Jonathan K Gerrard, Chiropractic & Osteopathy,2009,17(1):1-6
[41]梁兆晖,朱晓平,伍洲梁,等.针刺治疗慢性颈椎病颈痛疗效评价[J].新中医,2008,40(10)：70-72.
[42]王爱玲.电针治疗神经根型颈椎病56例[J].中医外治杂志,2009,4：45.
[43]陈剑明,彭丽辉,张伟.针刺列缺穴为主治疗颈椎病40例疗效观察[J].贵阳中医学院学报,2007,29(6)：40-42.
[44]李建平.电针治疗颈椎病的临床研究[J].辽宁中医药大学学报,2008,10(10)：124-125.
[45]范娥,李菊莲,何氏铺灸疗法治疗颈型颈椎病38例,中医研究,2010,2,23(2)：69-71.
[46]李丽霞,林国华,庄礼兴,等.压灸百会穴为主治疗椎动脉型颈椎病30例疗效观察[J).新中医,2005,37(9)：54-55.
[47]李志宏,李冬梅.温针治疗顽固性神经根型颈椎病47例[J].云南中医中药杂志,2009,30(6)：46.
[48]彭良.温针灸夹脊穴治疗颈椎病60例[J].山西中医,2005,21(2)：37.
[49]符文彬,郭元琦,陈丽仪,等.腹针治疗颈型颈椎病63例观察.中医药学刊,2005,23(3)：539-540.
[50]宣丽华,甘海球.腹针治疗神经根型颈椎病的临床研究[J].中华中医药学刊,2008,26(10)：2126-2127.
[51]梁来德.脊柱推拿治疗神经根型颈椎病的临床观察[J].中国医药指南,2009,18：53-54.
[52]李庆兵,冯跃,罗才贵等.推拿结合颈康灵治疗风寒湿痹型颈型颈椎病30例[J].河南中医.2013,33(2),236：237.
[53]梁炜,针刀结合神经阻滞治疗颈型颈椎病,新疆中医药,2010,28(5)：19-20
[54]刘国萍.小针刀治疗颈椎病30例[J].齐齐哈尔医学院学报,2008,29(7)：833.
[55]沈丽.穴位注射综合治疗颈椎病疗效观察[J].上海针灸杂志,2008,27(4).19-20
[56]李涛,孙治东.穴位埋线治疗颈型颈椎病56例[J].上海针灸杂志,2003,22(12)：34.
[57]耿引,循于娟,胡姗姗,等.贬石疗法治疗颈型颈椎病30例[J].河北中医,2007,29(12)：1109-1110.
[58]宋吉岩,郑军.火针疗法治疗颈型颈椎病临证举隅[J].吉林中医药,2008,2S(8)：597.
[59]葛锡鹏.耳穴压丸法治疗颈性眩晕200例[J].中医外治杂志,2000,9(6)：43.
[60]梁建新.铍针治疗颈型颈椎病60例临床观察[J].北京中医药,2008,27(7)：544-545.
[61]高军权,李霞,腹针配合中药热敷治疗颈型颈椎病58例,针灸临床杂志,2010,26(08)：19-20
[62]贺振刚,刘少鸿.针灸推拿治疗颈椎病50例临床体会[J].临床医药实践,2009,18(9)：283-284.
[63]姜京明,廖恒,陈秘密,等.针刺加穴位注射治疗神经根型颈椎病的临床疗效观察[J].针灸临床杂志,2009,25(5)：6-7.
[64]奕晓梅,刘仍军.针灸配合牵引、手法治疗神经根型颈椎病[J].长春中医药大学学报,2009,25(2)：207.
[65]李畅居,卢祖仪.从肝肾辨治颈椎病53例[J].新中医,2000,32(12)：42.
[66]王元元.中药补肾养肝治疗颈椎病体会[J].山西预防医学,2002,n(2)：219.
[67]曹维娜.颈椎病的中医辨治与临床分析[J].中国现代药物应用,2009,9：111.
[68]于竹力.从肾虚血淤论治椎动脉型颈椎病[J].黑龙江医药,1999,12(3).
[69]徐宁.补肾活血法在痹证中的应用[J].山西中医,1993,9(5)：10-11.
[70]詹运开.活络效灵汤治疗颈型颈椎病40例临床观察[J].中医药导报,2010,16(4),37.
[71]叶秀兰,谢兴文,李宁,等.从肝、脾、肾论治颈椎病——施祀教授治疗颈椎病学术思想之一[J].中国中医骨伤科杂志,2005,13(4)：46-47.
[72]马旭,李继良.中医药治疗颈椎病心得[J].中国医药指南,2009,7(13)：118-119.
[73]王勇.葛根汤治疗颈型颈椎病50例,浙江中医杂志.2010,3,45(3)：209
[74]董伟涛.改良雷火针治疗颈型颈椎病(硕十论文).广州中医药大学.2012,18：19.
