超声可视化针刀技术治疗颈型颈椎病的临床效果

Abstract
Figure/Table
References (21)
Related Citation (15)

Download: PDF (739 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To observe the clinical efficacy of ultrasound-guided akupotomye technique in the treatment of cervical spondylosis. Methods A total of 200 patients with cervical spondylosis admitted to Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine from October 2017 to June 2020 were selected. According to random number table method, they were divided into treatment group and control group, with 100 cases in each group. Ultrasound-guided akupotomye was used in the treatment group and traditional akupotomye was used in the control group. The treatment course of both groups was two weeks. The changes of visual analogue score (VAS) and Japanese Orthopaedic Association (JOA) scale score before and two weeks after treatment were observed. The changes of cervical curvature and surface electromyography (sEMG) of trapezius and sternocleidomastoid before and three months after treatment were observed in the two groups. Results Before treatment, there were no significant differences in VAS, JOA score, cervical curvature, trapezius and sternocleidomastoid sEMG between the two groups (P ＞ 0.05). After two weeks of treatment, the VAS of the two groups was lower than that before treatment, and the JOA score of the two groups was higher than that before treatment, and the VAS of the treatment group was lower than that in the control group, and the JOA score of the treatment group was higher than that in the control group, with statistical significance (all P ＜ 0.05). Three months after the treatment, the cervical curvature and the sEMG of trapezius and sternocleidomastoid in both groups were higher than those before treatment, and the treatment group were higher than the control group, with statistical significance (all P ＜ 0.05). Conclusion Ultrasound-guided akupotomye technique can significantly improve the neck function of patients with cervical spondylosis, reduce neck pain, improve the anti-fatigue ability of their muscles, and restore the physiological curvature of cervical spondylosis, and its curative effect is better than that of traditional akupotomye therapy.

Key words： Ultrasound Akupotomye Cervical spondylosis Curative effect

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LIU Hong1
	2 ZHANG Zesheng1
	2 ZHANG Liangzhi1
	2 ZHANG Renpan3 JI Ziqian3 LIU Jing1
	2 XIU Zhongbiao1
	2
	4▲

Cite this article:

LIU Hong1,2 ZHANG Zesheng1,2 ZHANG Liangzhi1, et al. Effect on the ultrasound-guided akupotomye technique in the treatment of cervical spondylosis[J]. 中国医药导报, 2021, 18(15): 180-183,196.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I15/180

[1] Lv Y，Tian W，Chen D，et al. The prevalence and associated factors of symptomatic cervical Spondylosis in Chinese adults：a communitybased cross-sectional study [J]. BMC Musculoskeletal Disorders，2018，19（1）：325.
[2] 申毅锋，周俏吟，李石良.超声引导下针刀治疗研究进展[J].中国医药导报，2017，14（33）：55-58.
[3] 刘晶，林巧璇，宫玉榕，等.超声多模态联合技术评估膝骨性关节炎兔股直肌病变的应用探析[J].中国医药导报，2020，17（7）：147-151.
[4] 中国康复医学会.颈椎病诊治与康复指南2010版[S].北京：中国康复医学会颈椎病专业委员会，2010：1-7．
[5] 中国针灸学会微创针刀专业委员会.针刀医学临床诊疗与操作规范[M].北京：中国中医药出版社，2012：56-60.
[6] 中华医学会.临床诊疗指南疼痛学分册[M].北京：人民卫生出版社，2007：13-14．
[7] Ono K，Ebara S，Fuji T，et al. Myelopathy hand. New clinical signs of cervical cord damage [J]. J Bone Joint Surg Br，1987，69（2）：215-219.
[8] 张琛琳，陈剑峰.自制颈部锻炼操结合推拿治疗颈型颈椎病的临床研究[J].中医药导报，2019，25（12）：112-115.
[9] 仲卫红，李宇涛，林建平，等.通督强脊“三步五法”推拿对颈型颈椎病肌肉功能影响的临床研究[J].中华中医药杂志，2019，34（11）：5501-5505.
[10] 郭现辉，潘富伟，李沛.基于平乐正骨筋骨平衡理论探析神经根型颈椎病的防治思路[J].中华中医药杂志，2018， 33（10）：4529-4532.
[11] 覃兴乐，苏霞辉，徐森明，等.颈后肌群劳损对颈椎病患者颈曲改变的影响及针刀治疗研究[J].辽宁中医杂志，2016，43（11）：2361-2364.
[12] 张欣，李殿宁，李开平，等.无创兔颈型颈椎病动物模型的建立[J].中华中医药学刊，2015，33（4）：913-916.
[13] 田弯弯，李开平，李敏，等.针刀对颈型颈椎病模型兔颈肌中SOD、MDA的影响[J].辽宁中医药大学学报，2016， 18（5）：136-138.
[14] 张良志，刘洪，修忠标.基于经筋理论针刀治疗膝骨性关节炎疗效的Meta分析[J].中国民族民间医药，2020， 29（8）：54-57.
[15] 朱晨霞，郑慧.《肌骨超声介入治疗图解》高频超声引导下在小针刀治疗膝关节中的应用[J].介入放射学杂志，2020，29（11）：1181.
[16] 戴敏，李开平，吴晓亮.超声可视化针刀技术研究现状和应用优势分析[J].辽宁中医药大学学报，2020，22（6）：170-173.
[17] Dieterich AV，Yavuz U■，Petzke F，et al. Neck Muscle Stiffness Measured with Shear Wave Elastography in Women with Chronic Nonspecific Neck Pain [J]. J Orthop Sports Phys Ther，2020，50（4）：179-188.
[18] 夏丽芳，占桂平，陈广升.颈部伸屈肌群静力增强训练联合颈椎牵引用于神经根型颈椎病患者的效果[J].中国现代医生，2020，58（32）：89-92.
[19] 李智荣.易筋经托天桩对颈型颈椎病青中年龄段患者颈椎力学的影响[D].福州：福建中医药大学，2020：18-20.
[20] 任祥，蒋学余.三维正骨推拿手法治疗颈型颈椎病的临床观察[J].中医临床研究，2020，12（4）：33-36.
[21] 秦标，王宁，杨丽艳，等.改良PNF技术配合龙氏正骨手法治疗颈型颈椎病的疗效观察[J].中医药导报，2017， 23（20）：90-92.