首页|针刺肌筋膜触发点结合颈椎复位治疗颈源性高血压的临床研究

针刺肌筋膜触发点结合颈椎复位治疗颈源性高血压的临床研究

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目的 观察针刺肌筋膜触发点结合颈椎定点旋转复位治疗颈源性高血压的临床疗效。方法 选取贵港市中医医院针灸科和心血管内科 2021 年 9 月—2023 年 9 月的门诊患者70 例,采用随机数字表法分为对照组与观察组,各 35 例。对照组采用中医针刺,观察组采用针刺肌筋膜触发点结合颈椎定点旋转复位。比较 2 组血压、视觉模拟量表(visual analogue scale,VAS)、头颈部僵硬感及颈椎活动度评分、临床疗效差异。结果 干预前,2 组患者疼痛评分比较,差异无统计学意义(P>0。05);干预后,观察组疼痛评分低于对照组(P<0。05)。干预前,2 组患者收缩压、舒张压比较,差异无统计学意义(P>0。05);干预后,观察组收缩压、舒张压均低于对照组(P<0。05)。干预前,2 组患者头颈部僵硬感以及颈椎活动度比较,差异无统计学意义(P>0。05);干预后,观察组低于对照组(P<0。05)。干预前,2 组患者头颈部僵硬感以及颈椎活动度比较,差异无统计学意义(P>0。05);干预后,观察组低于对照组(P<0。05)。观察组的总有效率(97。14%)高于对照组(77。14%)(P<0。05)。结论 针刺肌筋膜触发点结合颈椎定点旋转复位是治疗颈源性高血压的有效方法,可降血压及改善症状。
Clinical Study on Treatment of Cervical Hypertension by Acupuncture Myofascial Trigger Point Combined With Cervical Vertebra Reduction
Objective To observe the clinical efficacy of acupuncture at myofascial trigger points combined with targeted cervical rotation and reduction in treating cervical origin hypertension.Methods A total of 70 outpatient patients from the department of acupuncture and department of cardiovascular medicine,Guigang Hospital of Traditional Chinese Medicine were selected from September 2021 to September 2023.They were divided into a control group(n=35)and an observation group(n=35)using random number tables.The control group received traditional Chinese acupuncture,while the observation group received acupuncture at myofascial trigger points combined with targeted cervical rotation and repositioning.Blood pressure,visual analogue scale(VAS),stiffness sensation in the head and neck,and cervical mobility were compared between the two groups.Results Before the intervention,the pain scores of the two groups of patients were compared,and there was no statistically significant difference(P>0.05).After the intervention,the observation group had lower pain scores than the control group(P<0.05).Prior to the intervention,there was no statistically significant difference in systolic and diastolic blood pressure between the two groups(P>0.05).However,after the intervention,both systolic and diastolic blood pressure in the observation group were lower than those in the control group(P<0.05).Additionally,before the intervention,there was no statistically significant difference in stiffness sensation and cervical mobility between the two groups(P>0.05).Following the intervention,the observation group had significantly lower stiffness sensation and greater cervical mobility compared to the control group(P<0.05).Finally,the overall effective rate in the observation group(97.14%)was significantly higher than that in the control group(77.14%)after treatment(P<0.05).Conclusion Combining needling of myofascial trigger points with targeted cervical spine rotation and repositioning is an effective method for treating cervical-origin hypertension,it can reducing blood pressure and improving symptoms.

acupuncturecervical fixed-point rotation and reductionmyofascial trigger pointscervical hypertensiontechniquespine

阎杰、杨勇娟、黄业成、谭意萍、黄晓联、覃喜扬、张雪苹

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贵港市中医医院针灸科,广西贵港 537100

贵港市中医医院心血管内科,广西 贵港 537100

贵港市中医医院放射科,广西 贵港 537100

针刺 颈椎定点旋转复位 肌筋膜触发点 颈源性高血压 手法 脊柱

广西壮族自治区中医药管理局自筹经费科研课题

GXZYZ20210032

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(13)