腕踝针联合三步推拿法对颈型颈椎病功能恢复及实验室指标的影响  

Effect of wrist-ankle acupuncture combined with three-step Tuina on functional recovery and laboratory indexes levels of cervical spondylopathy

作　　者：黄立师 何天翔[2] 金富锐[1] 杨东见 杨威 王晓轶 HUANG Lishi;HE Tianxiang;JIN Furui;YANG Dongjian;YANG Wei;WANG Xiaoyi(Department of Acupuncture and Moxibustion,International Peace Maternity and Child Health Care Hospital of China Welfare Institute,Shanghai 200030,China;Department of Massage,Affiliated Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]中国福利会国际和平妇幼保健院针灸科,上海200030 [2]上海中医药大学附属岳阳中西医结合医院推拿科,上海200437

出　　处：《重庆医学》2022年第2期267-270,共4页Chongqing medicine

基　　金：上海市临床技能与临床创新能力青年研究计划项目(SHDC2020CR4055)。

摘　　要：目的观察腕踝针联合三步推拿法对颈型颈椎病功能恢复及实验室指标的影响。方法选取2020年8月至2021年3月中国福利会国际和平妇幼保健院针灸科收治的颈型颈椎病患者120例,分为对照组和观察组,每组60例。对照组采用“循经推穴、局部松解和理筋总收”的三步推拿法治疗,观察组采用腕踝针联合三步推拿法治疗。比较两组治疗前后患者颈痛量表(NPQ)、颈椎功能障碍指数(NDI)、疼痛视觉模拟(VAS)评分,全血黏度、血浆黏度、颈动脉收缩峰值血流速度(Vp)、平均血流速度(Vm)。结果两组患者治疗后NPQ、NDI、VAS评分均低于治疗前(P<0.01)。观察组患者治疗后全血高切黏度、全血低切黏度、血浆黏度低于治疗前(P<0.01),对照组患者治疗后全血低切黏度低于治疗前(P<0.01)。两组患者治疗后Vp和Vm高于治疗前(P<0.01)。观察组治疗后Vm高于对照组,但差异无统计学意义(P>0.05),其余指标比较差异有统计学意义(P<0.01)。结论腕踝针联合三步推拿法治疗颈型颈椎病能够明显改善疼痛,提高血流速度,降低血液黏稠度,改善颈部血液循环,进而改善颈椎功能,提高日常生活质量。Objective To observe the effect of the wrist-ankle acupuncture combined with three-step Tuina on the functional recovery and laboratory indexes levels of cervical spondylopathy.Methods A total of 120 patients with cervical spondylopathy in the acupuncture and moxibustion department of International Peace Maternity and Child Health Care Hospital of China Welfare Institute from August 2020 to March 2021 were selected and divided into the control group and observation group,60 cases in each group.The control group adopted the method of"pushing acupoints along the meridian,the local loosening tendon total revenue",and the observation adopted the wrist-ankle acupuncture combined with the three-step Tuina treatment.The scores of the Northwick Park neck pain questionnaire(NPQ),Neck Disability Index(NDI),pain visual analogue scale(VAS),whole blood viscosity,plasma viscosity,carotid artery contraction peak blood flow velocity(Vp)and average blood flow velocity(Vm)were compared between the two groups.Results The scores of NPQ,NDI and VAS after treatment in the two groups were lower than those before treatment(P<0.01).The curative effects of whole blood high viscosity,whole blood low shear blood viscosity and plasma viscosity after treatment in the observation groups were higher than those before treatment(P<0.01);the whole blood low shear blood viscosity after treatment in the control group was lower than that before treatment(P<0.01).Vp and Vm after treatment in the two groups were higher than those before treatment(P<0.01).Vm after treatment in the observation was higher than that in the control group,but the difference was not statistically significant(P>0.05).The comparison of other indicators had statistical difference(P<0.05).Conclusion The wrist-ankle acupuncture combined with the three-step Tuina for the treatment of cervical spondylopathy can significantly improve pain,increase the blood flow speed,reduce the blood viscosity,improve the blood circulation in the neck,thus improve the cervical spine function and enh

关 键 词：颈椎病 颈型 腕踝针 推拿 血液黏度 平均血流速度 

分 类 号：R246.9[医药卫生—针灸推拿学]