温针灸调治气虚质颈椎亚健康的临床研究
发布时间：2018-10-31 18:24
【摘要】：目的:1.分析"中医体质学"在指导"亚健康"临床干预手段方面的角色,整理近些年中西医在改善颈椎亚健康状态方面的研究进展。2.采用单盲随机临床对照实验的方法,观察温针灸改善气虚质颈椎亚健康状态的临床效果,评价针灸调体思路在改善体质亚健康方面的特色。方法:本课题通过《颈椎亚健康评价量表》(自制)与《中医体质分类与判定标》(中华中医药学会),共筛选出66例符合气虚质颈椎亚健康入组标准的受试者,通过区组随机分组的方法,分为治疗组(温针灸组)与对照组(电针组),各33例。治疗组采用傅杰英教授调理气虚质颈椎亚健康患者常用的针灸配穴与操作方法:温针灸百会、颈百劳、脾腧、肾俞、足三里。对照组采用石学敏院士主编的《针灸学》治疗颈椎病的取穴:天柱、颈百劳、大杼(颈部穴位加电针)、后溪、列缺。两组每次治疗30min,每周治疗2次,四周为1个疗程,1个疗程后评定疗效。治疗期间嘱患者每日做10分钟颈部保健操,锻炼颈部肌肉。结果:1.治疗组和对照组在改善颈部不适症状方面均有显著疗效,总有效率分别为96%和90%。2.治疗后两组的颈部不适症状差异具有统计学意义(P0.05),治疗组对颈部不适症状的改善程度优于对照组。3.治疗后,对照组气虚体质评分较前无显著差异(P0.05),治疗组气虚体质评分较前有显著差异(P0.05)。结论:研究结果表明,治疗组与对照组在改善颈椎亚健康方面都有明显疗效,且前者的疗效优于后者;但是在改善气虚体质方面,治疗组有着显著优势,而对照组尚未显现出改善体质的效果。现代人因工作生活方式的改变,普遍存在颈部不适的困扰,而又尚未达到颈椎病的诊断标准,因而人群中颈椎的亚健康状态大量存在。"治未病"的概念不仅可应用于心脑血管等慢性病的,也可运用于颈椎病等骨科疾病的防治。针灸调体的思路不仅可以更大程度上缓解患者颈部不适症状,还能同时提升患者的体质,从根源上改善其亚健康状态,这是中医"整体观"在"治未病"领域的充分体现。针灸是祖国医学的瑰宝,自古用于强身健体,驱逐各类病邪,然而经过数千年的发展至今,若是把针灸尽局限于中风偏瘫,颈肩腰腿疼等领域,实乃大材小用。针灸作为一门绿色医学,必将在调治"亚健康"领域大放异彩。
[Abstract]:Objective: 1. This paper analyzes the role of TCM physique in guiding the clinical intervention of "sub-health", and collates the research progress of TCM and Western medicine in improving the subhealth status of cervical vertebra in recent years. 2. A single blind randomized controlled clinical trial was conducted to observe the clinical effect of warming acupuncture and moxibustion on improving subhealth of cervical vertebra due to deficiency of qi, and to evaluate the characteristics of acupuncture and moxibustion in improving physical sub-health. Methods: a total of 66 subjects who met the criteria of subhealth of cervical vertebrae due to deficiency of qi were selected by using the Cervical Spine Sub-Health Assessment scale (self-made) and the criteria for the Classification and determination of physical Fitness of TCM (Chinese Academy of traditional Chinese Medicine). The patients were randomly divided into treatment group (warm acupuncture group) and control group (electroacupuncture group) with 33 cases each. In the treatment group, Professor Fu Jiying was used to regulate the acupuncture points and operation methods of Qi-deficiency cervical subhealth patients: warming acupuncture and moxibustion Baihui, neck Bairao, spleen Shu, Shenshu, Zusanli. The control group was treated with "Acupuncture and moxibustion" (Academician Shi Xuemin): Tianzhu, JingbaiLao, Dazhu (cervical acupoints plus electric acupuncture), Houxi, lack of column. Two groups were treated for 30 min, 2 times a week, 4 weeks as a course of treatment, and 1 course of treatment was used to evaluate the curative effect. During the treatment, patients were told to do 10 minutes of neck exercises daily to exercise neck muscles. The result is 1: 1. Both the treatment group and the control group were effective in improving neck discomfort, the total effective rates were 96% and 90%, respectively. There was significant difference in neck discomfort between the two groups after treatment (P0.05). The improvement of neck discomfort in the treatment group was better than that in the control group. After treatment, there was no significant difference in Qi deficiency constitution score between the control group and the former (P0.05), but there was significant difference between the treatment group and the former (P0.05). Conclusion: the results show that both the treatment group and the control group have obvious curative effect in improving subhealth of cervical vertebrae, and the former is superior to the latter. But in improving Qi deficiency constitution, the treatment group has significant advantages, while the control group has not shown the effect of physical improvement. Due to the changes in work and life style, modern people generally suffer from neck discomfort and have not yet met the diagnostic criteria for cervical spondylosis. Therefore, the subhealth state of cervical vertebrae exists in large numbers in the population. " The concept of "cure without disease" can be applied not only to chronic diseases such as cardiovascular and cerebrovascular diseases, but also to the prevention and treatment of orthopaedic diseases such as cervical spondylosis. The idea of acupuncture and moxibustion can not only relieve the uncomfortable symptoms of neck, but also improve the patients' physique and improve their sub-health status at the root. This is the full embodiment of the holistic view of TCM in the field of "treating diseases before illness". Acupuncture and moxibustion is a treasure of Chinese medicine, which has been used since ancient times for strengthening health and expelling all kinds of diseases. However, after thousands of years' development, acupuncture and moxibustion has been confined to the fields of apoplectic hemiplegia, neck, shoulder, waist and leg pain and so on. Acupuncture and moxibustion, as a green medicine, will shine brilliantly in the field of regulation and treatment of sub-health.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9
