循经按摩配合火龙罐综合疗法治疗风寒痹阻型颈椎病的效果探究

摘要/Abstract

摘要： 目的探究循经按摩配合火龙罐综合疗法治疗风寒痹阻型颈椎病的效果。方法前瞻性选取2021年1月~2021年12月菏泽市牡丹区中医医院收治的风寒痹阻型颈椎病患者74例,根据随机数表法将患者分为火龙罐组与传统组,每组37例。传统组给予循经按摩治疗,火龙罐组在传统组治疗的基础上给予火龙罐治疗,两组都治疗观察14 d。对比两组疗效,治疗前后疼痛程度评分、病情评分,炎症因子白细胞介素（interleukin,IL）-6和肿瘤坏死因子（tumor necrosis factor,TNF）-α的变化情况。结果火龙罐组治疗后的总有效率为97.3%,显著高于传统组的78.4%（P<0.05）。治疗前,两组患者的疼痛视觉模拟量表（Visual Analogue Scale,VAS）评分、病情评分、血清IL-6水平和血清TNF-α水平对比,差异均无统计学意义（P<0.05）;治疗后,两组患者的VAS评分都明显低于治疗前（P<0.05）,火龙罐组与传统组相比也明显降低（P<0.05）,两组的病情评分都高于治疗前,火龙罐组与传统组相比也明显升高（P<0.05）,两组的血清IL-6和TNF-α水平都明显低于治疗前（P<0.05）,火龙罐组与传统组对比也明显降低（P<0.05）。结论循经按摩配合火龙罐综合疗法治疗风寒痹阻型颈椎病能抑制IL-6、TNF-α水平,还能有效促进缓解患者的病情,改善疼痛状况,从而提高整体治疗效果。

关键词: 循经按摩, 火龙罐, 风寒痹阻型, 颈椎病

Abstract: Objective To explore the effect of meridian massage combined with fire dragon pot comprehensive therapy on cervical spondylosis of wind-cold obstruction type. Methods From January 2021 to December 2021, 74 cases of cervical spondylosis patients diagnosed and treated in Mudan District Hospital of Traditional Chinese Medicine, Heze City were prospectively selected. The patients were divided into two groups, with 37 cases in the fire dragon can group and 37 cases in the traditional group according to randomized numbers. The traditional group were given meridian massage therapy, and the fire dragon pot group were given fire dragon cupping treatment on the basis of the treatment of the traditional group. The two groups were treated and observed for 14 days, and the curative effects of the two groups were compared, before and after treatment, the pain severity score, the disease score, and the change of inflammatory factors IL-6 and TNF-α. Results The total effective rate after treatment in the dragon pot group was 97.3%, which was significantly higher than that in the traditional group (78.4%). Before treatment, there were no significant differences in the Visual Analogue Scale (VAS) score, disease score, serum IL-6 and TNF-α levels between the two groups (P>0.05). After treatment, the VAS score of two groups were significantly lower than those before treatment (P<0.05), and the score in the fire dragon pot group was also significantly lower than that of the traditional group (P<0.05). Compared with the traditional group, the serum IL-6 and TNF-α levels in the two groups were significantly lower than those before treatment (P<0.05), and both were was also significantly lower in the dragon pot group than the traditional group(P<0.05). Conclusion Meridian massage combined with fire dragon pot comprehensive therapy in the treatment of wind-cold obstruction type cervical spondylosis can inhibit the levels of IL-6 and TNF-α, and can effectively promote the relief of the patients' condition and pain, thereby improving the overall therapeutic effect.

Key words: massage along the meridian, fire dragon pot, wind-cold obstruction type, cervical spondylosis

中图分类号:

R274

刘萌. 循经按摩配合火龙罐综合疗法治疗风寒痹阻型颈椎病的效果探究[J]. 中华养生保健, 2022, 40(17): 49-52.

LIU Meng. Study on the Effect of Massage along the Meridian Combined with Fire Dragon Pot Comprehensive Therapy in the Treatment of Cervical Spondylosis of Wind-cold Obstruction Type[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(17): 49-52.

