摘要
目的:探讨基于“太阴主湿”肺脾同治针刺治疗痰湿阻络型颈型颈椎病的临床效果。方法:选择2020年6月—2021年12月在阳江市人民医院治未病科门诊就诊的120例痰湿阻络型颈型颈椎病患者为研究对象,脱落4例,随机分为夹脊组(A组,n=39)、脾经组(B组,n=38)、肺脾经组(C组,n=39)。A组取C3~7夹脊穴针刺治疗;B组在A组基础上加取双侧太白穴针刺治疗;C组在A组基础上加取双侧太渊穴、双侧太白穴针刺治疗。比较三组治疗后的颈椎功能障碍指数(NDI)评分、视觉模拟评分法(VAS)评分、颈部症状与体征评分及总有效率。结果:治疗结束时,三组NDI评分、VAS评分、症状与体征评分均低于治疗前;且B组、C组NDI评分、VAS评分、症状与体征评分均低于A组,C组NDI评分、VAS评分、症状与体征评分低于B组,差异有统计学意义(P<0.05);治疗后1个月,三组NDI评分、VAS评分、症状与体征评分均低于治疗前及治疗结束时;且B组、C组NDI评分、VAS评分、症状与体征评分均低于A组,C组NDI评分、VAS评分、症状与体征评分低于B组,差异有统计学意义(P<0.05)。治疗结束时,B组总有效率为89.47%,C组为89.74%,高于A组的66.67%,差异有统计学意义(P<0.05);而B组与C组总有效率比较,差异无统计学意义(P>0.05)。治疗后1个月,B组总有效率68.42%,C组为87.18%,高于A组的46.15%,且C组总有效率高于B组,差异有统计学意义(P<0.05)。结论:基于“太阴主湿”肺脾同治针刺治疗痰湿阻络型颈型颈椎病的效果明显,且远期作用更持久。
Objective:To explore the clinical effect of acupuncture treatment on cervical spondylosis of phlegm dampness obstructing collaterals type based on"Taiyin governs dampness"and the same treatment of lung and spleen.Method:A total of 120 patients with cervical spondylosis of phlegm dampness obstructing collaterals type who were treated in the Department of Preventive Medicine of Yangjiang People's Hospital were selected as study objects,4 cases fell off,they were randomly divided into Jiaji group(group A,n=39),spleen channel group(group B,n=38),and lung spleen channel group(group C,n=39).Group A received acupuncture treatment at C3-7 Jiaji points,group B received bilateral Taibai acupuncture treatment on the basis of group A,group C received acupuncture at bilateral Taiyuan and Taibai points for treatment on the basis of group A.The neck disability index(NDI)score,visual analogue scale(VAS)score,neck symptoms and signs score,and total effective rate of the three groups after treatment were compared.Result:At the end of treatment,the NDI score,VAS score,and symptom and sign score of the three groups were lower than those before treatment;moreover,the NDI score,VAS score,and symptom and sign score of group B and group C were lower than those of group A,and the NDI score,VAS score,and symptom and sign score of group C were lower than those of group B,and the differences were statistically significant(P<0.05).One month after treatment,the NDI score,VAS score,symptom and sign score of the three groups were lower than those before and at the end of treatment;moreover,the NDI score,VAS score,and symptom and sign score of group B and group C were lower than those of group A,and the NDI score,VAS score,and symptom and sign score of group C were lower than those of group B,and the differences were statistically significant(P<0.05).At the end of treatment,the total effective rate of group B was 89.47%,while group C was 89.74%,which were higher than 66.67%of group A,the differences were statistically significant(P<0.05);there was no statistically significant difference in the total effective rate between group B and group C(P>0.05).One month after treatment,the total effective rate of group B was 68.42%,while group C was 87.18%,which were higher than 46.15%of group A,moreover,the total effective rate of group C was higher than those group B,the differences were statistically significant(P<0.05).Conclusion:The effect of acupuncture for the treatment of cervical spondylosis of phlegm dampness obstructing collaterals type based on"Taiyin governs dampness"and the same treatment of lung and spleen is significant,and the long-term effect is more lasting.
作者
李孔正
刘业帅
谭明芳
梁基源
LI Kongzheng;LIU Yeshuai;TAN Mingfang;LIANG Jiyuan(Yangjiang People's Hospital,Yangjiang 529500,China;不详)
出处
《中外医学研究》
2023年第21期1-5,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
阳江市医疗卫生类科技计划项目(SF2020060)。
关键词
肺脾同治
针刺
痰湿阻络
颈型颈椎病
Same treatment of lung and spleen
Acupuncture
Phlegm dampness obstructing collaterals
Cervical spondylosis
