摘要
目的 评估颈部七线法穴位埋线调衡神经根型颈椎病的疗效及安全性。方法 共72例神经根型颈椎病患者纳入最终统计,入组时随机分为观察组及对照组各36例。观察组采用颈部七线法穴位埋线,对照组予以对症止痛、营养神经药物口服治疗,两组均给予用颈健康指导。两组在治疗前后应用NDI、SF-MPQ、中医证候量表进行评价,并于治疗结束后随访2个月;比较两组的临床疗效。结果 两组治疗各时间点及随访时NDI、SF-MPQ总分及各成分评分、中医证候量表评分较治疗前明显改善(P <0.05)。组间各时间点NDI、SF-MPQ总分、PRI(S+A)评分、中医证候量表评分比较差异均有统计学意义(P <0.05),且观察组均优于对照组;治疗1周、2周、3周及8周随访时,VAS评分组间差异明显(P <0.05),治疗1周、2周时,PPI评分组间差异具有统计学意义(P <0.05),VAS及PPI评分在余时间点组间差异无统计学意义(P> 0.05)。观察组临床痊愈率为58.33%,显著高于对照组的36.11%(P <0.05),观察组总有效率高于对照组。结论 颈部七线法埋线治疗在CSR疼痛管理、功能障碍修复中显示出良好的效果,对提高患者的整体生活质量、改善疾病相关心理负担具有重要意义。
Objective:To evaluate the efficacy and safety of balancing treatment of cervical spondylotic radiculopathy(CSR)by burying lines at seven-line acupoints in the neck area.Methods:A total of 72 patients with CSR were included in the final statistics,with 36 in each group.They were randomly divided into an observation group and a control group upon enrollment.The observation group received treatment by burying lines at sevenline acupoints in the neck area,while the control group was given symptomatic analgesics and oral neurotrophic drugs.Both groups received guidance on cervical health.The Neck Disability Index(NDI),Short-Form McGll Pain Questionnaire(SF-MPQ),and Traditional Chinese Medicine(TCM)Syndrome Scores were used to evaluate the patients before and after treatment in both groups.A 2-month follow-up was conducted after the end of treatment.The clinical efficacy was compared between the two groups.Results:The NDI,SF-MPQ total scores and component scores,and TCM Syndrome Scores at different time points during and after treatment,as well as at follow-up,showed significant statistical differences compared with those before treatment in both groups(P<0.05).Significant differences were observed between the two groups in the NDI,SF-MPQ total score,Present Pain Intensity(PRI[S+AJ])score,and TCM Syndrome Score at each time point(P<0.05),with the observation group showing better results than the control group.For the Visual Analog Scale(VAS)score showed significant differences between the groups(P<0.05).For the Present Pain Index(PPI)score,significant differences between the groups were observed at 1 week and 2 weeks of treatment(P<0.05),but not at other time points(P>0.05).The observa-tion group had a significantly higher cure rate(58.33%) than the control group(36.11%)(P<0.05) , and the totaleffective rate was higher in the observation group. Conclusion: The balancing treatment of CSR by burying linesat seven-line acupoints in the neck area showed good effects in pain management,functional disability repair,improvingpatients' overall quality of life,and alleviating the psychological burden associated with the disease.
作者
邓越
洪秋阳
王桂玲
姚金
刘音
毛雪文
袁芳
白鹏
Deng Yue;Hong Qiuyang;Wang Guiling;Yao Jin;Liu Yin;Mao Xuewen;Yuan Fang;Bai Peng(Shunyi Hospital of Beijing Traditional Chinese Medicine Hospital,Bejing 101300,China)
出处
《中国中医急症》
2024年第11期1938-1942,共5页
Journal of Emergency in Traditional Chinese Medicine
基金
国家自然科学基金项目(82205246)
国家中医药管理局中医药循证能力建设项目(2019XZZXZJ002)
首都卫生发展科研专项项目(2024-3-7105)
青年岐黄学者培养项目(国中医药人教函[2022]256号)
北京中医医院顺义医院院级课题(SYYJ201504)
北京中医医院顺义医院精益管理项目(2-230229)。
关键词
神经根型颈椎病
颈部七线法
穴位埋线
筋骨失衡
疼痛
筋结点
Cervical spondylotic radiculopathy
Seven-line acupoints in the neck area
Acupoint line-burying
Musculoskeletal imbalance
Pain
Myofascial trigger points