目的:观察香木活血散外敷联合常规推拿治疗小儿肌性斜颈的临床疗效。方法:选取2023年3月~2024年3月在成都中医药大学附属医院推拿科门诊收治的60例先天性肌性斜颈患儿,随机分为治疗组和对照组,每组30例。观察组采用常规推拿联合院内制...目的:观察香木活血散外敷联合常规推拿治疗小儿肌性斜颈的临床疗效。方法:选取2023年3月~2024年3月在成都中医药大学附属医院推拿科门诊收治的60例先天性肌性斜颈患儿,随机分为治疗组和对照组,每组30例。观察组采用常规推拿联合院内制剂香木活血散外敷,对照组单纯采用常规推拿。疗程为三个月。比较两组患者治疗前后的胸锁乳突肌厚度及其厚度比值,以及临床治疗总有效率。结果:治疗后,观察组临床治疗总有效率为96.7%,显著高于对照组的83.3% (P P > 0.05);治疗后,两组患者的胸锁乳突肌厚度及厚度比值均显著下降,且观察组的下降幅度显著大于对照组(P Objective: To observe the clinical efficacy of external application of Xiangmu Huoxue San combined with conventional tuina in treating pediatric myotonic cervix. Methods: 60 cases of congenital myotonic cervical strabismus admitted to the outpatient clinic of Tuina Department of Affiliated Hospital of Chengdu University of Traditional Chinese Medicine from March 2023 to March 2024 were selected and randomly divided into the treatment group and control group, with 30 cases in each group. In the observation group, conventional massage was used in combination with external application of the hospital preparation Xiangmu Huoxue San, and in the control group, conventional massage was used alone. The course of treatment was three months. The thickness of the sternocleidomastoid muscle and its thickness ratio before and after the treatment were compared between the two groups, as well as the total effective rate of clinical treatment. RESULTS: After treatment, the total effective rate of clinical treatment in the observation group was 96.7%, which was significantly higher than that of 83.3% in the control group (P 0.05);after treatment, the thickness of the sternocleidomastoid muscle and the thickness ratio of the two groups of patients were significantly decreased, and the magnitude of the decrease in the observation group was significantly greater than that in the control group (P < 0.05). Conclusion: The effect of external application of the in-hospital preparation Xiangmu Huoxue San combined with conventional massage in the treatment of pediatric myoclonic strabismus is remarkable, which can significantly improve the thickness of the sternocleidomastoid muscle and the thickness ratio value of the children, is safe and reliable, and is worth promoting in the clinic.展开更多
目的:归纳颈椎病中医体质分布规律,对颈椎病中医体质分布类型进行研究,为中医药在预防和治疗颈椎病上提供更有利的循证医学证据。方法:检索CNKI、Wanfang、VIP数据库,纳入所有颈椎病中医体质的相关文献,采用Stata15.0软件进行单组率的M...目的:归纳颈椎病中医体质分布规律,对颈椎病中医体质分布类型进行研究,为中医药在预防和治疗颈椎病上提供更有利的循证医学证据。方法:检索CNKI、Wanfang、VIP数据库,纳入所有颈椎病中医体质的相关文献,采用Stata15.0软件进行单组率的Meta分析。结果:共纳入9项横断面研究,平和质、阳虚质、痰湿质分别占比为23% (11%, 35%)、18% (11%, 25%)、12% (11%, 14%)。平和质、阳虚质、痰湿质、血瘀质人群颈椎病患病风险的OR值分别为0.37 (0.27~0.49)、2.34 (1.70~3.21)、1.68 (1.39~2.04)、1.92 (1.40~2.64)。结论:颈椎病患者中平和质、阳虚质、痰湿质占比最多,并且阳虚质、痰湿质、血瘀质为颈椎病发生的危险因素,平和质为保护因素。期望有更高质量、大样本的队列研究,为未来防治颈椎病提供高效的参考依据。Objective: To summarize the distribution of TCM constitution of cervical spondylosis, explore the distribution law of TCM constitution of cervical spondylosis, and provide more favorable evidence-based medical evidence for TCM prevention and treatment of cervical spondylosis. Methods: We searched CNKI, Wanfang, and VIP database, and included all the relevant literature on TCM constitution of cervical spondylosis. We used Stata15.0 software to conduct a meta-analysis of single-group rate. Results: A total of 9 cross-sectional studies were included, and the proportions of peaceful quality, yang deficiency quality and phlegm-dampness quality were 23% (11%, 35%), 18% (11%, 25%) and 12% (11%, 14%), respectively. The OR values of the prevalence risk of cervical spondylosis in the population with mild, yang deficiency, phlegm dampness and blood stasis were 0.37 (0.27~0.49), 2.34 (1.70~3.21), 1.68 (1.39~2.04) and 1.92 (1.40~2.64), respectively. Conclusion: This study provides a more favorable evidence-based clinical basis for the prevention of cervical spondylosis with traditional Chinese medicine. Yang deficiency, phlegm-dampness and blood stasis are the risk factors of cervical spondylosis, and peace is the protective factor. In view of the medium quality of the included literature, it is expected to have higher quality and large sample studies to reduce the occurrence of bias and provide efficient reference basis for the prevention and treatment of cervical spondylosis in the future.展开更多
