|
|
Study on the similarities and differences of the effectiveness criteria of acupuncture in cervical spondylosis |
YAO Yuan1 YU Huibo2 HE Weipeng1 FANG Yunyun1 |
1.School of Management, Beijing University of Chinese Medicine, Beijing 100029, China;
2.School of Acupuncture and Massage, Beijing University of Chinese Medicine, Beijing 100029, China |
|
|
Abstract Objective To find out the commonly used standards/scales for judging the curative effect of acupuncture on cervical spondylosis in China, and sort out the contents concerned by different standards/scales, so as to find out the common contents for judging the curative effect, and lay the foundation for further determining the core index set of acupuncture on cervical spondylosis. Methods By using the method of literature research, it was searched and published in CNKI and Wanfang database from January 2015 to January 2019, with the subject of “cervical spondylosis” combined with “efficacy standard” and the key word of “acupuncture”. Finally, 60 articles were included in the literature research, and the literature metrological analysis was carried out around the criteria and contents (dimensions, items), the main outcome and its measurement tools, scoring methods, secondary outcome and its measurement tools, scoring methods, etc. of acupuncture treatment for cervical spondylosis. Results The effect of acupuncture in the treatment of cervical spondylosis was often judged by The standard of diagnosis and curative effect of diseases and syndromes of traditional Chinese medicine. The main outcome of acupuncture treatment of cervical spondylosis was efficiency, while the secondary outcome was pain. Pain and sensory disturbance in the commonly used standard/scale of acupuncture treatment of cervical spondylosis were the dimensions of more concern. The scores of neck pain, shoulder back pain and other items accounted for a large proportion. Conclusion The effect evaluation of acupuncture therapy for cervical spondylosis in China should pay attention to the patients quality of life. The effectiveness focus on the effective rate and pain. The standard/scale dimension and item content are different. To develop the specific scale of acupuncture treatment for cervical spondylosis, or to establish the core index set of acupuncture treatment for cervical spondylosis.
|
|
|
|
|
[1] 胥少汀,葛宝丰,徐印坎.实用骨科学[M].2版.北京:人民卫生出版社,2001:46.
[2] 施鹏,王寅.国内针灸治疗颈椎病的近况[J].现代中西医结合杂志,2010,19(21):2723-2726.
[3] 吴明娟,辛淑梅,石莹.针灸治疗椎动脉型颈椎病56例[J].中国中医药现代远程教育,2011,9(20):142.
[4] 孙谊.针灸治疗颈椎病的临床疗效分析[J].中国社区医师,2014,30(15):112-113.
[5] 汪玉良,王正礼.针灸治疗神经根型颈椎病疗效观察[J].辽宁中医杂志,2013,40(11):2342-2344.
[6] 粟胜勇,邓柏颖,李扬帆,等.经络“气伤”在痛症病机中的意义浅探[J].中医药学刊,2005,23(2):327.
[7] 陈麒仲.神经根型颈椎病的治疗方法探讨[D].北京:北京中医药大学,2012.
[8] 张铁英,孙琳.辨经取穴治疗神经根型颈推病360例疗效观察[J].针灸临床杂志,2005,21(5):18-19.
[9] 刘公望,王秀云,孟向文.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):25-28.
[10] 贺亚辉.针刺治疗神经根型颈椎病疗效观察[J].中国中医药信息杂志,2007,14(11):72-73.
[11] 任艳君.针刺经外奇穴治疗神经根型颈椎病60例[J].中国民间疗法,2014,22(1):13-14.
[12] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994.
[13] 郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002.
[14] 黄外军,姜爱平.合谷刺配合输刺阳性反应点治疗颈型颈椎病疗效观察[J].中国针灸,2018,38(11):1157-1160.
[15] 王大力,荣兵.腹部推拿配合针灸治疗神经根型颈椎病的随机对照试验临床观察[J].辽宁中医杂志,2016,43(12):2627-2630.
[16] 王虹,孙文善,王余民,等.微创埋线治疗颈椎病颈痛临床观察[J].上海针灸杂志,2016,35(12):1494-1496.
[17] 刘彩芝.针刺配合正骨手法治疗颈型颈椎病的临床疗效观察[D].广州:广州中医药大学,2018.
[18] 李代富.基于“颈腰同治”理论温针灸治疗颈型颈椎病临床疗效观察[J].双足与保健,2018,27(14):171-172.
[19] 朱琳琳,蔡向红,尹逊路,等.针刺青灵组穴治疗神经根型颈椎病疗效观察[J].中国中医基础医学杂志,2018, 24(6):813-814,817.
[20] 沈羽思.针灸联合推拿疗法治疗椎动脉型颈椎病疗效及对患者血流动力学的影响[J].现代中西医结合杂志,2018,27(35):3951-3954. |
|
|
|