通督调阳絮刺拔罐法治疗气滞血瘀型颈椎病的临床疗效观察  

Clinical Observation on the Treatment of Cervical Spondylosis of Qi Stagnation and Blood Stasis Type by Tongdu Tiaoyang Rolling Needle Pricking-cupping Therapy

作　　者：刘保君[1] 陈林 吴君怡[1] 李珊珊 邹颖 徐世芬[1] 宓轶群[1] 曹燕[1] LIU Baojun;CHEN Lin;WU Junyi;LI Shanshan;ZOU Ying;XU Shifen;MI Yiqun;CAO Yan(Shanghai Municipal Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China;Shanghai Skin Disease Hospital,Skin Disease Hospital of Tongji University,Shanghai 200050,China)

机构地区：[1]上海中医药大学附属市中医医院,上海200071 [2]同济大学附属皮肤病医院,上海200050

出　　处：《世界科学技术-中医药现代化》2024年第11期2770-2775,共6页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：上海医学创新发展基金会中医药科技发展项目(WL-YSBZ-2022003K):颈椎病的中医综合治疗优化方案,负责人:曹燕;上海市中医医院“未来计划”项目(WLJH2021ZY-ZYY013):基于“筋骨平衡”理论指导下“五步整颈手法”治疗青年颈型颈椎病的多中心随机对照临床研究,负责人:陈林;上海医学创新发展基金会“未来计划”中医药传承发展类项目(WLJH2021ZY-LPJD001):杨氏针灸流派传承分基地建设,负责人:吴君怡。

摘　　要：目的观察通督调阳絮刺拔罐法治疗气滞血瘀型颈椎病的临床疗效。方法将90例气滞血瘀型颈椎病患者随机分为絮刺拔罐组和传统电针组,每组45例。每组均予电针治疗,穴取天柱、颈夹脊、后溪、申脉、悬钟、膈俞、合谷及阿是穴,取连续波2 Hz,留针20 min,治疗每日1次,7次为一疗程。絮刺拔罐组在电针治疗基础上,在颈部督脉及三阳经上,风府至陶道、玉枕至大杼、风池至肩井、翳风至天牖,采用滚针滚刺放血,于滚刺部位加拔火罐,隔日治疗1次,共治疗3次。于治疗前后观察各组患者视觉模拟量表(Visual Analogue Scale,VAS)及日本骨科协会评分量表(Japanese Orthopaedic Association Scores,JOA)评分变化,并判定疗效。结果两组患者治疗后VAS评分均较治疗前显著降低(P<0.01),絮刺拔罐组VAS评分显著低于传统电针组(P<0.01)。两组患者治疗后JOA评分均较前显著增高(P<0.01),絮刺拔罐组与传统电针组JOA评分比较差异无统计学意义(P>0.05)。絮刺拔罐组疗效优于传统电针组(P<0.05)。结论通督调阳絮刺拔罐法联合电针疗法可短期内有效改善气滞血瘀型颈椎病患者的颈痛症状,效果优于传统电针疗法。Objective To observe the clinical efficacy of Tongdu Tiaoyang rolling needle pricking-cupping(RNP-C)therapy for cervical spondylosis of qi stagnation and blood stasis type.Methods A total of 90 patients with cervical spondylosis of qi stagnation and blood stasis type were randomly divided into the rolling needle pricking-cupping(RNP-C)group and the electroacupuncture(EA)group,with 45 cases in either group.Both groups were treated with electroacupuncture at Tianzhu(BL 10),Jingjiaji(EX-B2),Houxi(SI 3),Shenmai(BL 62),Xuanzhong(GB 39),Geshu(BL 17),Hegu(LI 4)and Ashi points with continuous wave and 2 Hz of frequency for once a day,7 times as a treatment course.On the basis of electroacupuncture treatment,the rolling needle pricking-cupping(RNP-C)group was treated with bloodletting by rolling needle on the neck Du Mai and three yang channels,from Fengfu(DU 16)to Taodao(DU 13),Yuzhen(BL 9)to Dazhu(BL 11),Fengchi(GB 20)to Jianjing(GB 21),and Yifeng(SJ 17)to Tianyou(SJ 16),followed by fire cupping,for once every other day,and 3 times in all.The visual analogue scale(VAS)scores and Japanese Orthopaedic Association Scores(JOA)were observed before and after treatment,and the efficacy was evaluated.Results Compared before treatment,the scores of VAS in either group were all significantly reduced after treatment(P<0.01).The scores of VAS in the RNP-C group were significantly inferior to those in the EA group after treatment(P<0.01).Compared before treatment,the scores of JOA in either group were all significantly promoted after treatment(P<0.01).The differences of JOA scores between the RNP-C group and EA group after treatment were not significant(P>0.05).The therapeutic effecacy of the RNP-C group is superior to that of the traditional EA group(P<0.05).Conclusion Tongdu Tiaoyang rolling needle pricking-cupping(RNP-C)therapy combining with traditional electroacupuncture could improve the cervical pain symptoms of patients with cervical spondylosis of qi stagnation and blood stasis type in a short period of time,and the clinica

关 键 词：通督调阳 絮刺拔罐 颈椎病 

分 类 号：R681.55[医药卫生—骨科学]