针刺浅筋膜法治疗颈型颈椎病48例

作者：孙梦晓 来源：本站原创 点击：3192次 更新：1523868052

　　<p>SONG Zhong-yang (宋忠阳)¹,&nbsp; &nbsp;QIN Xiao-guang (秦晓光)¹ ,&nbsp; &nbsp;FANG Xiao-li (方晓丽)¹, YAO Xiao-qiang (姚小强)²,&nbsp; &nbsp;CHEN Yu-chan (陈玉婵)³</p><p><br/></p><p style="text-align: justify;">1. School of Acupuncture-moxibustion and Tuina, Gansu University of Chinese Medicine, Lanzhou 730000,Gansu Province, China; 2. Acupuncture-moxibustion Department of Affiliated Hospital of Gansu University of Chinese Medicine; 3. Cooperation of Chinese and Western Medicine Department, Gansu University of Chinese Medicine（1. 甘肃中医药大学针灸推拿学院，甘肃兰州 730000，中国；2. 甘肃中医药大学附属医院针灸科；3. 甘肃中医药大学中西医结合学院）</p><p><br/></p><p><strong>ABSTRACT</strong></p><p style="text-align: justify;"><strong>Objective</strong>&nbsp; To observe the clinical efficacy of acupuncture at the superficial fascia for cervical type of cervical spondylosis. <strong>Methods</strong>&nbsp; Acupuncture at the superficial fascia was carried out for 48 patients with cervical type of&nbsp; cervical spondylosis by selecting the tender points on both sides of the cervical vertebral body and on the neck and shoulders. The treatment was conducted for once a day and treatment for 5 times was considered as 1 course of treatment. Two days were free from treatment between courses, and 3 courses were needed in total. The scores of McGill pain questionnaire [MPQ,including three indexes: Pain rating index (PRI), Visual analogue scale (VAS) and Present pain intensity (PPI) ] of patients before and after treatment were compared, therapeutic effct of cervical type of&nbsp; cervical spondylosis was evaluated.<strong> Results&nbsp;</strong> According to the comparison before and after treatment, the scores of PRI (29.44±9.26 vs13.15±7.04), VAS (5.63±2.73 vs 1.23±1.15), and PPI (3.00±1.24 vs 0.38±0.49) of patients with cervical type of cervical spondylosis reduced significantly (all P&lt;0.05), indicating that the differences were statistically significant. Among 48 cases, cured 40 cases (83.33%), markedly effective 4 cases (8.34%), effective 3 cases (6.25%)， ineffective 1 case (2.08%). The total effective rate was 97.92% (47/48). <strong>Conclusion</strong>&nbsp; The curative effect of acupuncture at the superficial fascia for cervical type of&nbsp; cervical spondylosis was satisfactory.</p><p><br/></p><p><strong>KEY WORDS</strong>: cervical type of&nbsp; cervical spondylosis; acupuncture-moxibustion therapy; superficial fascia; “fishing with golden fishhook” acupuncture manipulation</p><p><strong>ABSTRACT IN CHINESE</strong></p><p style="text-align: justify;">[摘 要] 目的：观察针刺浅筋膜法治疗颈型颈椎病的临床疗效。方法：48例符合颈型颈椎病诊断标准的患者，以颈椎椎体两侧及颈肩部的压痛点为主，采用针刺浅筋膜的方法治疗。1次/天，治疗5次为1个疗程，间歇2天，共治疗3个疗程。3个疗程后，比较患者治疗前后McGill疼痛量表（MPQ）各项评分，并采用尼莫地平法计算疗效。结果：治疗前后比较，颈型颈椎病患者PRI（29.44±9.26 vs13.15±7.04）、VAS（5.63±2.73 vs 1.23±1.15）、PPI（3.00±1.24 vs 0.38±0.49）评分均明显降低（P&lt;0.05），差异有统计学意义。治愈40例，显效4例，有效3例，无效1例，总有效率97.92%（47/48）。结论：针刺浅筋膜治疗颈型颈椎病疗效满意，能够有效改善患者疼痛症状，值得进一步推广和应用。</p><p style="text-align: justify;">[关键词] 颈型颈椎病 针灸疗法 “金钩钓鱼” 针法 浅筋膜</p><p><br/></p>