微波银质针对颈椎关节功能的影响(1)
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【摘要】 目的：观察银质针加微波照射治疗对顽固性颈椎病颈椎关节活动度的影响。方法：抽取病程5年以上的顽固性颈椎病120例，银质针(治疗组)与毫针(对照组)各60例，针刺后加微波照射，测量治疗前后颈椎活动度，并按视觉模拟评分(VAS)进行疼痛评价，6个月后随访观察疗效：治疗组治愈49例，好转10例，无效1例；对照组治愈7例，好转29例，无效24例。治疗组前后对照差异性有显著性意义(P﹤0.05)，治疗组与对照组差异性有显著性意义(P﹤0.05)。结论：银质针组有显著性疗效，银质针作为一种治疗颈椎病既镇痛又治痛且长久不复发的疗法，值得推广应用。
【关键词】 银质针；微波；顽固性颈椎病
Influence of Treatments with Silver Needle on the Cervical Vertebral Function Honggang Xie .Taian Chinese Medicine Hospital, Taian, Shandong Province 271000
【Abstract】 Objective:To study the efficacy of the treatment—silver needle with microwave heating(in acupuncture use)—on ROM(Range of Movement) limitation in intractable cervical spondylosis.Method: Randomly select 120 cases of intractable cervical spondylosis of over 5 years history, 60 cases for the treatment group with silver needle and the control group with fine needle,respectively. For both groups, apply microwave heating after the acupuncture, measure ROM and assess pain intensity with visual analog scale (VAS) before and after the treatment for 6 months. Result: Among the treatment group, 49 cases were cured, the symptoms of 10 cases were improved, no effect in 1 case; while in the control group,7 cases were cured, the symptoms of 29 cases were improved, no effect in 24 cases. There were significant difference within the treatment group before and after the treatment(P﹤0.05), so were there between the treatment group and the control group(P﹤0.05). Conclution: The treatment with silver needle has obvious therapeutic effects, providing for patients with cervical spondylosis a theropy of easing and curing pain with low recurrence rate, a theropy worthy of extending.
【Key words】 silver needle; microwave; intractable cervical spondylosis
顽固性颈椎病采用针灸、推拿、手法整复、牵引、药物注射等治疗，治愈率低，反复发作。宣氏软组织外科“以痛为腧”，选取软组织骨骼附着处为主要治疗区域，采用银质针松解痉挛的软组织，加热针身消除无菌性炎症，达到持久镇痛，长久不复发，堪比手术。但银质针针尾悬挂艾球的加热形式，皮肤进针点需达到100℃以上，才能达到理想疗效，创伤稍大，尚不够人性化，有待工艺改进。我们采用微波加热银质针简化操作，使病情更快恢复，减少了痛苦，疗效满意。
1 资料与方法
1.1 一般资料
1.1.1 诊断标准：按照宣蛰人软组织外科学关于颈部软组织损害(传统称颈椎病)诊断标准筛选病例，祖国医学“重证不重病，重功能不重结构。”所以我们把症状体征作为主要依据，影像资料只作参考。选取病程5年以上的顽固性颈椎病，且经过1年以上正规或间断治疗而复发者，疼痛VAS评分>5分。
1.1.2 排除标准(排除对象)：1脊髓型颈椎病(颈椎管狭窄症)。因属于椎管内因素引起，只能通过手术解决。2有出血倾向者，三天内服用抗凝剂者。3严重的高血压、心脏病患者。4麻醉剂过敏者。5空腹血糖高于10umol/L ......
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