烧山火针法治疗风寒湿型颈型颈椎病临床研究  

Clinical Study on Mountain-Burning Warming Needling for Cervical Spondylosis of Wind-Cold-Damp Type

作　　者：张艺琛 韦诗烨 贾超[3] ZHANG Yichen;WEI Shiye;JIA Chao(The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510405,China;Liuzhou People's Hospital,Liuzhou Guangxi 545000,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510405,China)

机构地区：[1]广州中医药大学第一临床医学院,广东广州510405 [2]柳州市人民医院,广西柳州545000 [3]广州中医药大学第一附属医院,广东广州510405

出　　处：《新中医》2024年第18期114-118,共5页New Chinese Medicine

摘　　要：目的:观察烧山火针法治疗风寒湿型颈型颈椎病的临床疗效。方法:选取70例风寒湿型颈型颈椎病患者作为研究对象,采用简单随机法分成治疗组与对照组各35例,其中治疗组有1例脱落,实际完成34例。治疗组采用烧山火针法治疗,对照组采用常规针刺治疗。隔天治疗1次,3次为1个疗程,共治疗1个疗程。疗程结束后采用疼痛视觉模拟评分法(VAS)、颈痛量表(NPQ)评估2组治疗前后疼痛和颈椎病改善程度,并观察针刺部位温度变化。结果:治疗组总有效率为94.1%,对照组为71.4%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组VAS评分均较治疗前降低(P<0.05),且治疗组VAS评分下降较对照组更显著(P<0.05)。治疗后,2组NPQ评分均较治疗前降低(P<0.05);且治疗组NPQ评分低于对照组(P<0.05)。第1、2、3次治疗前,2组皮肤边形区域平均温度比较,差异均无统计学意义(P>0.05);治疗后,在同一疗程治疗组皮肤边形区域平均温度均高于对照组(P<0.05)。结论:烧山火疗法治疗风寒湿型颈型颈椎病,可提高临床疗效及患者的生活质量,改善其疼痛感和不适症状,其机制可能与提高双侧第4~7颈椎夹脊穴周围肤温有关。Objective:To observe the clinical effect of mountain-burning warming needling on cervical spondylosis of wind-cold-damp type.Methods:A total of 70 patients with cervical spondylosis of wind-cold-damp type were selected as study objects,and were divided into the treatment group and the control group with 35 cases in each group by simple random method.Among them,one case dropped off in the treatment group,and thirty-four cases actually completed.The treatment group was treated with mountain-burning warming needling,and the control group was treated with conventional acupuncture.Acupuncture was respectively applied once every other day,three times for one course of treatment,and a total of one course.After treatment,Visual Analogue Scale of pain(VAS)and Northwick Park Questionnaire(NPQ)were used to evaluate the improvement of pain and cervical spondylosis before and after treatment,and the temperature changes of local needling area were observed.Results:The total effective rate was 94.1%in the treatment group and 71.4%in the control group,the difference being significant(P<0.05).After treatment,the VAS scores in both groups were reduced when compared with those before treatment(P<0.05),and the decrease of VAS score in the treatment group was more significant than that in the control group(P<0.05).After treatment,the NPQ scores in both groups were reduced when compared with those before treatment(P<0.05),and the NPQ score in the treatment group was lower than that in the control group(P<0.05).Before the first,second and third treatments,there was no significant difference in the mean temperature of skin boundary area between the two groups(P>0.05).After treatment,the average temperature of skin boundary area in the treatment group was higher than that in the control group at the same course of treatment(P<0.05).Conclusion:Mountain-burning warming needling can improve the therapeutic effect on patients with cervical spondylosis of wind-cold-damp type and enhance their quality of life as well as release pain and discom

关 键 词：颈型颈椎病 风寒湿型 烧山火针法 疼痛 颈痛量表 

分 类 号：R681.55[医药卫生—骨科学]