毫针配合火针治疗风寒阻络型神经根型颈椎病临床观察  

Clinical efficacy observation of filiform needle combined with fire needle for cervical radiculopathy due to wind-cold obstructing the meridians

作　　者：王丽娜 梁瑞丽 程海英 杨继军 肖宁安 张馥晴(翻译) WANG Lina;LIANG Ruili;CHENG Haiying;YANG Jijun;XIAO Ning’an;ZHANG Fuqing(Beijing Huairou Hospital of Traditional Chinese Medicine,Beijing 101400,China;Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Hebei University of Chinese Medicine,Shijiazhuang 050029,China;不详)

机构地区：[1]Beijing Huairou Hospital of Traditional Chinese Medicine,Beijing 101400,China [2]Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China [3]Hebei University of Chinese Medicine,Shijiazhuang 050029,China [4]不详

出　　处：《Journal of Acupuncture and Tuina Science》2024年第2期140-146,共7页针灸推拿医学（英文版）

基　　金：全国中医临床特色技术传承骨干人才项目,国中医药办人教函(2019)36号;北京市怀柔区中医医院苗圃科研基金项目,No.2020-MP11;程海英全国名老中医专家传承工作室建设项目,国中医药办人教函(2022)75号;第六批北京市级中医药专家学术经验继承工作,京中医科字(2021)169号。

摘　　要：目的:观察毫针配合火针治疗风寒阻络型神经根型颈椎病(CR)的临床疗效。方法:将60例风寒阻络型CR患者随机分为观察组和对照组,每组30例。对照组采用常规毫针针刺治疗,观察组在对照组治疗方法基础上加用火针点刺治疗。治疗前及治疗1、2、3、4周共5个时间点进行疼痛视觉模拟量表(VAS)和田中靖久颈椎病症状20分量表(YT-20)评分,测量压痛阈,采用红外热像仪测量局部皮肤温度;治疗后进行安全性评价。结果:治疗后各时间点观察组VAS评分均低于同时间点对照组(P<0.05),YT-20评分、压痛阈值及局部皮肤温度均高于对照组(P<0.05)。观察组治疗后各时间点VAS评分均低于治疗前(P<0.05),YT-20评分、压痛阈值及局部皮肤温度均高于治疗前(P<0.05)。治疗3周和4周后,对照组VAS评分均低于治疗前(P<0.05),YT-20评分、压痛阈值及局部皮肤温度均高于治疗前(P<0.05)。两组VAS和YT-20评分、压痛阈值及局部皮肤温度值的组别因素效应均具有统计学意义(P<0.05)。时间及时间与组别交互效应均无统计学意义(P>0.05)。结论:毫针配合火针或毫针单独使用均可缓解风寒阻络型CR患者的颈部疼痛症状,改善颈部温度;毫针配合火针治疗起效更迅速,疗效更好。Objective:To observe the clinical efficacy of filiform needle combined with fire needles for cervical radiculopathy(CR)due to wind-cold obstructing the meridians.Methods:A total of 60 patients with CR due to wind-cold obstructing the meridians were randomized into an observation group and a control group,with 30 cases in each group.The control group was treated with filiform needle treatment,and the observation group was treated with additional fire needle point-pricking treatment.The visual analog scale(VAS)and 20-point scale of CR developed by Yasuhisa TANAKA(YT-20)were scored before treatment and after 1,2,3,and 4 weeks of treatments.The tenderness threshold was measured.The local skin temperature was measured by an infrared thermal imager.A safety evaluation was performed after treatment.Results:After treatment,the VAS score in the observation group at each time point was lower than that in the control group(P<0.05).The YT-20 score,tenderness threshold,and local skin temperature in the observation group were all higher than those in the control group(P<0.05).The VAS score in the observation group at each time point after treatment was lower than that before treatment(P<0.05),and the YT-20 score,tenderness threshold,and local skin temperature at each time point were higher than those before treatment(P<0.05).After 3 and 4 weeks of treatments,the VAS score in the control group was lower than that before treatment(P<0.05),and the YT-20 score,tenderness threshold,and local skin temperature were higher than those before treatment(P<0.05).The group factor effects of VAS and YT-20 scores,tenderness threshold,and local skin temperature between the two groups were statistically significant(P<0.05).There was no significant difference in the time effect and the interaction effect between time and group(P>0.05).Conclusion:Filiform needle combined with fire needle or applied alone both can relieve neck pain in patients with CR due to wind-cold obstructing the meridians,and improve the temperature of the neck.The combinati

关 键 词：针刺疗法 火针疗法 风寒阻络型 颈椎病 神经根病 痛阈 视觉模拟量表 温度记录法 

分 类 号：R246.2[医药卫生—针灸推拿学]