浅刺针联合火龙罐疗法对颈椎病颈痛患者的影响  

Effect of Qianci acupuncture combined with Huolong cupping therapy in cervical spondylosis patients with neck pain

作　　者：周佳佳 杜洁梅 陈珍珍 王妙桃 谢煜 雷丽芳 Zhou Jiajia;Du Jiemei;Chen Zhenzhen;Wang Miaotao;Xie Yu;Lei Lifang(Department of Acupuncture and Moxibustion,the Second Affiliated Hospital of Guangzhou University of Chinese Medicine(Guangdong Provincial Hospital of Chinese Medicine),Guangzhou 510120,China)

机构地区：[1]广州中医药大学第二附属医院大院针灸科,广东广州510120 [2]广州中医药大学第二附属医院二沙脾胃科,广东广州510120

出　　处：《护理学杂志》2024年第15期47-50,64,共5页Journal of Nursing Science

基　　金：2021年度广东省中医药局科研项目(20212076)。

摘　　要：目的观察浅刺针联合火龙罐疗法对颈椎病颈痛患者颈痛、颈部软组织张力及生活质量的影响。方法将105例颈椎病颈痛患者随机分为浅刺针组、火龙罐组、浅刺针联合火龙罐组(联合组)各35例。浅刺针组给予浅刺针5次/周,火龙罐组给予火龙罐2次/周,联合组实施浅刺针联合火龙罐疗法,干预频次同前两组,均连续干预2周,干预结束1个月后随访。结果浅刺针组33例、火龙罐组34例、联合组34例完成研究。三组视觉模拟评分的组间效应、时间效应及交互效应显著,干预2周后联合组疼痛视觉模拟评分显著低于浅刺针组和火龙罐组(均P<0.05);干预2周后联合组的颈部软组织做功和位移显著大于其他两组(均P<0.05);三组Northwick-Park颈痛量表评分的组间效应、时间效应显著,且联合组干预2周后及干预后1个月随访时评分显著低于其他两组(均P<0.05)。结论浅刺针联合火龙罐疗法可快速缓解颈椎病患者颈痛症状,改善患者颈部肌肉组织弹性,缓解颈痛对生活质量的影响。Objective To observe the effects of Qianci acupuncture combined with Huolong cupping therapy on neck pain,cervical soft tissue tension,and quality of life in cervical spondylosis patients with neck pain.Methods A total of 105 cervical spondylosis patients with neck pain were randomized into a Qianci acupuncture group,a Huolong cupping group and a combined group,with 35 cases in each group.The Qianci acupuncture was given 5 times per week while the Huolong cupping was given twice per week for the corresponding group,and the intervention lasted for 2 weeks.The combined group was given Qianci acupuncture combined with Huolong cupping therapy with the same intervention frequency and course as the previous two groups.The three groups were followed-up 1 month after the intervention.Results Thirty-three cases in the Qianci acupuncture group,34 cases in the Huolong cupping group and the combined group completed the study and follow-up.The time effect,group effect and group by time effect among the three groups in the pain score of Visual Analogue Scale(VAS)were statistically significant,and two weeks after the intervention,the VAS score of the combined group was significantly lower than those of the other two groups(all P<0.05).Two weeks after the intervention,the work and displacement of cervical soft tissue of the combined group were significantly higher than those of the other two groups(all P<0.05).The time effect and group effect among the three groups in the score of Northwick-Park Neck Pain Questionnaire(NPQ)were statistically significant,and the score of the combined group were significantly lower than those of the other two groups at 2 weeks after the intervention and 1 month follow-up after the intervention(all P<0.05).Conclusion Qianci acupuncture combined with Huolong cupping therapy can quickly relieve neck pain in patients with cervical spondylosis,improve the elasticity of neck muscle tissue,and alleviate the impact of neck pain on quality of life.

关 键 词：颈椎病 颈痛 浅刺针 火龙罐 颈部肌肉组织弹性 疼痛 生活质量 中医护理 

分 类 号：R473.6[医药卫生—护理学] R245[医药卫生—临床医学]