【摘要】：目的:1.分析"中醫(yī)體質(zhì)學"在指導"亞健康"臨床干預手段方面的角色,整理近些年中西醫(yī)在改善頸椎亞健康狀態(tài)方面的研究進展。2.采用單盲隨機臨床對照實驗的方法,觀察溫針灸改善氣虛質(zhì)頸椎亞健康狀態(tài)的臨床效果,評價針灸調(diào)體思路在改善體質(zhì)亞健康方面的特色。方法:本課題通過《頸椎亞健康評價量表》(自制)與《中醫(yī)體質(zhì)分類與判定標》(中華中醫(yī)藥學會),共篩選出66例符合氣虛質(zhì)頸椎亞健康入組標準的受試者,通過區(qū)組隨機分組的方法,分為治療組(溫針灸組)與對照組(電針組),各33例。治療組采用傅杰英教授調(diào)理氣虛質(zhì)頸椎亞健康患者常用的針灸配穴與操作方法:溫針灸百會、頸百勞、脾腧、腎俞、足三里。對照組采用石學敏院士主編的《針灸學》治療頸椎病的取穴:天柱、頸百勞、大杼(頸部穴位加電針)、后溪、列缺。兩組每次治療30min,每周治療2次,四周為1個療程,1個療程后評定療效。治療期間囑患者每日做10分鐘頸部保健操,鍛煉頸部肌肉。結果:1.治療組和對照組在改善頸部不適癥狀方面均有顯著療效,總有效率分別為96%和90%。2.治療后兩組的頸部不適癥狀差異具有統(tǒng)計學意義(P0.05),治療組對頸部不適癥狀的改善程度優(yōu)于對照組。3.治療后,對照組氣虛體質(zhì)評分較前無顯著差異(P0.05),治療組氣虛體質(zhì)評分較前有顯著差異(P0.05)。結論:研究結果表明,治療組與對照組在改善頸椎亞健康方面都有明顯療效,且前者的療效優(yōu)于后者;但是在改善氣虛體質(zhì)方面,治療組有著顯著優(yōu)勢,而對照組尚未顯現(xiàn)出改善體質(zhì)的效果�，F(xiàn)代人因工作生活方式的改變,普遍存在頸部不適的困擾,而又尚未達到頸椎病的診斷標準,因而人群中頸椎的亞健康狀態(tài)大量存在。"治未病"的概念不僅可應用于心腦血管等慢性病的,也可運用于頸椎病等骨科疾病的防治。針灸調(diào)體的思路不僅可以更大程度上緩解患者頸部不適癥狀,還能同時提升患者的體質(zhì),從根源上改善其亞健康狀態(tài),這是中醫(yī)"整體觀"在"治未病"領域的充分體現(xiàn)。針灸是祖國醫(yī)學的瑰寶,自古用于強身健體,驅(qū)逐各類病邪,然而經(jīng)過數(shù)千年的發(fā)展至今,若是把針灸盡局限于中風偏癱,頸肩腰腿疼等領域,實乃大材小用。針灸作為一門綠色醫(yī)學,必將在調(diào)治"亞健康"領域大放異彩。
[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.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.9

【參考文獻】

相關期刊論文 前10條

1 吳升偉;孫曉敏;吳六國;王天;李斐;程靜茹;趙曉山;羅仁;;中醫(yī)偏頗體質(zhì)與亞健康狀態(tài)轉(zhuǎn)化關系[J];中國公共衛(wèi)生;2015年06期

2 王金橋;;曹曉嵐教授從肝膽論治眩暈經(jīng)驗[J];中國中醫(yī)藥現(xiàn)代遠程教育;2011年10期

3 唐漢平;劉艷曉;楊良鋒;;針刺頸夾脊穴治療椎-基底動脈供血不足性眩暈癥72例[J];光明中醫(yī);2011年05期

4 陳鐵龍;;加味葛根湯治療頸椎病106例[J];中國中醫(yī)藥現(xiàn)代遠程教育;2011年06期

5 仲衛(wèi)紅;馮居平;陳水金;宋紅梅;王和鳴;王詩忠;;福州市中青年伏案工作者頸椎病中醫(yī)體質(zhì)分型的研究[J];中醫(yī)正骨;2011年03期

6 鄭敏欽;徐珊寧;;穴位按摩對頸椎病預防作用的臨床研究[J];光明中醫(yī);2011年03期

7 張欣;;補中益氣湯加減治療頸椎病40例[J];光明中醫(yī);2011年02期

8 岳全;李娟;李學麗;;自制溫灸盒治療頸椎病50例[J];光明中醫(yī);2010年11期

9 霍新華;;風池穴注射佐治頸性眩暈40例的臨床觀察與護理[J];光明中醫(yī);2010年07期

10 包鵬程;;略述推拿治療頸椎病、腰椎間盤突出癥[J];中國中醫(yī)藥現(xiàn)代遠程教育;2010年11期

相關碩士學位論文 前2條

1 閻路達;針灸調(diào)治中青年瘀血質(zhì)頸椎亞健康的臨床研究[D];廣州中醫(yī)藥大學;2015年

2 唐漢武;大學生頸椎亞健康患病現(xiàn)狀及其相關因素的分析[D];廣州中醫(yī)藥大學;2008年

，

本文編號：2303157