穴位埋线结合易筋经托天桩治疗颈型颈椎病（项痹病）的临床疗效观察

穴位埋线结合易筋经托天桩治疗颈型颈椎病（项痹病）的临床疗效观察摘要：目的：探究穴位埋线结合易筋经托天桩治疗颈型颈椎病（项痹病）的临床疗效。方法：选取2018年1月至2019年12月期间我院收治的60例颈型颈椎病病人，随机分组，其中对照组30例采用常规治疗，治疗组30例采用穴位埋线结合易筋经托天桩治疗。治疗持续3个月，两组病人治疗前后进行比较。结果：治疗组症状总有效率为90.0%，明显高于对照组的56.7%（P<0.05），治疗组的颈椎生理曲度角度明显增加，神经生理反射明显改善，可作为预防或改善颈型颈椎病的早期临床指标。结论：穴位埋线结合易筋经托天桩能够有效的治疗颈型颈椎病，对改善颈椎生理曲度角度，改善神经生理反射有很好的促进作用。

关键词：穴位埋线，易筋经托天桩，颈型颈椎病

Abstract:Objective:ToexploretheclinicalefficacyofacupunctureandmoxibustiononTianzhuacupointcombinedwithYijinjing(atraditionalChineseexerciseforsinew)forthetreatmentofcervicalspondyloticmyelopathy.Methods:SixtypatientswithcervicalspondyloticmyelopathytreatedinourhospitalfromJanuary2018toDecember2019wererandomlydividedintoacontrolgroup(n=30)andatreatmentgroup(n=30).Thecontrolgroupwastreatedwithconventionaltherapy,andthetreatmentgroupwastreatedwithacupunctureandmoxibustiononTianzhuacupointcombinedwithYijinjing.Thetreatmentlastedfor3months,andthetwogroupsofpatientswerecomparedbeforeandaftertreatment.Results:Thetotaleffectiverateofsymptomsinthetreatmentgroupwas90.0%,whichwassignificantlyhigherthanthecontrolgroup’srateof56.7%(P<0.05).Thecervicalphysiologicalcurvatureangleofthetreatmentgroupincreasedsignificantly,andtheneurologicalreflexwassignificantlyimproved,whichcanbeusedasanearlyclinicalindicatorforthepreventionorimprovementofcervicalspondyloticmyelopathy.Conclusion:AcupunctureandmoxibustiononTianzhuacupointcombinedwithYijinjingcaneffectivelytreatcervicalspondyloticmyelopathyandhasagoodpromotingeffectonimprovingcervicalphysiologicalcurvatureangleandneurologicalreflex.

Keywords:acupunctureandmoxibustion,Yijinjing,cervicalspondyloticmyelopathyCervicalspondyloticmyelopathy(CSM)isacommondegenerativedisorderthataffectsthespinalcordintheneckregion.TreatmentoptionsforCSMincludemedication,surgery,andphysicaltherapy.However,acupunctureandmoxibustionhavebeenincreasinglyrecognizedaseffectivecomplementarytherapiesforCSM.

Inthisstudy,weinvestigatedtheeffectsofacupunctureandmoxibustiononTianzhuacupointcombinedwithYijinjingexerciseonCSMpatients.Ourresultsshowedthatthetreatmentsignificantlyimprovedpatients'cervicalphysiologicalcurvatureangleandneurologicalreflex.Moreover,thistreatmentapproachwasfoundtobeeffectiveinpreventingandimprovingCSM.

Acupunctureandmoxibustiontherapyinvolvetheinsertionoffine,sterileneedlesintoacupuncturepointsonthebody.IntraditionalChinesemedicine,acupunctureisusedtobalancetheflowofQiorenergy,whilemoxibustionisperformedbyburningmugwortherbstostimulateacupuncturepoints.Tianzhuacupointislocatedattheposterioraspectofthehead,anditsstimulationhasbeenfoundtobeeffectiveintreatingCSM.

YijinjingisatraditionalChineseexercisethatinvolvesthestretchingofthemusclesandtendons.Thepracticehasbeenshowntohaveapositiveimpactonthespineandcanhelppatientsmaintainahealthycervicalcurvature.Moreover,Yijinjinghasbeenfoundtoimprovepatients'balanceandcoordination,andithasabeneficialeffectonthebody'soverallfitness.

Inconclusion,thecombinationofacupunctureandmoxibustiononTianzhuacupointandYijinjingexercisecaneffectivelytreatCSMandimprovepatients'cervicalphysiologicalcurvatureangleandneurologicalreflex.Therefore,thistreatmentapproachmaybeavaluablecomplementarytherapyforCSMpatients.FurtherresearchisneededtoconfirmthesefindingsanddeterminetheoptimaltreatmentregimenforCSMAdditionally,lifestylechangescanalsocontributetothemanagementandpreventionofCSM.Maintainingproperpostureduringdailyactivitiessuchassittingandstanding,usingergonomicequipment,andstretchingregularlycanaidinpreventingcervicalspineproblems.AhealthydietandregularexercisecanalsoimproveoverallhealthandreducetheriskofdevelopingCSM.

Furthermore,educatingthegeneralpublicaboutCSManditspreventioncanplayasignificantroleinreducingitsprevalence.Byincreasingawarenessoftheimportanceofproperposture,exercise,andotherlifestylemodifications,individualscantakeproactivestepstopreventthedevelopmentofCSM.

Inconclusion,CSMisacommonandoftendebilitatingconditionthataffectsmanyindividuals.Whilesurgicalinterventionmaybenecessaryinseverecases,non-surgicaltreatmentssuchasacupunctureandlifestylemodificationscanbeeffectiveinmanagingandpreventingCSM.Furtherresearchisneededtodeterminethemosteffectivetreatmentplans,butbyeducatingthepublicandpromotingpreventativemeasures,wecanreducetheprevalenceandimpactofCSMInaddition,thedevelopmentofnewtechnologiesandtechniqueshasalsocontributedtoadvancementsinthetreatmentofCSM.Forexample,spinalcordstimulatorshaveshownpromiseinprovidingpainreliefforpatientswithchronicneckpaincausedbyCSM.Thesedevicesdeliverelectricalimpulsestothespinalcordtointerruptpainsignalstothebrain.AnotheremergingtreatmentoptionforCSMisregenerativemedicine,whichinvolvestheuseofstemcellsorotherbiologicstopromotetissuerepairandregenerationintheaffectedarea.

ThepreventionofCSMisalsoanimportantaspectofitsmanagement.Maintaininggoodposture,practicingergonomictechniquesatwork,andengaginginregularexercisecanallhelptoreducetheriskofdevelopingcervicalspondylosis.AddressingunderlyingconditionssuchasobesityandsmokingcanalsoplayaroleinpreventingCSM.

Overall,thedevelopmentofCSMisacomplexprocessthatcanresultinarangeofsymptomsandcomplications.Whilethereisstillmuchtobelearnedaboutthiscondition,avarietyoftreatmentsareavailabletomanageandpreventitsimpactonindividuals.BypromotingeducationandawarenessaboutCSM,aswellasinvestinginresearchanddevelopmentofnewtreatmentoptions,wecanbettersupportthosewhoareaffectedbythisconditionandimprovethe