209 | 1 | 36 |
下载次数 | 被引频次 | 阅读次数 |
目的 探究中医护理技术耳部全息刮痧联合耳穴贴压改善颈型颈椎病疼痛不适的临床疗效。方法 以2022年11月—2023年5月贵阳市某高校患颈型颈椎病大学生为研究对象,随机分为耳部全息刮痧组、耳穴贴压组、耳部全息刮痧联合耳穴贴压联合组,每组30例。每周干预2次,连续3周,分别于干预前、干预3周后采用颈痛量表(northwick park neck pain questionaire, NPQ)评分判断疗效。结果 干预3周后,耳部全息刮痧组、耳穴贴压组、耳部全息刮痧联合耳穴贴压组的NPQ评分分别为5.73±1.87、4.63±1.50、4.23±1.43,有效率分别为36.7%、80.0%、100.0%,相比干预前差异均具有统计学意义(P<0.01)。结论 耳部全息刮痧与耳穴贴压均能缓解颈型颈椎病的疼痛,但二者联合使用的疗效更为显著,值得临床推广运用。
Abstract:Objective To evaluate the clinical efficacy of the traditional Chinese nursing techniques of auricular holographic scraping(Guasha) combined with auricular acupressure in relieving pain and discomfort caused by cervical spondylosis of the neck type.Methods From November 2022 to May 2023,college students diagnosed with cervical spondylosis of the neck type at a university in Guiyang were recruited and randomly assigned to one of three groups: auricular holographic scraping group, auricular acupressure group, and a combined therapy group(n=30 per group).Interventions were administered twice weekly for three consecutive weeks.The Northwick Park Neck Pain Questionnaire(NPQ) was used to assess treatment efficacy before and after the intervention.Results After three weeks of intervention, NPQ scores were 5.73 ± 1.87 in the scraping group, 4.63±1.50 in the acupressure group, and 4.23±1.43 in the combined group.The corresponding effective rates were 36.7%,80.0%,and 100%,respectively.All groups showed statistically significant improvements compared to baseline(P<0.01).Conclusion Both auricular holographic scraping and auricular acupressure effectively alleviate pain associated with cervical spondylosis of the neck type, with the combined treatment demonstrating superior efficacy.These findings support the broader clinical application of integrated traditional Chinese nursing techniques.
[1] 孙震,雷立健,刘鹏,等.大学生群体颈椎健康状况及影响因素分析[J].中国学校卫生,2019,40(4):631-633.
[2] 颈椎病的手术治疗及围手术期管理专家共识(2018)[J].中华外科杂志,2018,56(12):881-884.
[3] 子明,李放,陈华江.颈椎病的分型、诊断及非手术治疗专家共识(2018)[J].中华外科杂志,2018,56(6):401-402.
[4] 刘献强,唐臻一,王博韬,等.近5年中医药治疗颈型颈椎病研究进展[J].光明中医,2022,37(10):1882-1884.
[5] 何佳薇,刘瑶,罗永丽,等.耳穴疗法的研究进展[J].中国疗养医学,2023,32(12):1317-1320.
[6] 刘凤选,梅御寒,刘芝修.耳部全息铜砭刮痧方法的临床应用[J].中国护理管理,2019,19(10):1445-1448.
[7] 刘雅.耳部全息铜砭刮痧在冠心病稳定型心绞痛伴失眠患者中的应用研究[D].合肥:安徽中医药大学,2023.
[8] 牛香茹.耳部全息铜砭刮痧对中风后便秘患者的护理效果观察[D].哈尔滨:黑龙江中医药大学,2022.
[9] 张蓓,吴凡.腕踝针联合耳穴贴压治疗卒中后肩手综合征的疗效观察[J].上海针灸杂志,2023,42(8):814-819.
[10] 牛继业,翟少华,张晋欣.中医特色护理在预防缺血性脑卒中相关性肺炎中的应用效果[J].护理研究,2022,36(19):3570-3572.
[11] 廖秋萍,陈志方,饶娟,等.耳穴压豆联合八段锦在2型糖尿病病人中的应用效果[J].护理研究,2022,36(3):525-527.
