• <tr id="yyy80"></tr>
  • <sup id="yyy80"></sup>
  • <tfoot id="yyy80"><noscript id="yyy80"></noscript></tfoot>
  • 99热精品在线国产_美女午夜性视频免费_国产精品国产高清国产av_av欧美777_自拍偷自拍亚洲精品老妇_亚洲熟女精品中文字幕_www日本黄色视频网_国产精品野战在线观看 ?

    Therapeutic efficacy observation on bloodletting and cupping for cervical radiculopathy

    2015-05-18 09:01:35MouMingyuan牟明園PiaoShengai樸盛愛MengXiangwen孟向文GuoYi郭義ChenZelin陳澤林ZhuChenghui朱成慧ZhaoQiang趙強(qiáng)ZhangYaowei張耀巍Fuquan呂福全XingJunbiao邢俊標(biāo)DiaoDianjun刁殿軍GengLianqi耿連奇LiDandan李丹丹LiuHuapeng劉華朋LokeshKumarKarna樂天
    關(guān)鍵詞:肩井殿軍刺絡(luò)

    Mou Ming-yuan (牟明園), Piao Sheng-ai (樸盛愛), Meng Xiang-wen (孟向文), Guo Yi (郭義), Chen Ze-lin (陳澤林), Zhu Cheng-hui (朱成慧), Zhao Qiang (趙強(qiáng)), Zhang Yao-wei (張耀巍), Lü Fu-quan (呂福全), Xing Jun-biao (邢俊標(biāo)), Diao Dian-jun (刁殿軍), Geng Lian-qi (耿連奇), Li Dan-dan (李丹丹), Liu Hua-peng (劉華朋), Lokesh Kumar Karna (樂天)

    1 Acupuncture and Tuina School, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China

    2 Hospital Affiliated to Tianjin Research Academy of Traditional Chinese Medicine, Tianjin 300120, China

    3 Tianjin Heping Hospital of Traditional Chinese Medicine, Tianjin 300050, China

    4 Tianjin Nankai Hospital, Tianjin 300120, China

    5 Tianjin Wuqing Hospital of Traditional Chinese Medicine, Tianjin 301700, China

    6 Tianjin Tanggu Hospital of Traditional Chinese Medicine in Binhai New District, Tianjin 300000, China

    Therapeutic efficacy observation on bloodletting and cupping for cervical radiculopathy

    Mou Ming-yuan (牟明園)1, Piao Sheng-ai (樸盛愛)1, Meng Xiang-wen (孟向文)1, Guo Yi (郭義)1, Chen Ze-lin (陳澤林)1, Zhu Cheng-hui (朱成慧)1, Zhao Qiang (趙強(qiáng))2, Zhang Yao-wei (張耀巍)3, Lü Fu-quan (呂福全)4, Xing Jun-biao (邢俊標(biāo))5, Diao Dian-jun (刁殿軍)5, Geng Lian-qi (耿連奇)6, Li Dan-dan (李丹丹)1, Liu Hua-peng (劉華朋)1, Lokesh Kumar Karna (樂天)1

    1 Acupuncture and Tuina School, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China

    2 Hospital Affiliated to Tianjin Research Academy of Traditional Chinese Medicine, Tianjin 300120, China

    3 Tianjin Heping Hospital of Traditional Chinese Medicine, Tianjin 300050, China

    4 Tianjin Nankai Hospital, Tianjin 300120, China

    5 Tianjin Wuqing Hospital of Traditional Chinese Medicine, Tianjin 301700, China

    6 Tianjin Tanggu Hospital of Traditional Chinese Medicine in Binhai New District, Tianjin 300000, China

    Objective:To observe the efficacy and safety of bloodletting and cupping for cervical radiculopathy.

