低头摇正法联合颈三针治疗颈源性高血压的临床观察  

Clinical Observation on the Head-Lowering Chiropractic Therapy Combinedwith Cervical Three-Needle Acupuncture Therapy in the Treatment ofCervicogenic Hypertension

作　　者：许建美 杨佳曼 梁满光 岳挺 苏美意[2] 李婵 范德辉(指导)[2] XU Jian-Mei;YANG Jia-Man;LIANG Man-Guang;YUE Ting;SU Mei-Yi;LI Chan;FAN De-Hui(Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510095 Guangdong,China)

机构地区：[1]广州中医药大学,广东广州510405 [2]广东省第二中医院,广东广州510095

出　　处：《广州中医药大学学报》2023年第6期1414-1419,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省中医药局科研项目(编号:20213002);范德辉广东省名中医传承工作室建设项目(粤中医办函[2018]5号)。

摘　　要：【目的】探讨龙氏治脊疗法中低头摇正法联合颈三针(双侧天柱、百劳、大杼)针刺治疗颈源性高血压的临床疗效。【方法】将60例颈源性高血压患者随机分成两组,治疗组、对照组各30例。治疗组给予龙氏治脊疗法中的低头摇正法治疗,对照组给予传统颈部推拿手法治疗,在此基础上,2组患者均给予颈三针针刺治疗,7 d为1个疗程,共治疗2个疗程。观察2组患者治疗前后的血压及颈椎功能障碍指数(NDI)的变化情况,并评价2组患者的临床疗效及安全性。【结果】(1)经2个疗程治疗后,治疗组的总有效率为96.67%(29/30),对照组为83.33%(25/30);组间比较,治疗组的总有效率(Fisher精确概率法)和总体疗效(秩和检验)均明显优于对照组(P<0.05)。(2)治疗后,2组患者的收缩压(SBP)和舒张压(DBP)均较治疗前明显降低(P<0.01),且治疗组对SBP和DBP的降低作用均明显优于对照组(P<0.05)。(3)治疗后,2组患者的NDI均较治疗前明显降低(P<0.01),且治疗组对NDI的降低作用明显优于对照组(P<0.05)。(4)治疗过程中,2组患者均未出现晕针等不良反应及病情加重、骨折等不良事件,具有较高的安全性。【结论】龙氏治脊疗法治颈十法中的低头摇正法联合颈三针针刺治疗颈源性高血压患者疗效确切,能有效降低患者血压,减轻甚至消除颈部不适症状,改善患者颈椎功能。Objective To investigate the clinical efficacy of LONG’s head-lowering chiropractic therapy combined with cervical three-needle acupuncture on bilateral Tianzhu(BL10),Bailao(EX-HN15)and Dazhu(BL11)for the treatment of cervicogenic hypertension.Methods Sixty patients with cervicogenic hypertension were randomly divided into treatment group and control group,with 30 patients in each group.Both groups were given cervical three-needle acupuncture therapy.And additionally,the treatment group was given the LONG’s head-lowering chiropractic therapy,while the control group was given conventional neck massage manipulation.Seven days constituted a course of treatment,and the two groups were treated for 2 courses.The changes in blood pressure and cervical dysfunction index(NDI)of the two groups were observed before and after treatment,and the clinical efficacy and safety of the patients in the two groups were evaluated after treatment.Results(1)After 2 courses of treatment,the overall effective rate of the treatment group was 96.67%(29/30)and that of the control group was 83.33%(25/30).The intergroup comparison showed that the overall effective rate(tested by Fisher’s exact test)and the overall efficacy(tested by rank sum test)of the treatment group were significantly superior to those of the control group(P<0.05).(2)After treatment,the systolic blood pressure(SBP)and diastolic blood pressure(DBP)of both groups were significantly decreased compared with those before treatment(P<0.01),and the effect on decreasing SBP and DBP in the treatment group was significantly superior to that in the control group(P<0.05).(3)After treatment,the NDI of both groups was significantly decreased compared with that before treatment(P<0.01),and the treatment group had stronger effect on the decreasing NDI than the control group(P<0.05).(4)During the treatment,patients in both groups did not experience adverse reaction of fainting during acupuncture or adverse events such as exacerbation of illness and fracture,and high safety was present

关 键 词：龙氏治脊疗法 低头摇正法 颈三针 天柱穴 百劳穴 大杼穴 颈源性高血压 

分 类 号：R246.1[医药卫生—针灸推拿学]