[12] 肖卫红,周玉贞,蔡碧绸,等.耳穴贴压对重症肺炎病人炎症水平及安全性的影响[J].护理研究,2022,36(16):2996-2999.
[13] 李英,杜金龙,郝蓬亮,等.耳穴贴压对肺部分切除术患者围手术期镇痛效果观察[J].中国针灸,2021,41(6):603-607.
[14] 文婷,李干,陈世彪,等.耳穴磁珠贴压对初产妇硬膜外分娩镇痛中产间发热的影响[J].中国针灸,2020,40(11):1159-1163.
[15] 吴巧红,黄旭芳,毛剑婷,等.耳穴贴压对肝癌射频消融患者超前镇痛干预的应用效果研究[J].介入放射学杂志,2020,29(10):1047-1051.
[16] 周荣富.针刺后溪穴不同深度对治疗神经根型颈椎病的疗效探索[D].广东:广州中医药大学,2014.
[17] 颈椎病诊治与康复指南[C]//中国康复医学会颈椎病专业委员会眩晕学组成立大会暨首届眩晕多学科研讨会论文集,2012:1-22.
[18] 林建平,陈少清,李明,等.颈型颈椎病患者不同年龄段颈椎功能障碍类型的差异[J].福建医科大学学报,2021,55(3):252-255.
[19] 马艳,赵悦,林育潇,等.耳部铜砭刮痧联合耳穴贴压对甲状腺相关性眼病激素冲击治疗后失眠的疗效观察[J].中西医结合护理,2022,8 (12):199-203.
[20] 国家中医药管理局.中医病症诊断疗效标准[M].北京:中国中医药出版社,2020:33.
[21] 朱丹,郜婕.耳穴诊治颈椎病临床观察[J].实用中医药杂志,2020,36(10):1339-1340.
[22] 唐琳,李萍.耳穴压豆疗法对神经根型颈椎病的护理干预研究[J].健康必读,2019,(8):13.
[23] 桂治民.耳穴压籽法在老年骨科患者术后自控静脉镇痛中的应用[J].光明中医,2023,38(11):2149-2151.
[24] 黄艳平,郑佳.耳穴铜砭刮痧联合耳穴压豆早期干预对腹部手术术后腹胀和疼痛的影响[J].中医研究,2022,35(12):50-55.
[25] LEARK AM,COOPER J,DYER S,et al.The Northwick Park Neck Pain Questionnaire,devised to measure neck pain and disability[J].Br J Rheumatol,1994,5(33):469-74.
[26] ZENG D,YAN X,DENG H,et al.Placebo response varies between different types of sham acupuncture:A randomized double-blind trial in neck pain patients[J].European Journal of Pain,2022,26(5):1006-1020.
[27] FERREIRA M L,BORGES B M,REZENDE I L,et al.Are neck pain scales and questionnaires compatible with the international classification of functioning,disability and health A systematic review[J].Disability and Rehabilitation,2010,32(19):1539-1546.
[28] 杨忠奇.我国中药新药临床研究技术指导原则演变、现状和展望[J/OL].中国中药杂志,1-6[2025-06-18].
[29] 王振亚,郭艳幸.手法治疗颈型颈椎病的临床研究进展[J].临床医药文献电子杂志,2019,6(19):202-220.
[30] 宁运乾,邹焕汶.颈型颈椎病中医外治法研究进展[J].中外医疗,2022,41(12):195-198.
[31] 农雅萍,兰蕾.中医外治法治疗颈椎病的临床运用[J].大众科技,2022,24(3):82-85.
[32] 符婉月,李佩,陈星旭,等.腹针配合耳穴压籽疗法治疗颈型颈椎病的疗效[J].饮食保健,2023(12):137-140.
[33] 刘继洪,许艺燕,徐光镇,等.耳穴医疗是中西医结合的一座“桥梁”[J].中国中西医结合杂志,2019,39(6):750-752.
基本信息:
DOI:
中图分类号:R248.9
引用信息:
[1]朱江鹭,程联凤,熊江艳等.耳部全息刮痧联合耳穴贴压改善颈型颈椎病的疗效观察[J].微量元素与健康研究,2025,42(04):12-17.
基金信息:
贵州省贵州中医药大学大学生创新创业训练计划项目(2015-413000013-038)