    Acupuncture Therapy; Blood-letting Puncturing and Cupping; Neck Pain; Spondylosis; Cervical Spondylosis; Randomized Controlled Trials

    Cervical radiculopathy refers to signs and symptoms resulting from cervical stenosis, degenerated cervical spine and herniated cervical intervertebral discs compressing the nerve root[1]. The male/female incidence ratio is 1:7[2]. This condition affects 3.3% of the population, especially in their 4th or 5th decade[3]. Cervical radiculopathy is clinically characterized by pain and numbness in the neck that radiate towards the shoulder and arms, coupled with weakness and heaviness of the upper limbs. Patients with cervical radiculopathy often turn to conservative therapy. Surgery is an option only when their symptoms persist or progress[4]. Conservative therapies include nonsteroidal anti-inflammatory drugs (NSAIDs), exercise, manipulation therapy[5], cervical collar (neck brace)[6], muscle relaxants[7], pain killers, physical therapy apparatus[8], Chinese medicine[9-10], acupuncture[11], electroacupuncture[12], bee venom acupuncture[13], tuina[14]and bloodletting[15], etc. Of these therapies, acupuncture has exact effect for cervical spondylosis[16]and bloodletting is another popular external therapy for neck problems[17]. However, the literature references have low levels of evidence and there are no clinical reports regarding the effect of bloodletting therapy on cervical radiculopathy. This clinical trial aimed to evaluate and compare its effect with acupuncture in this regard.

    1 Clinical Materials

    1.1 Diagnostic criteria

    This was based on the diagnostic basis for cervical radiculopathy in theGuidelines for Diagnosis, Treatment and Rehabilitation of Cervical Spondylosisby Chinese Association of Rehabilitation Medicine[18](2007, Beijing): signs and symptoms (numb, pain) along the nerve that is irritated travels; positive brachial plexus tension test or Spurling sign; imaging findings showed consistency with clinical manifestations; exclusion of pain due to other cervical conditions (thoracic outlet syndrome, tennis elbow, carpal-tunnel syndrome, cubital tunnel syndrome, frozen shoulder and tendosynovitis involving the long head of the biceps brachii muscle).

    1.2 Inclusion criteria

    Those who met the above diagnostic criteria; having no indications for surgery; aged between 18 and 70 years; and signed the informed consent.

    1.3 Exclusion criteria

    Having posterior longitudinal ligament calcification of the cervical spine and congenital cervical spine deformity (such as developmental cervical stenosis); a history of cervical trauma; those who failed to respond to nonsurgical therapies within 3-6 months or having recurrences; presence of progressive muscular atrophy or motor disorder; failure of nonsurgical therapies confirmed by imaging findings; having complications of severe heart, brain, lung and kidney diseases; having severe infection in other body parts (such as throat problems); having osteoporosis; pregnant and breast-feeding women; and those who had been taking more than 5 types of Western drugs for 3 successive years.

    1.4 Rejection criteria

    Having a poor compliance and an inability to cooperate during the trial; those who could not receive treatment and follow-up due to other reasons.

    1.5 Statistical method

    The data analysis was done using the SPSS 19.0 version software. The measurement data in normal distribution were expressed asThe intra-group comparison before and after treatment was conducted by repeated Measures analysis of variance, whereas the inter-group comparison by One-way ANOVA. The measurement in abnormal distribution were expressed as median (interquartile range) [M (Q)]. The intra-group comparison before and after treatment was conducted by Friedman test, whereas the inter-group comparison by H test. The enumeration data comparison was conducted by the Chi-square test. APvalue of less than 0.05 indicates a statistical significance.

    1.6 General data

    A total of 183 cases in this trial were from five centers: Hospital Affiliated to Tianjin Research Academy of Traditional Chinese Medicine, Tianjin Heping Hospital of Traditional Chinese Medicine, Tianjin Wuqing Hospital of Traditional Chinese Medicine, Tianjin Nankai Hospital and Tianjin Tanggu Hospital of Traditional Chinese Medicine in Binhai New District. According to the computer-generated random number, the random cards were placed into random envelops with sequential numbers. Then the above cases were allocated into a bloodletting group, an acupuncture group and a combined group. All cases signed the informed consent. This trial had been approved by the Medical Ethics Committee, Tianjin University of Traditional Chinese Medicine. There were no inter-group statistical significances in gender, age and duration (allP>0.05), indicating that the three groups were comparable (Table 1).