本文编号：2303157
[Abstract]:Objective: 1. This paper analyzes the role of TCM physique in guiding the clinical intervention of "sub-health", and collates the research progress of TCM and Western medicine in improving the subhealth status of cervical vertebra in recent years. 2. A single blind randomized controlled clinical trial was conducted to observe the clinical effect of warming acupuncture and moxibustion on improving subhealth of cervical vertebra due to deficiency of qi, and to evaluate the characteristics of acupuncture and moxibustion in improving physical sub-health. Methods: a total of 66 subjects who met the criteria of subhealth of cervical vertebrae due to deficiency of qi were selected by using the Cervical Spine Sub-Health Assessment scale (self-made) and the criteria for the Classification and determination of physical Fitness of TCM (Chinese Academy of traditional Chinese Medicine). The patients were randomly divided into treatment group (warm acupuncture group) and control group (electroacupuncture group) with 33 cases each. In the treatment group, Professor Fu Jiying was used to regulate the acupuncture points and operation methods of Qi-deficiency cervical subhealth patients: warming acupuncture and moxibustion Baihui, neck Bairao, spleen Shu, Shenshu, Zusanli. The control group was treated with "Acupuncture and moxibustion" (Academician Shi Xuemin): Tianzhu, JingbaiLao, Dazhu (cervical acupoints plus electric acupuncture), Houxi, lack of column. Two groups were treated for 30 min, 2 times a week, 4 weeks as a course of treatment, and 1 course of treatment was used to evaluate the curative effect. During the treatment, patients were told to do 10 minutes of neck exercises daily to exercise neck muscles. The result is 1: 1. Both the treatment group and the control group were effective in improving neck discomfort, the total effective rates were 96% and 90%, respectively. There was significant difference in neck discomfort between the two groups after treatment (P0.05). The improvement of neck discomfort in the treatment group was better than that in the control group. After treatment, there was no significant difference in Qi deficiency constitution score between the control group and the former (P0.05), but there was significant difference between the treatment group and the former (P0.05). Conclusion: the results show that both the treatment group and the control group have obvious curative effect in improving subhealth of cervical vertebrae, and the former is superior to the latter. But in improving Qi deficiency constitution, the treatment group has significant advantages, while the control group has not shown the effect of physical improvement. Due to the changes in work and life style, modern people generally suffer from neck discomfort and have not yet met the diagnostic criteria for cervical spondylosis. Therefore, the subhealth state of cervical vertebrae exists in large numbers in the population. " The concept of "cure without disease" can be applied not only to chronic diseases such as cardiovascular and cerebrovascular diseases, but also to the prevention and treatment of orthopaedic diseases such as cervical spondylosis. The idea of acupuncture and moxibustion can not only relieve the uncomfortable symptoms of neck, but also improve the patients' physique and improve their sub-health status at the root. This is the full embodiment of the holistic view of TCM in the field of "treating diseases before illness". Acupuncture and moxibustion is a treasure of Chinese medicine, which has been used since ancient times for strengthening health and expelling all kinds of diseases. However, after thousands of years' development, acupuncture and moxibustion has been confined to the fields of apoplectic hemiplegia, neck, shoulder, waist and leg pain and so on. Acupuncture and moxibustion, as a green medicine, will shine brilliantly in the field of regulation and treatment of sub-health.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9
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