颈源性失眠(CI)是指继发于颈椎病的睡眠障碍,其发病率逐年上升。在临床上,中医传统治疗因其创伤小、安全性高而受到青睐。查阅中医传统疗法治疗颈源性失眠的相关文献,可知针刺、推拿疗法和中药疗法均能显著改善CI患者的睡眠质量。此外,...颈源性失眠(CI)是指继发于颈椎病的睡眠障碍,其发病率逐年上升。在临床上,中医传统治疗因其创伤小、安全性高而受到青睐。查阅中医传统疗法治疗颈源性失眠的相关文献,可知针刺、推拿疗法和中药疗法均能显著改善CI患者的睡眠质量。此外,中医特色疗法如方氏头皮针、足浴、气息引导法等也显示出良好疗效。但是,未来研究需进一步统一颈源性失眠的诊断标准和疗效评价,鼓励结合社会心理学及远期疗效观察,以期为颈源性失眠的治疗提供更为科学、全面的依据。Cervicogenic insomnia (CI) is a sleep disorder secondary to cervical spondylosis, the incidence of which is increasing year by year. Its clinical, traditional Chinese medicine (TCM) traditional treatment is favored for its low trauma and high safety. A review of the literature related to traditional Chinese medicine treatments for cervicogenic insomnia shows that acupuncture, tuina therapy and Chinese herbal therapy can significantly improve the sleep quality of CI patients. In addition, TCM specialty therapies such as Fang’s scalp acupuncture, foot baths, and breath-guided methods have also shown good efficacy. However, future studies need to further standardize the diagnostic criteria and efficacy evaluation of cervicogenic insomnia, and encourage the combination of psychosocial and long-term efficacy observation, in order to provide a more scientific and comprehensive basis for the treatment of cervicogenic insomnia.展开更多
文摘目的:观察香木活血散外敷联合常规推拿治疗小儿肌性斜颈的临床疗效。方法:选取2023年3月~2024年3月在成都中医药大学附属医院推拿科门诊收治的60例先天性肌性斜颈患儿,随机分为治疗组和对照组,每组30例。观察组采用常规推拿联合院内制剂香木活血散外敷,对照组单纯采用常规推拿。疗程为三个月。比较两组患者治疗前后的胸锁乳突肌厚度及其厚度比值,以及临床治疗总有效率。结果:治疗后,观察组临床治疗总有效率为96.7%,显著高于对照组的83.3% (P P > 0.05);治疗后,两组患者的胸锁乳突肌厚度及厚度比值均显著下降,且观察组的下降幅度显著大于对照组(P Objective: To observe the clinical efficacy of external application of Xiangmu Huoxue San combined with conventional tuina in treating pediatric myotonic cervix. Methods: 60 cases of congenital myotonic cervical strabismus admitted to the outpatient clinic of Tuina Department of Affiliated Hospital of Chengdu University of Traditional Chinese Medicine from March 2023 to March 2024 were selected and randomly divided into the treatment group and control group, with 30 cases in each group. In the observation group, conventional massage was used in combination with external application of the hospital preparation Xiangmu Huoxue San, and in the control group, conventional massage was used alone. The course of treatment was three months. The thickness of the sternocleidomastoid muscle and its thickness ratio before and after the treatment were compared between the two groups, as well as the total effective rate of clinical treatment. RESULTS: After treatment, the total effective rate of clinical treatment in the observation group was 96.7%, which was significantly higher than that of 83.3% in the control group (P 0.05);after treatment, the thickness of the sternocleidomastoid muscle and the thickness ratio of the two groups of patients were significantly decreased, and the magnitude of the decrease in the observation group was significantly greater than that in the control group (P < 0.05). Conclusion: The effect of external application of the in-hospital preparation Xiangmu Huoxue San combined with conventional massage in the treatment of pediatric myoclonic strabismus is remarkable, which can significantly improve the thickness of the sternocleidomastoid muscle and the thickness ratio value of the children, is safe and reliable, and is worth promoting in the clinic.
