| 引用本文: |
刘小卫,危威,蒋全睿,艾坤,龚智超,刘磊,李武,李江山.拨按手三阳经筋远端部对青年颈型颈椎病患者颈部功能改善效应的临床观察[J].湖南中医药大学学报,2023,43(10):1858-1863[点击复制] |
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| 拨按手三阳经筋远端部对青年颈型颈椎病患者颈部功能改善效应的临床观察 |
| 刘小卫,危威,蒋全睿,艾坤,龚智超,刘磊,李武,李江山 |
| (湖南中医药大学针灸推拿与康复学院, 湖南 长沙 410208) |
| 摘要: |
| 目的 探讨循手三阳经筋远端拨按治疗青年颈型颈椎病的疗效。方法 将140例来自湖南中医药大学及湖南中医药大学第一附属医院招募的青年颈型颈椎病患者，按随机数字表法随机分为4组，其中手阳明经筋组、手太阳经筋组、手少阳经筋组各40例，阴筋对照组20例。4组患者均采用拨按对应经筋远端治疗的方式，治疗过程均为10 min，治疗1次。观察治疗前后4组患者的颈椎活动度、疼痛视觉模拟评分（visual analogue scale, VAS）、压痛阈值、软组织张力D0.5 kg值的即刻变化情况。结果 与治疗前比较，治疗后手阳明经筋组、手太阳经筋组与手少阳经筋组颈椎活动度各方向均增加，VAS评分及患侧压痛阈值下降，患侧软组织张力D0.5 kg值提高（P＜0.05或P＜0.01）。与阴筋对照组比较，手少阳经筋组颈椎各方向活动度均增加，VAS评分及患侧压痛阈值降低，患侧软组织张力D0.5 kg值提高（P＜0.05或P＜0.01）；手阳明经筋组、手太阳经筋组颈椎后伸、左右侧屈、左右旋活动度增加，VAS评分及患侧压痛阈值降低，患侧软组织张力D0.5 kg值提高（P＜0.05或P＜0.01）。与手阳明经筋组比较，手少阳经筋组颈椎前屈活动度增加、VAS评分降低，患侧软组织张力D0.5 kg值提高（P＜0.05或P＜0.01）；手太阳经筋组VAS评分降低，患侧软组织张力D0.5 kg值提高（P＜0.05或P＜0.01）。结论 循手三阳经筋远端部拨按治疗均有改善青年颈型颈椎病患者颈椎活动度、VAS评分、患侧压痛阈值、患侧软组织张力D0.5 kg值的作用。循筋远端拨按手太阳经筋和手少阳经筋改善颈型颈椎病患者功能的效应优于手阳明经筋。 |
| 关键词: 项痹 颈型颈椎病 经筋 拨按法 经筋功能 |
| DOI：10.3969/j.issn.1674-070X.2023.10.016 |
| 投稿时间：2023-04-26 |
| 基金项目:湖南省教育厅研究生科研创新项目（CX20190559）；国家级大学生创新训练项目（S202010541023）；湖南中医药大学开放基金（201717）；湖南省院士专家工作站（石学敏）开放基金（2019YSZJJ14）；湖南中医药大学大学生创新项目（201827）；湖南省中医药科研计划项目（2021208）；湖南省科技创新计划资助项目（2022RC1221）。 |
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| Clinical observation on the effects of plucking and pressing the distal part of three hand-yang meridian sinews on improving neck function in young patients with cervical spondylosis |
| LIU Xiaowei,WEI Wei,JIANG Quanrui,AI Kui,GONG Zhichao,LIU Lei,LI Wu,LI Jiangshan |
| (School of Acupuncture-moxibustion, Tuina and Rehabilitation, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| Objective To explore the curative effects of plucking and pressing the distal part of three hand-yang meridian sinews on young patients with cervical spondylosis. Methods A total of 140 young patients with cervical spondylosis recruited from Hunan University of Chinese Medicine and its first affiliated hospital were randomly divided into 4 groups by random number table method, including 40 cases in each of the hand-yangming meridian sinew group, hand-taiyang meridian sinew group, and hand-shaoyang meridian sinew group, and 20 cases in the yin meridian sinew control group. All four groups of patients were treated by plucking and pressing the distal part of the corresponding meridian sinew. The treatment process lasted for 10 min and was done once. The immediate changes in cervical spine mobility, visual analogue scale (VAS) of pain, tenderness threshold, and soft tissue tension D0.5 kg value of the four groups of patients before and after treatment were observed. Results Compared with those before the treatment, the cervical spine mobility in all directions of the hand-yangming meridian sinew group, hand-taiyang meridian sinew group, and hand-shaoyang meridian sinew group increased after treatment; the VAS score and ipsilateral tenderness threshold decreased, and the ipsilateral soft tissue tension D0.5 kg value increased (P＜0.05 or P＜0.01). Compared with the yin meridian sinew control group, the hand-shaoyang meridian sinew group showed an increase in cervical spine mobility in all directions and soft tissue tension D0.5 kg value (P＜0.05 or P＜0.01), and a decrease in VAS score and ipsilateral tenderness threshold; the hand-yangming meridian sinew group and hand-taiyang meridian sinew group showed an increase in the cervical spine mobility of extension, left and right lateral flexion, and left and right rotation, as well as in the ipsilateral soft tissue tension D0.5 kg value, and a decrease in the VAS score and ipsilateral tenderness threshold (P＜0.05 or P＜0.01). Compared with the hand-yangming meridian sinew group, the hand-shaoyang meridian sinew group showed an increase in the cervical flexion mobility and the ipsilateral soft tissue tension D0.5 kg value, and a decrease in VAS score (P＜0.05 or P＜0.01); the hand-taiyang meridian sinew group showed a decreased in the VAS score and an increased in the ipsilateral soft tissue tension D0.5 kg value (P＜0.05 or P＜0.01). Conclusion The treatment of plucking and pressing the distal part of three hand-yang meridian sinews can improve the cervical spine mobility, VAS score, ipsilateral tenderness threshold, and ipsilateral soft tissue tension D0.5 kg value of young patients with cervical spondylosis. Plucking and pressing the distal part of the hand-taiyang and hand-shaoyang meridian sinews have a better effect on improving the function of patients with cervical spondylosis than plucking and pressing that of the hand-yangming meridian sinew. |
| Key words: neck impediment cervical spondylosis meridian sinew plucking-pressing method function of meridian sinews |
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