虎符铜砭刮痧联合拔罐治疗项痹  

Hufu Copper Scraping Combined with Cupping Therapy in Treating Neck Arthralgia

作　　者：张晓黎[1] 丁晓医[1] 李银玲 ZHANG Xiaoli;DING Xiaoyi;LI Yinling(The Third Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou Henan China 450008)

机构地区：[1]河南中医药大学第三附属医院,河南郑州450008

出　　处：《中医学报》2023年第9期2012-2017,共6页Acta Chinese Medicine

基　　金：河南省中医药科学研究专项课题项目(2022ZY1099)。

摘　　要：目的:观察虎符铜砭刮痧联合拔罐治疗项痹的临床疗效及其对疼痛、功能障碍及睡眠质量的影响。方法:60例项痹患者按照随机数字表法平均分为对照组和观察组。对照组给予拔罐治疗,并给予生活起居及功能锻炼指导;观察组在对照组治疗基础上给予虎符铜砭刮痧治疗。每4天治疗1次,4次为1个疗程,连续治疗两个疗程。比较两组患者治疗前后的视觉模拟量表(visual analogue scale,VAS)评分、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分、颈椎功能障碍指数量表(neck disability index,NDI)评分,并统计两组患者临床疗效。结果:治疗后,观察组有效率为96.67%,对照组为80.00%,两组有效率比较,差异有统计学意义(P<0.05)。治疗后,两组患者VAS评分均显著降低,观察组VAS评分低于同期对照组(P<0.05)。观察组治疗后PSQI各项评分均低于同期对照组(P<0.05)。观察组治疗后NDI评分低于同期对照组(P<0.05)。结论:虎符铜砭刮痧联合拔罐治疗项痹患者临床疗效显著,并可改善患者颈部疼痛程度及颈部功能障碍程度,提高睡眠质量。Objective:To observe the clinical efficacy of Hufu Copper Scraping Combined with Cupping therapy in treating neck arthralgia and its influence on pain,dysfunction and sleep quality.Methods:60 patients with nape arthralgia were randomly divided into control group and observation group.The control group was given cupping therapy and guidance on daily life and functional exercise;On the basis of the control group,the observation group was given the treatment of scraping with Hufu Copper Scraping.Treatment once every 4 days,4 times as a course of treatment,continuous treatment for two courses.The visual analogue scale(VAS),Pittsburgh Sleep Quality Index(PSQI)and Cervical Dysfunction Index(NDI)were compared between the two groups before and after treatment,and the clinical efficacy of the two groups was counted.Results:After treatment,the effective rate of the observation group was 96.67%,and that of the control group was 80.00%.The difference between the two groups was statistically significant(P<0.05).After treatment,the VAS scores of the two groups were significantly decreased,and the VAS scores of the observation group were lower than those of the control group(P<0.05).After treatment,the scores of PSQI in the observation group were lower than those in the control group(P<0.05).The NDI score of the observation group was lower than that of the control group after treatment(P<0.05).Conclusion:The treatment of neck arthralgia with Hufu Copper Scraping combined with cupping therapy has obvious clinical effect,and can improve the degree of neck pain and neck dysfunction,and improve the quality of sleep.

关 键 词：项痹 虎符铜砭刮痧 拔罐 疼痛 颈部活动度 睡眠质量 

分 类 号：R274.981.55[医药卫生—中西医结合]