| 四天穴针刺法治疗神经根型颈椎病临床观察 |
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| 引用本文： | 刘公望,王秀云,孟向文,董洪英,周震,张果忠,吕少文,尚秀葵,王强. 四天穴针刺法治疗神经根型颈椎病临床观察[J]. 上海针灸杂志, 2009, 28(1) |
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| 作者姓名： | 刘公望 王秀云 孟向文 董洪英 周震 张果忠 吕少文 尚秀葵 王强 |
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| 作者单位： | 1. 天津中医药大学,天津,300193
2. 中国人民武装警察部队医学院,天津,300162 |
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| 基金项目： | 天津市卫生局中医、中西医结合科研课题 |
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| 摘 要： | 目的 评价四天穴针刺法治疗神经根型颈椎病的临床疗效,探讨其作用机制.方法 选用症状量表法、疼痛视觉模拟标尺法作为临床观察及疗效评定标准.与传统的针刺颈夹脊穴方法进行对照比较,并进行红外热像学的客观评价,同时通过测定针刺前后血清内皮素(ET)、6-酮-前列腺素F1.(6-Keto-PGF1α)、血栓素B2(TXB2)、白细胞介素1(IL-1)、丙二醛(MDA)、超氧化物歧化酶(SOD)的变化,初步探讨四天穴针刺法治疗神经根型颈椎病的疗效作用机理.结果 四天穴针刺法治疗神经根型颈椎病,可以明显减轻疼痛,缓解临床症状和体征,评分比较明显优于颈夹脊穴针刺法.治疗后两组患者项背部皮肤温度与治疗前相比均明显降低,但四天穴治疗组的改善幅度优于颈夹脊穴对照组,肯定了四天穴针刺法对神经根型颈椎病患者项背部病理高温的改善作用优于传统颈夹脊穴.针刺后患者血清IL-1、ET、TXB2、MDA含量降低(P<0.05),6-Keto-PGF1α含量及SOD的活性升高(P<0.05).结论 四天穴针刺法对神经根型颈椎病有肯定的临床疗效,优于传统颈夹脊穴.该针法可减低或抑制炎性介质释放,具有抗炎、镇痛作用,对神经根痛有明显干预作用:可舒张颈部神经根周围微小血管,减轻血液凝聚状态,调节微循环:可干预自由基代谢紊乱,提高机体抗氧化与清除自由基能力,从而对颈椎病动力失衡状态发挥综合调整作用.
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| 关 键 词： | 颈椎病 针刺 穴,天牖 穴,天容 穴,天窗 穴,天鼎 |
Clinical Observations on the Efficacy of Acupuncture at Four Tian Points in Treating Cervical Spondylosis of Nerve Root Type |
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| LIU Gong-wang,WANG Xiu-yun,MENG Xiang-wen,DONG Hong-ying,ZHOU Zhen,ZHANG Guo-zhong,LV Shao-wen,SHANG Xiu-kui,WANG Qiang. Clinical Observations on the Efficacy of Acupuncture at Four Tian Points in Treating Cervical Spondylosis of Nerve Root Type[J]. Shanghai Journal of Acupuncture and Moxibustion, 2009, 28(1) |
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| Authors: | LIU Gong-wang WANG Xiu-yun MENG Xiang-wen DONG Hong-ying ZHOU Zhen ZHANG Guo-zhong LV Shao-wen SHANG Xiu-kui WANG Qiang |
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| Affiliation: | LIU Gong-wang1,WANG Xiu-yun1,MENG Xiang-wen1,DONG Hong-ying1,ZHOU Zhen1,ZHANG Guo-zhong2,LV Shao-wen2,SHANG Xiu-kui1,WANG Qiang1.1.Tianjing University of Traditional Chinese Medicine,Tianjin 300193,China,2.Medical College of Chinese People's Armed Police,Tianjin 300162 |
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| Abstract: | Objective To investigate the clinical efficacy of acupuncture at four Tian points in treating cervical spondylosis of nerve root type and explore the mechanism of its action.Methods A symptom scale and a visual pain analog scale were used as criteria for clinical observation and evaluation of therapeutic effects.Acupuncture at four Tian points was compared with conventional acupuncture at cervical jiaji(ExB2) points.Infrared thermography was performed for an objective evaluation.Serum endothelin(ET), 6-keto... |
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| Keywords: | Cervical spondylosis Acupuncture Point Tianyou Tianrong Tianchuang Tianding |
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