[1]杨扬,李宁△.“经筋刮疗术”治疗慢性非特异性颈痛[J].西部中医药,2019,32(02):119-121.
　YANG Yang,LI Ning.Treating Chronic Nonspecific Cervicodynia by ″Meridian Curettage″[J].Western Journal of Traditional Chinese Medicine,2019,32(02):119-121.
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“经筋刮疗术”治疗慢性非特异性颈痛
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
32
期数:
2019年02期
页码:
119-121
栏目:
出版日期:
2019-02-15

文章信息/Info

Title:
Treating Chronic Nonspecific Cervicodynia by ″Meridian Curettage″
文章编号:
1004-6852(2019)02-0119-03
作者:
杨扬，李宁△
四川大学华西医院中西医结合科，四川 成都 610041
Author(s):
YANG Yang, LI Ning△
Integrated TCM and Western Medicine Department, West China School of Medicine/West China Hospital, Sichuan University, Chengdu 610041, China
关键词:
颈痛; 非特异性; 慢性; 经筋刮疗; 颈椎功能性障碍指数
Keywords:
cervicodynia;  nonspecific;  chronic;  meridian curettage;  NDI
分类号:
R26
文献标志码:
B
摘要:
目的：观察患者自行居家经筋刮疗术对慢性非特异性颈痛治疗的可行性。方法:将120例患者随机分为观察组和对照组，每组60例。2组均进行1次针刺和推拿治疗，观察组同时自行居家经筋刮疗术治疗，2次/d，3～5 min/1次，两侧交替进行，以疼痛侧为重点。对照组同时行服用止痛药物治疗。随访观察3个月。比较2组治疗前后VAS评分，随访结束颈椎功能性障碍指数(NDI)评分变化情况，随访期间观察组使用止痛药物治疗情况及2组疗效满意度。结果:2组经1次针刺、按摩治疗后疼痛症状均较治疗前改善(P＜0.05)，但组间比较差异无统计学意义(P＞0.05)。NDI评分2组治疗前比较，差异无统计学意义(P＞0.05)；3个月后随访观察组改善明显(P＜0.05)，对照组无明显变化(P＞0.05)，2组组间比较差异有统计学意义(P＜0.05)。观察组止痛药物使用少，且疗效满意度高(P＜0.05)。结论:在新媒体技术支撑下的医师持续督促与指导，患者自觉加入治疗的经筋刮疗术对慢性非特异性颈痛具有持续稳定的改善作用。
Abstract:
Objective：To explore the feasibility of the patients performing domiciliary meridian curettage by themselves in the treatment for chronic nonspecific cervicodynia. Methods: All 120 patients were randomly allocated to the observation group and the control group, 60 cases each group. Both groups were treated by needling and massage, the observation group performed domiciliary meridian curettage by themselves, twice each day, three to five minutes each time, alternately and bilaterally, the pain side as the key point. The control group took analgesic drug. Both groups were followed and observed for three months. To compare VAS scores before and after treating between both groups and neck disability index (NDI) scores by the end of follow-ups, therapeutic conditions of analgesic drug administration in the observation group during the follow-up period and curative effects satisfactory degrees between both groups. Results: Pain symptoms of both groups after once needling and massage improved compared with before treating (P＜0.05), while the comparison between both groups had no obvious difference (P＞0.05). The difference had no statistical meaning in the comparison of NDI scores between both groups before treating (P＞0.05); the improvements of the observation group improved notably after followed for three months (P＜0.05), no obvious changes happened in the control group (P＞0.05), there was a significant difference between both groups (P＜0.05). The use of analgesic drug were less in the observation group, while the satisfaction degree of clinical effects were high (P＜0.05). Conclusion: Domiciliary meridian curettage that the patients participated consciously possess persistent and stable improvement effects for chronic nonspecific cervicodynia under the physician’s continuous supervision and guidance sustained by new media technology.

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备注/Memo

备注/Memo:
收稿日期：2018-02-27 作者简介：杨扬(1981—)，男，主治医师。研究方向：针灸临床。 △通讯作者：李宁(1970—)，男，主任医师。研究方向：针灸临床。
更新日期/Last Update: 2019-02-15