首页|以颈部解剖学为基础的针灸治疗颈椎病的临床效果

以颈部解剖学为基础的针灸治疗颈椎病的临床效果

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目的 探讨以颈部肌肉为基础的中医针灸疗法在颈椎病中的应用效果,为准确地选穴和针法的选用提供一定借鉴。方法 选取30例符合颈椎病入选条件的患者,运用"望"和"触"的方法,通过对患者头部、颈部和肩膀的形状和靶区进行检查,判断肌肉和针灸的位置。比较不同时间的简版McGill疼痛问卷-2(SF-MPQ-2)、颈椎病临床评价量表(CASCS)、Northwick Park颈痛量表(NPQ)、颈椎功能障碍指数量表(NDI)评分;分析30 例颈椎病患者临床及随访效果。结果 第 1、2、3 个周期治疗后,颈椎病患者的SF-MPQ-2 评分分别低于第1、2、3个周期治疗前,CASCS评分分别高于第1、2、3个周期治疗前(P<0。05)。治疗结束时、治疗后 1个月,颈椎病患者的NPQ、NDI评分低于治疗前(P<0。05)。30 例颈椎病患者的临床总有效率为 93。33%,随访总有效率为76。67%。结论 针灸疗法能够显著改善患者的颈部症状,且效果能持续1个多月。采用"望""触"结合的方法可有效提高针灸的准确性,且操作安全。
Clinical effect of acupuncture-moxibustion treatment of cervical spondylosis based on neck anatomy
Objective To explore the application effect of traditional Chinese medicine acupuncture-moxibustion therapy in cervical spondylosis based on neck muscle,and to provide some reference for the accurate selection of acupoints and acupuncture methods.Methods Thirty patients with cervical spondylosis were selected,the shape and target area of the patients'head,neck and shoulder were examined by"looking"and"touching"methods to determine the position of muscles and acupuncture.Short-form McGill Pain Questionnaire-2(SF-MPQ-2),Clinical Assessment Scale for Cervical Spondylosis(CASCS),Northwick Park Neck Pain Questionnaire(NPQ),and the Neck Disability Index(NDI)scores were compared at different times;the clinical and follow-up effects of 30 patients with cervical spondylosis were analyzed.Results After the first,second and third cycles of treatment,the SF-MPQ-2 score of patients with cervical spondylosis was lower than that before the first,second and third cycles of treatment,and the CASCS score was higher than that before the first,second and third cycles of treatment(P<0.05).At the end of treatment and 1 month after treatment,the NPQ and NDI scores of patients with cervical spondylosis were lower than those before treatment(P<0.05).The total effective rate of 30 patients with cervical spondylosis was 93.33%,and the total effective rate of follow-up was 76.67%.Conclusion Acupuncture-moxibustion therapy can significantly improve the patients'neck symptoms,and the effect can last for more than 1 month.The combination of"looking"and"touching"can effectively improve the accuracy of acupuncture-moxibustion,and has safe operation.

anatomyacupuncture-moxibustioncervical spondylosis

朱永红

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甘肃医学院,甘肃 平凉,744000

解剖学 针灸 颈椎病

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(21)