特色针法针刺加双侧选穴对胸廓出口综合征患者的应用效果  

Effect of Characteristic Acupuncture and Bilateral Acupoint Selection in Patients with Thoracic Outlet Syndrome

作　　者：胡惠惠 刘燕观 许晓蕾 HU Hui-hui;LIU Yan-guan;XU Xiao-lei(Department of acupuncture and moxibustion,Yulin Hospital of Traditional Chinese Medicine,Yulin Shaanxi 719000,China;Dermatology Department of Yulin Traditional Chinese Medicine Hospital,Yulin Shaanxi 719000,China)

机构地区：[1]榆林市中医医院针灸科,陕西榆林719000 [2]榆林市中医医院皮肤科,陕西榆林719000

出　　处：《中华养生保健》2024年第14期15-18,共4页CHINESE HEALTH CARE

基　　金：榆林市科协青年人才托举计划项目(20220463)。

摘　　要：目的探讨特色针法针刺加双侧选穴对胸廓出口综合征患者的应用效果。方法选取2019年1月—2023年4月榆林市中医医院收治的80例胸廓出口综合征患者作为研究对象,应用随机数表法将其分为观察组和对照组,各40例。两组患者均采取针刺治疗,对照组患者采取普通针刺法进行治疗,观察组据于作用力与反作用力及力的传导作用,采用双侧取穴,双向调节的方式进行针刺治疗,比较两组患者的临床疗效,治疗前、治疗后DASH Chinese上肢功能评分及疼痛评估量表(VAS)评分变化,并比较两组患者治疗前与治疗整体疗程结束后的生活质量水平。结果观察组治疗总有效率明显高于对照组,差异有统计学意义(P<0.05);治疗后两组患者上肢功能评分、VAS评分均降低,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后两组患者精神健康(MH)、情感智能(RE)、社会功能(SF)、活力(VT)、总体健康(CH)、躯体疼痛(BP)、生理职能(RP)以及生理功能(RE)相关生活质量评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论据于作用力与反作用力,及力的传导作用,采用双侧取穴,双向调节的方式进行针刺治疗,对胸廓出口综合征治疗效果显著,且可改善患者上肢活动功能,降低疼痛程度,进而提升患者生活质量。Objective To explore the effect of characteristic acupuncture and bilateral acupoint selection in patients with thoracic outlet syndrome.Methods A total of 80 patients with thoracic exit syndrome admitted to Yulin Hospital of Traditional Chinese Medicine from January 2019 to April 2023 were selected for study,and divided into observation group and control group,with 40 cases in each group.Both groups of patients were treated with acupuncture,while the control group was treated with ordinary acupuncture.The observation group was treated with acupuncture based on the force and reaction forces,as well as the conduction eff ect of the force.Bilateral acupoint selection and bidirectional adjustment were used to compare the clinical effi cacy of the two groups of patients.Changes in DASH Chinese upper limb function score and Pain Assessment Scale(VAS)scores before and after treatment,and comparing the quality of life level before treatment and after the overall course of treatment.Results The total response rate was signifi cantly higher than that of the control group(P<0.05);after treatment,the scores of upper limb function and VAS decreased,while the observation group was lower(P<0.05);after treatment,mental health(MH),emotional intelligence(RE),social function(SF),vitality(VT),general health(CH),physical pain(BP),physical function(RP)and physical function(RE)related quality of life scores increased,and the observation group was higher than the control group(P<0.05).Conclusion Based on the action and reaction of force,as well as the conduction eff ect of force,acupuncture treatment using bilateral acupoint selection and bidirectional adjustment has a signifi cant eff ect on the treatment of thoracic outlet syndrome.It can also improve the upper limb mobility function of patients,reduce pain levels,and improve their quality of life.

关 键 词：针刺 胸廓出口综合征 临床疗效 上肢功能 疼痛程度 生活质量 

分 类 号：R245.31[医药卫生—针灸推拿学]