[75]苏文武,郑照顺.火针赞刺法为主治疗孕妇带状疱疹一例[J].求医问药,2012,10(10),308：309.
[76]黄石玺,王映辉,毛湄等.毫火针赞刺法与毫火针加灸法治疗急性期中老年带状疱疹平行对照临床研究.[J].中医杂志,2012,53(20),1742：1745.
[77]章珍明..火针点刺放血治疗急性痛风性关节炎临床观察[J].新中医,2012,44(10),87：89
[78]何金石,粟春生.火针配合拔罐治疗膝关节骨性关节炎38例[J].云南中医中药杂志,2012,33(8),47：48.
[79]康明明,石学敏.火针配合火鍉针治疗慢性咽炎1例[J].针灸临床杂志,2012,28(4),25.
[80]代礼君.家传火针疗法配合秘方制剂治疗慢性咽炎500例[J].中医药临床杂志,2008,20(1)12：13
[81]曹杰.透刺法配合火针治疗顽固性面瘫[J].湖北中医杂志,2012,34(3),67.
[82]赵金荣.火针治疗周围性面瘫后遗症48例[J].河北中医药学报,2012,27(1),39.
[83]杨健,佘延芬.火针治疗痤疮的相关问题探讨[J].河北中医药学报,2012,27(1),39.
[84]黄传萍.火针治疗颈椎病临床疗效分析[J].实用中医药杂志,2008,24(8),480：481.
[85]张雪英,张启亮.火针为主治疗椎动脉型颈椎病120例[J].新疆中医药,2011,29(6),19：20.
[86]旷秋和.火针配合整脊手法治疗颈椎病临床疗效观察[J].针灸临床杂志,2008,24(9),19：21.
[87]王成,刘海永,陈晓强.应用火针正骨疗法加甘露醇静点治疗神经根型颈椎病[J].辽宁中医药大学学报,2009,8(8),181.
[2]Echarri JJ. Forriol F. Effect of axial load on the cervical spine:a study of Congolese woodboarers. Int Onhop 2002;26(3):141-144.
[3]刘岩,蔡克勤,杨克勤,等.颈椎病773例临床分析U1.中华骨科杂志,1989,9：282-283.)。
[4]王冰.等.颈椎病患病特征的流行病学研究.中南大学学报：医学版.2004,29(4)：472-474.
[5]王拥军,施杞.颈椎病发病因素的流行病学概况[J].中医正骨,1999,(3)：41-43.
[6]谢兴文、王春晓,李宁.颈椎病发病特征与影响因素的流行病学调查.中国中医骨伤科杂志,2012,20(7)：46-47.
[7]王拥军,施杞,等.颈椎病危险因素的病例对照研究.中国中医骨伤科杂志,1997,5(6)：12.
[8]卢志明,唐占英,叶秀兰.颈椎病的发病机理及传统手法治疗研究进展[J].中国中医骨伤科杂志,2011,19(1),61：64)
[9]贾连顺.颈椎病的现代概念[J].脊柱外科杂志,2004,2(2)：123-126.
[10]廖俊星,周良安.颈型颈椎病的诊断与治疗[J].新医学,1997,28(5)：232.
[11]姜淑云,房敏,左亚忠,等.颈部肌群与颈椎病[J].颈腰痛杂志,2006,27(3)：235-238.
[12]周述强,张敏霞.颈椎相关肌肉慢性损伤与颈椎病[J].安徽中医临床杂志,2003,15(3)：247-248.
[13]姜京明,廖恒,陈秘密,等.针刺加穴位注射治疗神经根型颈椎病的临床疗效观察[J].针灸临床杂志,2009,25(5)：6-7.
[14]李畅居,卢祖仪.从肝肾辨治颈椎病53例[J].新中医,2000,32(12)：42.
[15]王元元.中药补肾养肝治疗颈椎病体会[J].山西预防医学,2002,n(2)：219.
[16]曹维娜.颈椎病的中医辨治与临床分析[J].中国现代药物应用,2009,9：111.
[17]于竹力.从肾虚血淤论治椎动脉型颈椎病[J].黑龙江医药,1999,12(3).
[18]徐宁.补肾活血法在痹证中的应用[J].山西中医,1993,9(5)：10-11.
[19]叶秀兰,谢兴文,李宁,等.从肝、脾、肾论治颈椎病—施祀教授治疗颈椎病学术思想之一[J].中国中医骨伤科杂志,2005,13(4)：46-47.)
[20]JaeksonR. Theeerviealsyndromeand:pringfiled[J]. Charles Thomas,1985,4:26.
[21]王以进,王介麟.骨科生物力学[M].北京：人民军医出版社,1989.232.
[22]周述强张敏霞.颈椎相关肌肉慢性损伤与颈椎病[J].安徽中医临床杂志.2003,15(3),247：248.