    2 Treatment Methods

    2.1 Bloodletting group

    Points: Dazhui (GV 14) and Jianjing (GB 21)[19].

    Device: BCI-101 lancing device (manufactured by (AME Corporation, Korea) and I-type disposable lancing needle (manufactured by Tianjin Huahong Technology Co., Ltd., China).

    Table 1. Inter-group comparison of baseline data

    Method: The patient was asked to take a prone lying position. The area within 2 cm around Dazhui (GV 14) and Jianjing (GB 21) were sterilized and let blood using a lancing device that contains a disposable needle, followed by 5-10 min of cupping (Figure 1), 5 mL blood for each cup, for a total of 2-3 cups.

    Figure 1. Bloodletting and cupping

    2.2 Acupuncture group

    Points: Bilateral cervical (C3-7) Jiaji (EX-B 2) points and Jianjing (GB 21) on the affected side[19].

    Device: Disposable filiform needles of 0.3 mm in diameter and 40 mm in length.

    Method: The patient was asked to take a prone lying position. After routine sterilization, the above points were punctured at a depth between 25 mm and 38 mm, followed by 30-second sparrow-pecking manipulation upon arrival of qi until the presence of local soreness and distension. The needles were retained for 30 min and manipulated once during the needle retention.

    2.3 Combined group

    Patients in this group first received same bloodletting and cupping as the bloodletting group and then the same acupuncture therapy as the acupuncture group.

    The treatments in all three groups were done once every three days, twice a week. Four times made up a course of treatment, and patients were treated for 1-3 courses. Drugs and other therapies were discontinued during this clinical trial.

    2.4 Quality control

    The quality control of this clinical trial consisted of three stages.

    First, physicians from all centers were trained before the clinical trial to minimize errors. The training contents included case selection criteria, grouping, different treatment methods and management of unexpected events.

    Second, regular inspection was conducted to each center to make sure the results more objective.

    Third, experimental data were recorded and analyzed by different personnel.

    3 Treatment Results

    3.1 Observation measurements

    3.1.1 Pain intensity

    As for neck pain, the visual analogue scale (VAS) was used to evaluate the pain intensity[20]. A higher VAS score indicates a more intense pain.

    3.1.2 Quality of life

    The neck disability index (NDI) was used to evaluate the patients’ functional status[21], which involves two aspects: neck pain and associated symptom; and activities of daily living (ADL)[22]. A higher NDI score indicates a more severe condition.

    3.1.3 Associated clinical symptoms

    The symptoms, functional status and clinical signs were graded according to the clinical assessment scale (CAS) for cervical spondylosis[23]. A higher CAS score indicates a more severe condition.

    3.2 Treatment outcomes

    After 1 course of treatment, due to wrong or incomplete information or personal reasons, 33 cases in the bloodletting group, 27 cases in acupuncture group and 32 cases in the combined group were rejected from the trial. After 2 courses of treatment, 6 cases in the bloodletting group, 8 cases in acupuncture group and 7 cases in the combined group dropped out.

    Considering the dropouts in all three groups, before the 2nd and 3rd course of treatment, an inter-group comparison on baseline data was conducted. There were no inter-group statistical differences in baseline data (P>0.05), (Table 2 and Table 3).

    3.2.1 Inter-group comparison in scores of VAS, NDI and CAS after 1 course of treatment

    Before treatment, there were no inter-group statistical significances in comparing the scores of VAS,NDI and CAS (P>0.05), indicating that the three groups were comparable. After 1 course of treatment, there were intra-group statistical significances in VAS, NDI and CAS (P<0.001), indicating that all three therapies can significantly alleviate pain, cervical dysfunction and symptoms due to cervical radiculopathy. However, there were no inter-group statistical significances in comparing scores of VAS, NDI and CAS after 1 course of treatment (P>0.05), indicating that the three therapies have similar effect for cervical radiculopathy-related pain, cervical dysfunction and symptoms after 1 course of treatment (Table 4).

