天牖穴龙虎交战针法治疗交感型颈椎病的临床观察  

Clinical Study on the Treatment of Sympathetic Cervical Spondylosis with“Longhu Jiaozhan”Acupuncture at Tianyou Acupoint

作　　者：张继玉 王鼎皓 陈蓉 吉学东 邓学娟 贺成彪 李天慧 程鹏 Zhang Jiyu;Wang Dinghao;Chen Rong;Ji Xuedong;Deng Xuejuan;He Chengbiao;Li Tianhui;Cheng Peng(Jiulongpo District Traditional Chinese Medicine Hospital,Chongqing 400050,China)

机构地区：[1]重庆市九龙坡区中医院,重庆400050 [2]重庆市九龙坡区九龙社区卫生服务中心,重庆400050

出　　处：《中国中医急症》2024年第3期503-506,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：重庆市科卫联合医学科研项目(2022QNXM068)。

摘　　要：目的观察天牖穴“龙虎交战”针法治疗交感型颈椎病的临床疗效并探讨其治疗机制。方法将100例交感型颈椎病患者随机分为治疗组与对照组各50例,治疗组行天牖穴“龙虎交战”针法,对照组行普通针刺,每日1次,治疗7次后休息1 d,治疗14次为1个疗程,分别记录两组患者治疗前后VAS评分、颈交感神经症状评分、经颅多普勒超声(TCD)、脑干听觉诱发电位(BAEP)及尿去甲肾上腺素(NA)的变化。结果治疗组治疗后VAS评分、颈交感神经症状评分、TCD、BAEP及尿NA的改善优于对照组,两组比较差异具有统计学意义(P<0.05)。结论天牖穴“龙虎交战”针法是治疗交感型颈椎病的一种有效方法。Objective:To observe the clinical efficacy of“Longhu Jiaozhan”Acupuncture at Tianyou point in the treatment of sympathetic cervical spondylosis(SCS)and to explore its therapeutic mechanism.Methods:100 patients with SCS were randomly divided into a treatment group and a control group,with 50 patients in each group.The treatment group was treated with“Longhu Jiaozhan”Acupuncture at Tianyou point,and the control group received ordinary acupuncture.Both groups were treated once a day,took a rest one day after seven treat⁃ments,and a total of 14 treatments were as one course of treatment.The changes of the VAS scores,cervical sym⁃pathetic symptom scores,TCD,BAEP,urinary NA of the two groups before and after treatment were recorded.Re⁃sults:After treatment the improvement of VAS scores,cervical sympathetic symptom scores,TCD,BAEP and uri⁃nary NA in the treatment group were better than those in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:“Longhu Jiaozhan”Acupuncture at Tianyou point is an effective treatment measure for SCS.

关 键 词：交感神经型颈椎病 针刺 天牖穴 龙虎交战针法 

分 类 号：R681.5[医药卫生—骨科学]