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首页> 外文期刊>Acta Biomedica Scientifica >Иглорефлексотерапия в комплексном лечении шейных болевых синдромов
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Иглорефлексотерапия в комплексном лечении шейных болевых синдромов

机译:针灸治疗颈椎疼痛综合症

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摘要

To evaluate the effectiveness of the developed method of acupuncture in the complex of conservative treatment of pain in patients with osteochondrosis of the cervical spine in the neurosurgical Department of Irkutsk Scientific Centre of Surgery and Traumatology, 58 patients were under observation, 38 of whom were treated with acupuncture. The results of treatment were evaluated by the applying VAS testing and conducting stimulation electroneuromyography. The patients had 9–10 sessions of corporal and auricular acupuncture. Acupuncture was carried out according to 1st?or 2nd?variants of inhibitory action. When selecting points, the locally segmental principle was used, and the effect was carried out on symmetric points of general action (P7, GI4, GI 11 , E36 , RP6, VB34), on local pain ah shi points, in “near” and “far” points from the pain zone; on standard points of meridians of calming action: sympathetic, sedative and analgesic (points-cracks). Specific pain points were used: in pain in the area of the shoulder girdle – R5, E37, R4: in the rear surface of the chest and region of the scapula – T26, V43, V11; in neuralgia – V60, TR5, VB41. Corporal reflexology “enhance” auricular, we used impact on АТ 55, АТ 13, АТ 22, АТ 51, АТ 34. In cases of severe pain and musculotonic syndromes, treatment was initiated with effects on auricular points: АР 37 point of the cervical spine and АР 55 point Shen Men. When comparing the results of VAS testing before and after the treatment, in all patients we noted a decrease in the intensity of pain, and 16 of patients went into the category of “mild cases”. The positive dynamics is confirmed by the data of electroneuromyographic studies: an increase in the amplitude of the M-response and a decrease in latency, a change in the characteristics of the F-wave. The obtained data indicate the high efficiency of acupuncture in the treatment of pain and muscle-tonic syndromes in patients with spinal osteochondrosis.
机译:为了评估在伊尔库茨克外科和创伤科学中心的神经外科中,采用针刺法对颈椎骨软骨病患者的保守治疗疼痛的复合物的有效性,观察了58例患者,其中38例接受了治疗针灸通过应用VAS测试并进行刺激性电镜检查评估治疗结果。患者进行了9-10次体针和耳针治疗。根据抑制作用的第一个或第二个变量进行针灸。在选择点时,使用局部分段原理,并在对称动作的对称点(P7,GI4,GI 11,E36,RP6,VB34),局部疼痛ah shi点(在“附近”和远离疼痛区的“远”点;在平静经络的标准穴位上:同情,镇静和止痛(穴位开裂)。使用了特定的疼痛点:在肩带区域的疼痛– R5,E37,R4:在胸部后表面和肩cap骨区域– T26,V43,V11;神经痛– V60,TR5,VB41。体反射疗法“增强”了耳廓,我们使用了对АТ55,АТ13,АТ22,АТ51,АТ34的影响。在严重疼痛和肌肉强直综合症的情况下,开始治疗对耳穴有影响:子宫颈АР37点脊柱和АР55点沉门。在比较治疗前后的VAS测试结果时,我们在所有患者中均注意到疼痛程度有所减轻,其中16例患者属于“轻度病例”类别。电子肌电图研究的数据证实了积极的动态:M反应的幅度增加和潜伏期减少,F波特征的改变。所获得的数据表明,针灸治疗脊柱骨软骨病患者的疼痛和肌肉紧张综合征的效率很高。

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