    3.2.2 Inter-group comparison in scores of VAS, NDI and CAS after 2 courses of treatment

    After 2 courses of treatment, the scores of VAS, NDI and CAS in all three groups showed statistical significances in comparison with the results before treatment and after 1 course of treatment (P<0.001), indicating that the efficacies in all three groups increased with the time of treatment. However, there were no inter-group statistical significances in comparing scores of VAS, NDI and CAS after 2 courses of treatment (P>0.05), indicating that the three therapies had no statistical differences in alleviating pain, cervical dysfunction and symptoms in patients with cervical radiculopathy (Table 5).

    3.2.3 Inter-group comparison in scores of VAS, NDI and CAS after 3 courses of treatment

    After 3 courses of treatment, the scores of VAS, NDI and CAS in all three groups showed statistical differences compared with the results before treatment, after 1 course of treatment and after 2 courses of treatment (all P<0.001), indicating that all three therapies can significantly alleviate pain, cervical dysfunction and symptoms in patients with cervical radiculopathy, and their efficacies still increase with the time of treatment. However, there were no inter-group statistical significances in comparing scores of VAS, NDI and CAS after 3 courses of treatment (P>0.05), indicating that the three therapies had no statistical differences in alleviating pain, cervical dysfunction and symptoms in patients with cervical radiculopathy (Table 6).

    Table 2. Inter-group comparison of baseline data before the second course of treatment

    Table 3. Inter-group comparison of baseline data before the third course of treatment

    Table 4. Inter-group comparison in scores of VAS, NDI and CAS

    Table 4. Inter-group comparison in scores of VAS, NDI and CAS

    Note: Intra-group comparison before and after treatment, 1) P<0.001

    Group n Time VAS NDI CAS Bloodletting 68 Before treatment 6.00±1.81 37.15±17.02 18.68±6.84 After 1 course 3.74±1.651) 21.35±14.81) 11.56±5.961)Acupuncture 56 Before treatment 5.50±1.83 35.76±16.08 17.82±7.22 After 1 course 3.59±1.601) 19.59±12.121) 10.25±5.811)Combined 59 Before treatment 5.82±1.67 38.68±15.49 19.22±7.7 After 1 course 3.30±1.901) 20.07±15.391) 11.41±6.551)

    Table 5. Inter-group comparison in scores of VAS, NDI and CAS after 2 courses of treatment

    Table 5. Inter-group comparison in scores of VAS, NDI and CAS after 2 courses of treatment

    Note: Intra-group comparison before and after treatment, 1) P<0.001; intra-group comparison after 1 course of treatment, 2) P<0.001

    Group n Time VAS NDI Before treatment 6.51±1.36 43.16±16.51 Bloodletting 35After 1 course 4.63±1.371) 29.81±14.911)After 2 courses 3.14±1.801)2) 20.20±16.691)2)Before treatment 6.03±1.57 38.64±15.36 Acupuncture 29After 1 course 4.41±1.501) 25.36±12.331)After 2 courses 3.03±1.801)2) 15.87±13.811)2)Before treatment 6.77±0.99 48.42±11.94 Combined 27After 1 course 4.65±1.501) 30.80±13.591)After 2 courses 2.96±1.891)2) 19.48±14.91)2)CAS 21.20±6.37 15.03±5.121)10.49±6.231)2)19.21±8.37 13.17±6.051)8.90±5.031)2)22.85±8.90 15.63±6.731)9.22±4.771)2)

    Table 6. Inter-group comparison in scores of VAS, NDI and CAS after 3 courses of treatment [(M (Q), point]

    4 Discussion

    Cervical radiculopathy accounts for 60%-70% of cervical spondylosis[24]. It often results from degenerated cervical intervertebral disc, hyperplasia of cervical vertebrae and unstable or subluxated cervical joints or ligament irritating or compressing the cervical nerve root[25]. The treatment purpose of this condition is to alleviate symptoms and relieve pain.