[23]Seidel H. Long-termefects of whold-boby vibration, a cervical surrey[J]. Int Arch Occup Health,1986,58:1.
[24]赵英,何浪.颈椎病的发病机制及相关因素[J].中国社区医师,2008,24(11)：12.
[25]Yuichiro Morishita, Masatoshi Naito, Henry Hymanson, Masashi Miyazaki and Guizhong Wu, etal. The relationship between the cervical spinal canal diameter and the pathological changes in the cervical spine. European Spine Journal,2009,18 (6):877-883
[26]朱晓平,文幸,李勇.苍龟探穴针法治疗颈型颈椎病36例[J].中国临床康复,2006,10(15)：162-163.
[27]罗建平,欧阳松,李先棵.颈椎病常见的病因病理分析[J].内蒙古中医,2008,25(7)：35-37.
[28]王拥军,施祀.关于颈椎病的理论与临床探讨[J].中国中医骨伤科杂志,1997,5(3)：60.
[29]MendelT, Aralk. Thehistologyof lumbar interVertebraldi ses [J]. soine,1992,17:32.
[30]饶凤英,陈彪.颈椎病发病机理的解剖学探讨[J].中国民族民间医药,2012,21(17),84.
[31]杨世斌.颈肌与颈型颈椎病的关系[J].颈腰痛杂志,2008,29(1),77：79.
[32]S. Mustafah Khwaja, Max Minnerop, Adam J. Singer, Comparison of ibuprofen, cyclobenzaprine or both in patients with acute cervical strain:a randomized controlled trial. CJEM.2010,12 (1):39-44
[33]谢秀文,高慧贤;王帝娣.骨增舒液直流电离子导人治疗颈椎病的临床观察.齐齐哈尔医学院学报.2008,29(13)：1628-1629
[34]李学卿.中药离子透入叠加电摩治疗颈椎病54例.中国中医急针刺治疗颈推病颈痛的穴位特异性研究症.2008,17(9)：1301
[35]陈银生,刘彦平.中频治疗机中药离子导入治疗颈椎病102例效果观察.中国校医.2008,22(2)：137-138
[36]肖志刚,杨世忠,谢国水等.银质针导热疗法治疗颈椎病疗效观察.武警医学.2008.19(5)：477-478
[37]李勇,李振宇,鲁尧等.不同角度牵引治疗颈椎病的力学效果分析研究.中国中医骨伤科杂志.2008,16(9)：41-42
[38]苑洁,陈国民(指导).非手术疗法治疗颈型颈椎病的临床研究进展.中国文献杂志,2007,(1)：61-64
[39]邓晋丰,刘金文.中西医结合骨伤科学.科学出版社,2003,9(1)：373-381
[40]Cervical spondylosis with spinal cord encroachment:should preventive surgery be recommended? Donald R Murphy, Christopher M Coulis and Jonathan K Gerrard, Chiropractic & Osteopathy,2009,17(1):1-6
[41]梁兆晖,朱晓平,伍洲梁,等.针刺治疗慢性颈椎病颈痛疗效评价[J].新中医,2008,40(10)：70-72.
[42]王爱玲.电针治疗神经根型颈椎病56例[J].中医外治杂志,2009,4：45.
[43]陈剑明,彭丽辉,张伟.针刺列缺穴为主治疗颈椎病40例疗效观察[J].贵阳中医学院学报,2007,29(6)：40-42.
[44]李建平.电针治疗颈椎病的临床研究[J].辽宁中医药大学学报,2008,10(10)：124-125.
[45]范娥,李菊莲,何氏铺灸疗法治疗颈型颈椎病38例,中医研究,2010,2,23(2)：69-71.
[46]李丽霞,林国华,庄礼兴,等.压灸百会穴为主治疗椎动脉型颈椎病30例疗效观察[J).新中医,2005,37(9)：54-55.
[47]李志宏,李冬梅.温针治疗顽固性神经根型颈椎病47例[J].云南中医中药杂志,2009,30(6)：46.
[48]彭良.温针灸夹脊穴治疗颈椎病60例[J].山西中医,2005,21(2)：37.
[49]符文彬,郭元琦,陈丽仪,等.腹针治疗颈型颈椎病63例观察.中医药学刊,2005,23(3)：539-540.
[50]宣丽华,甘海球.腹针治疗神经根型颈椎病的临床研究[J].中华中医药学刊,2008,26(10)：2126-2127.
[51]梁来德.脊柱推拿治疗神经根型颈椎病的临床观察[J].中国医药指南,2009,18：53-54.
[52]李庆兵,冯跃,罗才贵等.推拿结合颈康灵治疗风寒湿痹型颈型颈椎病30例[J].河南中医.2013,33(2),236：237.
