按压缺盆穴治疗项痹的临床观察

Clinical observation on the treatment of arthralgia by pressing the acupoint of deficiency of basin

目的:观察按压缺盆穴治疗项痹的临床疗效。方法:选取2019年1—7月收治的128例患者作为研究对象,随机分为对照组(61例)和观察组(67例),通过2周的临床治疗,按中医证候积分统计对比两组治疗前后的差值,记录分析两组治愈率、好转率、总有效率和无效率。结果:观察组2周治愈率59.70%(40/67)、无效率1.50%(1/67),总有效率98.50%(66/67);对照组2周治愈率50.82%(31/61)、无效率9.84%(6/61),总有效率90.16%(55/61)。两组比较差异具有统计学意义(P<0.05)。结论:按压缺盆穴治疗项痹(神经根型颈椎病)能明显提高治愈率和总有效率。按压缺盆穴可加速经络系统血气运行,通调阴阳,使经络患病之处恢复通畅,从而达到行血气、通阴阳的目的。现代医学认为按压缺盆穴可以加速上肢的血液流动,改善上肢神经的营养状况,加快致痛物质的代谢,从而改善肌肉的紧张状态,加快上肢组织炎症的消散和吸收,而炎性致痛物质的减少可明显缓解临床症状。

Objective:To observe the clinical effect of pressing acupoint deficient basin in the treatment of arthralgia.Methods:128 pa-tients admitted from January to July in 2019 were randomly divided into control group(n=61)and observation group(n=67).After 2 weeks of clinical treatment,the difference between the two groups was compared according to the statistics of TCM syndrome scores before and after treatment,record and analyze the cure rate,improvement rate,total effective rate and inefficiency of the two groups.Results:In the observation group,the 2-week cure rate was 59.70%(40/67),the ineffective rate was 1.50%(1/67),and the total effective rate was 98.50%(66/67).The 2-week cure rate in the control group was 50.82%(31/61),the ineffective rate was 9.84%(6/61),and the total effective rate was 90.16%(55/61),the difference was statistically significant(P<0.05).Conclusion:Pressing the acupoint deficiency basin to treat neck arthralgia(cervical Spondylotic radiculopathy)can obviously improve the cure rate and the total effective rate.Pressing the deficient basin acupoint can accelerate the blood gas operation of the meridian system,regulate yin and yang,and restore patency where the meridian is sick,so as to achieve the purpose of promoting blood gas and dredging yin and yang.Modern medicine believes that pressing the lacked basin acupoint can accelerate the blood flow of the upper limb,improve the nutritional status of the nerves of the upper limb,accelerate the metabolism of pain-causing substances,thus reduce muscle tension and accelerate the dissipation and absorption of inflammation in the upper limb.The reduction of inflammatory pain-causing substances can gradually and significantly alleviate clinical symptoms.