文摘目的:归纳颈椎病中医体质分布规律,对颈椎病中医体质分布类型进行研究,为中医药在预防和治疗颈椎病上提供更有利的循证医学证据。方法:检索CNKI、Wanfang、VIP数据库,纳入所有颈椎病中医体质的相关文献,采用Stata15.0软件进行单组率的Meta分析。结果:共纳入9项横断面研究,平和质、阳虚质、痰湿质分别占比为23% (11%, 35%)、18% (11%, 25%)、12% (11%, 14%)。平和质、阳虚质、痰湿质、血瘀质人群颈椎病患病风险的OR值分别为0.37 (0.27~0.49)、2.34 (1.70~3.21)、1.68 (1.39~2.04)、1.92 (1.40~2.64)。结论:颈椎病患者中平和质、阳虚质、痰湿质占比最多,并且阳虚质、痰湿质、血瘀质为颈椎病发生的危险因素,平和质为保护因素。期望有更高质量、大样本的队列研究,为未来防治颈椎病提供高效的参考依据。Objective: To summarize the distribution of TCM constitution of cervical spondylosis, explore the distribution law of TCM constitution of cervical spondylosis, and provide more favorable evidence-based medical evidence for TCM prevention and treatment of cervical spondylosis. Methods: We searched CNKI, Wanfang, and VIP database, and included all the relevant literature on TCM constitution of cervical spondylosis. We used Stata15.0 software to conduct a meta-analysis of single-group rate. Results: A total of 9 cross-sectional studies were included, and the proportions of peaceful quality, yang deficiency quality and phlegm-dampness quality were 23% (11%, 35%), 18% (11%, 25%) and 12% (11%, 14%), respectively. The OR values of the prevalence risk of cervical spondylosis in the population with mild, yang deficiency, phlegm dampness and blood stasis were 0.37 (0.27~0.49), 2.34 (1.70~3.21), 1.68 (1.39~2.04) and 1.92 (1.40~2.64), respectively. Conclusion: This study provides a more favorable evidence-based clinical basis for the prevention of cervical spondylosis with traditional Chinese medicine. Yang deficiency, phlegm-dampness and blood stasis are the risk factors of cervical spondylosis, and peace is the protective factor. In view of the medium quality of the included literature, it is expected to have higher quality and large sample studies to reduce the occurrence of bias and provide efficient reference basis for the prevention and treatment of cervical spondylosis in the future.
文摘颈源性失眠(CI)是指继发于颈椎病的睡眠障碍,其发病率逐年上升。在临床上,中医传统治疗因其创伤小、安全性高而受到青睐。查阅中医传统疗法治疗颈源性失眠的相关文献,可知针刺、推拿疗法和中药疗法均能显著改善CI患者的睡眠质量。此外,中医特色疗法如方氏头皮针、足浴、气息引导法等也显示出良好疗效。但是,未来研究需进一步统一颈源性失眠的诊断标准和疗效评价,鼓励结合社会心理学及远期疗效观察,以期为颈源性失眠的治疗提供更为科学、全面的依据。Cervicogenic insomnia (CI) is a sleep disorder secondary to cervical spondylosis, the incidence of which is increasing year by year. Its clinical, traditional Chinese medicine (TCM) traditional treatment is favored for its low trauma and high safety. A review of the literature related to traditional Chinese medicine treatments for cervicogenic insomnia shows that acupuncture, tuina therapy and Chinese herbal therapy can significantly improve the sleep quality of CI patients. In addition, TCM specialty therapies such as Fang’s scalp acupuncture, foot baths, and breath-guided methods have also shown good efficacy. However, future studies need to further standardize the diagnostic criteria and efficacy evaluation of cervicogenic insomnia, and encourage the combination of psychosocial and long-term efficacy observation, in order to provide a more scientific and comprehensive basis for the treatment of cervicogenic insomnia.