[53]梁炜,针刀结合神经阻滞治疗颈型颈椎病,新疆中医药,2010,28(5)：19-20
[54]刘国萍.小针刀治疗颈椎病30例[J].齐齐哈尔医学院学报,2008,29(7)：833.
[55]沈丽.穴位注射综合治疗颈椎病疗效观察[J].上海针灸杂志,2008,27(4).19-20
[56]李涛,孙治东.穴位埋线治疗颈型颈椎病56例[J].上海针灸杂志,2003,22(12)：34.
[57]耿引,循于娟,胡姗姗,等.贬石疗法治疗颈型颈椎病30例[J].河北中医,2007,29(12)：1109-1110.
[58]宋吉岩,郑军.火针疗法治疗颈型颈椎病临证举隅[J].吉林中医药,2008,2S(8)：597.
[59]葛锡鹏.耳穴压丸法治疗颈性眩晕200例[J].中医外治杂志,2000,9(6)：43.
[60]梁建新.铍针治疗颈型颈椎病60例临床观察[J].北京中医药,2008,27(7)：544-545.
[61]高军权,李霞,腹针配合中药热敷治疗颈型颈椎病58例,针灸临床杂志,2010,26(08)：19-20
[62]贺振刚,刘少鸿.针灸推拿治疗颈椎病50例临床体会[J].临床医药实践,2009,18(9)：283-284.
[63]姜京明,廖恒,陈秘密,等.针刺加穴位注射治疗神经根型颈椎病的临床疗效观察[J].针灸临床杂志,2009,25(5)：6-7.
[64]奕晓梅,刘仍军.针灸配合牵引、手法治疗神经根型颈椎病[J].长春中医药大学学报,2009,25(2)：207.
[65]李畅居,卢祖仪.从肝肾辨治颈椎病53例[J].新中医,2000,32(12)：42.
[66]王元元.中药补肾养肝治疗颈椎病体会[J].山西预防医学,2002,n(2)：219.
[67]曹维娜.颈椎病的中医辨治与临床分析[J].中国现代药物应用,2009,9：111.
[68]于竹力.从肾虚血淤论治椎动脉型颈椎病[J].黑龙江医药,1999,12(3).
[69]徐宁.补肾活血法在痹证中的应用[J].山西中医,1993,9(5)：10-11.
[70]詹运开.活络效灵汤治疗颈型颈椎病40例临床观察[J].中医药导报,2010,16(4),37.
[71]叶秀兰,谢兴文,李宁,等.从肝、脾、肾论治颈椎病——施祀教授治疗颈椎病学术思想之一[J].中国中医骨伤科杂志,2005,13(4)：46-47.
[72]马旭,李继良.中医药治疗颈椎病心得[J].中国医药指南,2009,7(13)：118-119.
[73]王勇.葛根汤治疗颈型颈椎病50例,浙江中医杂志.2010,3,45(3)：209
[74]董伟涛.改良雷火针治疗颈型颈椎病(硕十论文).广州中医药大学.2012,18：19.
[75]苏文武,郑照顺.火针赞刺法为主治疗孕妇带状疱疹一例[J].求医问药,2012,10(10),308：309.
[76]黄石玺,王映辉,毛湄等.毫火针赞刺法与毫火针加灸法治疗急性期中老年带状疱疹平行对照临床研究.[J].中医杂志,2012,53(20),1742：1745.
[77]章珍明..火针点刺放血治疗急性痛风性关节炎临床观察[J].新中医,2012,44(10),87：89
[78]何金石,粟春生.火针配合拔罐治疗膝关节骨性关节炎38例[J].云南中医中药杂志,2012,33(8),47：48.
[79]康明明,石学敏.火针配合火鍉针治疗慢性咽炎1例[J].针灸临床杂志,2012,28(4),25.
[80]代礼君.家传火针疗法配合秘方制剂治疗慢性咽炎500例[J].中医药临床杂志,2008,20(1)12：13
[81]曹杰.透刺法配合火针治疗顽固性面瘫[J].湖北中医杂志,2012,34(3),67.
[82]赵金荣.火针治疗周围性面瘫后遗症48例[J].河北中医药学报,2012,27(1),39.
[83]杨健,佘延芬.火针治疗痤疮的相关问题探讨[J].河北中医药学报,2012,27(1),39.
[84]黄传萍.火针治疗颈椎病临床疗效分析[J].实用中医药杂志,2008,24(8),480：481.
[85]张雪英,张启亮.火针为主治疗椎动脉型颈椎病120例[J].新疆中医药,2011,29(6),19：20.
[86]旷秋和.火针配合整脊手法治疗颈椎病临床疗效观察[J].针灸临床杂志,2008,24(9),19：21.
[87]王成,刘海永,陈晓强.应用火针正骨疗法加甘露醇静点治疗神经根型颈椎病[J].辽宁中医药大学学报,2009,8(8),181.