参考文献

[1] 陈伟健,陈泽华,吴佳涛,等.新型肌肉定量评估仪评估神经根型颈椎病患者两侧肩颈肌肉的性能失衡[J].中国组织工程研究,2022, 26(3):430-434.
[2] 吕帅尧,关海山,郝晨,等.肌萎缩型颈椎病分型、诊断、治疗及预后中的不同问题[J].中国组织工程研究,2022,26(11):1788-1792.
[3] 袁浩,叶飞,周庆忠,等.颈椎矢状面序列与椎间盘退变以及临床疗效的相关性研究[J].临床和实验医学杂志,2022,21(4):404-408.
[4] 覃美相,粟胜勇,张熙,等.温和灸对神经根型颈椎病大鼠脊髓组织LC3/Bax表达的影响[J].针刺研究,2022,47(3):244-249.
[5] 李键,鲍正齐,周平辉,等.颈椎后路单开门椎板成形与颈椎体次全切除植骨融合治疗多节段颈椎病对颈椎矢状位平衡参数的影响[J].中国组织工程研究,2022,26(6):949-953.
[6] Taso M, Sommernes J H, Kolstad F, et al.A randomised controlled trial comparing the effectiveness of surgical and nonsurgical treatment for cervical radiculopathy[J].BMC Musculoskelet Disord,2020,21(1):171-178.
[7] 李锦锦. 归芎活血行气汤联合西药治疗神经根型颈椎病的临床观察[J].中国中医药科技,2022,29(2):248-250.
[8] 杨田静,赵颖丹,杜赟.推拿联合针刺、牵引综合及健康宣教治疗气滞血瘀型神经根型颈椎病的临床疗效观察[J].贵州医药,2022, 46(2):250-251.
[9] 赵学千,贾象元,李晋玉,等.矢状位参数在颈椎前路椎间盘切除减压植骨融合术治疗3节段脊髓型颈椎病中的价值[J].临床骨科杂志,2022,25(1):1-6.
[10] 中华外科杂志编辑部.颈椎病的分型、诊断及非手术治疗专家共识(2018)[J].中华外科杂志,2018,56(6):401-402.
[11] 曲宝戈. 美国脊髓损伤学会运动评分标准对行走能力的预测[J].国外医学(物理医学与康复学分册),1995,3:44-44.
[12] Qi Y N, Li C G, Liu G Z, et al.Clinical observation on the treatment of cervical degenerative diseases with Hybrid surgery[J].Zhongguo Gu Shang, 2021,34(1):80-85.
[13] 吴昌兵,魏亚,马维邦,等.选择性神经阻滞联合经皮后路内镜颈椎间盘切除术治疗神经根型颈椎病的临床疗效观察[J].西安交通大学学报(医学版),2022,43(1):43-50.
[14] 赵玉玲,黄沂,周艳琼,等.基于Akt/mTOR信号通路探讨药熨疗法对神经根型颈椎病大鼠神经细胞结构及自噬因子表达的影响[J].中国医药导报,2022,19(3):4-8.
[15] Wang P, Zuo G, Du S Q, et al.Meta-analysis of the therapeutic effect of acupuncture and chiropractic on cervical spondylosis radiculopathy: A systematic review and meta-analysis protocol[J].Medicine (Baltimore),2020,99(5):e18851.
[16] 廖志雯,范秀英,蒋雪飞,等.中医辨证施护在火龙罐治疗颈椎病颈痛中的应用效果[J].中医临床研究,2021,13(21):23-24.
[17] 王巧玲,杨秀荣,王欣,等.芎七行气方联合针刺治疗神经根型颈椎病气滞血瘀证的临床研究[J].现代中西医结合杂志,2022,31(1):85-88.
[18] 林碧容,鲜玉军,晋静,等.辨证循经刮痧对颈椎病患者的中医临床护理研究[J].现代医学,2020,48(2):260-263.
[19] 欧阳意霞,徐凤宜,郑衍庆,等.火龙罐联合护理干预对神经根型颈椎病康复效果的临床研究[J].中国医药指南,2021,19(15):8-10.
[20] 宋海瑞,孙刚,布尔古德,等.针灸治疗对神经根型颈椎病患者的疗效及炎症因子,氧化应激及血液流变学的影响[J].湖南师范大学学报:医学版,2020,6:188-191.