水针刀联合野木瓜注射液对颈椎病性疼痛镇痛作用及血清P物质影响  

Analgesic Effect of Water Needle Knife Combined with Wild Papaya Injection on Cervical Spondylotic Pain and SP in Serum

作　　者：陶冶 程荣立 许懋霖 TAO Ye;CHENG Rongli;XU Maolin(Shanghai Tongxiang Hospital,Shanghai 201802,China)

机构地区：[1]上海同翔医院

出　　处：《辽宁中医药大学学报》2019年第8期122-125,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：上海市嘉定区中医药科研项目(2016-KY-ZYY-06)

摘　　要：目的:观察水针刀联合中药野木瓜注射液对颈椎病性疼痛的镇痛作用,并对比传统小针刀疗法与水针刀联合木瓜注射液疗法缓解疼痛的效果,以及对患者血清中P物质含量的影响。方法:收集上海同翔医院门诊颈椎病性肩部软组织疼痛患者40例作为观察对象,随机分为小针刀组和水针刀联合中药野木瓜注射液组,分别给予小针刀和水针刀治疗。1周1次,3次为1个疗程,以1个疗程进行统计。通过疼痛分级评分、颈椎病症状分级量化评分对两种疗法的疗效进行评价对比;同时采集治疗前后两组患者静脉血,分离血清,采用酶联免疫吸附法检测两组患者治疗前后血清中P物质含量。结果:与治疗前比较,小针刀和水针刀联合木瓜蛋白酶组患者疼痛分级评分和眩晕、头痛、肢体麻木、失眠、畏寒肢冷症状体征评分均显著降低(P<0.01),有统计学差异;与治疗后小针刀组比较,水针刀联合木瓜蛋白酶组患者的疼痛分级量化评分和头痛、肢体麻木、失眠、畏寒肢冷评分显著降低(P<0.01或0.05),有统计学差异。治疗后,两组患者血清中P物质含量均较各自组别治疗前显著降低,有统计学差异(P<0.01);水针刀联合木瓜蛋白酶组患者治疗后血清中P物质含量显著低于小针刀组患者治疗后,有统计学差异(P<0.01)。结论:与小针刀疗法相比,水针刀联合野木瓜注射液法对颈椎病性软组织损伤的疗效更为显著,其治疗作用主要体现在缓解疼痛和改善肢体麻木,其镇痛作用可能是通过降低血清P物质含量实现的。Objective:To observe analgesic effect on soft tissue injury of cervical spondylosis by the small needle-knife and water needle-knife combined Chinese medicine wild Papaya Injection,and compare the effect on pain relief and SP in surum.Methods:To collect 40 patients with cervical spondylosis who had shoulder pain in Shanghai Tongxiang hospital outpatient department as research object,were randomly divided into small needle knife group and water needle knife combined Chinese medicine wild Papaya Injection group,respectively given small needle knife and water needle knife therapy.The therapy was given once a week for three times,all the data were through statistical treatment after each end of course.The effective outcome was compapred by the classification score of pain and the classification quantification score of signs to evaluation of curative effect;At the same time,collecting the wenous blood of the two groups before and after the treat,and then separating the serum.The serum SP levels of the two groups were detected by ELISA before and after treatment.Results:Compared with prior treatment,the classification score of signs such as dizziness,headache,numbness,insomnia,and the pain score of the patients in the combination of needle-knife group and water needle-knife combined Chinese medicine wild papaya injection group were significantly reduced(P<0.01),statistically significant;Compared with small needle knife group after treatment,the classification score of signs such as dizziness,headache,numbness,insomnia,andthe pain score of the patients in the combination of water needle-knife combined Chinese medicine wild Papaya Injection group were significantly reduced(P<0.01 or 0.05),statistically significant.After treatment,the serum SP level in both groups was significantly lower than that before treatment,with statistically significant(P<0.01).After treatment,the serum cholesterol content in the water acupotomy group was significantly lower than that in the small acupotomy group,and there was a statistical differ

关 键 词：小针刀 水针刀 疼痛量化分级 颈椎病 P物质 

分 类 号：R681.55[医药卫生—骨科学]