刃针闭合松解联合手法复位治疗颈心综合征临床研究  

Clinical observation of blade needle closed release and massage for the cervical-heart syndrome

作　　者：刘志[1] 李丹丹[1] 高尚明[1] 赵晓峰[1] 

机构地区：[1]南京医科大学附属淮安第一医院中医科,223300

出　　处：《国际中医中药杂志》2017年第6期505-507,共3页International Journal of Traditional Chinese Medicine

摘　　要：目的评价刃针闭合松解联合手法复位治疗颈心综合征的疗效。方法将符合入选标准的60例颈心综合征患者采用简单随机分组法分为2组，每组30例。治疗组采用刃针闭合松解联合手法复位配合颈椎康复锻炼，对照组采用颈椎牵引配合颈椎康复锻炼。2组均7d治疗1次，根据疾病严重程度进行2（或）3次治疗。比较患者治疗前后症状、体征变化，评价临床疗效。结果治疗后，治疗组颈肩部疼痛[（0．7±0．6）分比（0．9±0．7）分，t=2．904]、心前区疼痛[（0．5±0．5）分比（1．0±0．7）分，t=4．2103、胸闷[（0．5±0．6）分比（0．8±0．7）分，t=2．0933、心悸[（0．7±0．5）分比（1．O±0．8）分，t=3．915]、自汗[（0．7±0．5）分比（0．8±0．9）分，t=2．837]、眩晕[（1．0±0．6）分比（1．6±0．8）分，t=2．760]评分低于对照组（P〈O．05或P〈O．01）。治疗组总有效率为93．3％（28／30）、对照组为66．7％（20／30），2组比较差异有统计学意义（x^2=4．547，P=O．02）。结论刃针闭合松解联合手法复位可有效改善颈心综合征患者颈部和心前区症状，疗效优于颈椎牵弓f配合颈椎康复锻炼。Objective To observe the clinical effect of Blade needle closed release and massage for the patients with cervical heart syndrome. Methods A total of 60 patientswith cervical-heart syndrome were randomly divided into the control group and the treatment groups, 30 patients in each group. Both groups were treated with rehabilitation exercises, and the treatment group were added with Blade needle closed release and massage, while the control group were added with traction. The treatments were operated once to 3 times based on the patients＇ condition with an interval of seven days. The symptoms, signs and effective rates were observed and compared. Results After treatment, the neck and shoulder pain （0.7 ± 0.6 vs. 0.9 ± 0.7, t=2.904）, precordialgia （0.5 ± 0.5 vs. 1.0 ± 0.7, t=4.210）, chest tightness （0.5 ± 0.6 vs. 0.8 ±0.7, t=2.093）, cardiopalmus （0.7± 0.5 vs. 1.0± 0.8, t=-3.915）, spontaneous （0.7 ± 0.5 vs. 0.8 ± 0.9, t=2.837）, vertigo （1.0±0.6 vs. 1.6 ±0.8, t=2.760） scores in the treatment group were significantly lower than those in the control group （P〈0.05 or P〈0.01）. The total effective rate of the treatment group was 93.89% （28/30）, and the Control group was 66.67% （20/30）. There are significantly different（X^2=4.547, P〈0.05）. Conclusions The method of Blade needle closed release and traction could improve the symptom of the shoulder neck and heart area of the cervical-heart syndrome.

关 键 词：刃针闭合松解 牵引术 颈心综合征 临床观察 

分 类 号：R246[医药卫生—针灸推拿学]