    Numerous clinical studies have confirmed the exact efficacy of acupuncture for cervical radiculopathy. However, there are fewer reports and only low-level evidence regarding bloodletting therapy for this condition. That’s why we conducted this multi-center, large sample and randomized controlled clinical trial to investigate the effect of bloodletting on pain, cervical dysfunction and clinical symptoms in patients with cervical radiculopathy. In addition, we compared its therapeutic efficacy with that of conventional acupuncture and bloodletting combined with acupuncture. Results of this clinical trial have suggested that bloodletting can alleviate the patients’ pain, cervical dysfunction and other clinical symptoms in a fast and effective way and had no statistical significance compared with acupuncture. What’s more, its efficacy increases with the course of treatment (after 3 courses). However, combining bloodletting and acupuncture did not improve the clinical efficacy.

    This trial has confirmed the similar efficacy of bloodletting therapy as acupuncture for cervical radiculopathy. Thanks to its shorter treatment time and fast pain-relief effect, bloodletting can be conveniently done.

    Because of errors in data collection in one center (incomplete/absent data, dropout of cases), there might be problems in sample size despite the statistical process. This indicates that quality control is essential to multi-center clinical trials.

    In terms of modern medicine, the underlying action mechanism of bloodletting for cervical radiculopathy lies in its role in remarkable improvement in blood perfusion[26]. Studies have suggested that bloodletting therapy can reduce intercellular adhesion molecule 1 (ICAM-1), increase local blood supply, improve inflammatory injury, alleviate pain and benefit deficiency or excess type of cervical spondylosis[27].Further studies on bloodletting need to focus on multiple perspectives of clinical assessment and mechanism study.

    Conflict of Interest

    There was no conflict of interest in this article.

    Acknowledgments

    This work was supported by Scientific Research Project of Integrative Chinese and Western Medicine by Tianjin Municipal Health Bureau (天津市衛(wèi)生局中西醫(yī)結(jié)合科研課題, No.11027).

    Statement of Informed Consent

    Informed consent was obtained from all individual participants included in this study.

    Received: 21 January 2015/Accepted: 25 February 2015

    [1] Ellenberg MR, Honet JC, Treanor WJ. Cervical radiculopathy. Arch Phys Med Rehabil, 1994, 75(3): 342-352.

    [2] Corey DL, Comeau D. Cervical radiculopathy. Med Clin North Am, 2014, 98(4): 791-799.

    [3] Wainner RS, Gill H. Diagnosis and nonoperative management of cervical radiculopathy. J Orthop Sports Phys Ther, 2010, 30(12): 728-744.

    [4] Leonardi M, Boos N. Degenerative disorders of the cervical spine. Spinal Disorders, 2008, (17): 429-479.

    [5] van der Velde G, Hogg-Johnson S, Bayoumi AM, Cassidy JD, C?té P, Boyle E, Llewellyn-Thomas H, Chan S, Subrata P, Hoving JL, Hurwitz E, Bombardier C, Krahn M. Identifying the best treatment among common nonsurgical neck pain treatments: a decision analysis. Spine (Phila Pa 1976), 2008, 33(4 Suppl): S184-S191.

    [6] Persson LC, Carlsson CA, Carlsson JY. Long-lasting cervical radicular pain managed with surgery, physiotherapy, or a cervical collar. A prospective, randomized study. Spine (Phila Pa 1976), 1997, 22(7): 751-758.

    [7] Borenstein DG. Chronic neck pain: how to approach treatment. Curr Pain Headache Rep, 2007, 11(6): 436-439.

    [8] Sundberg T, Petzold M, W?ndell P, Rydén A, Falkenberg T. Exploring integrative medicine for back and neck pain: a pragmatic randomised clinical pilot trial. BMC Complement Altern Med, 2009, 9: 33.

    [9] Cui XJ, Sun YL, You SF, Mo W, Lu S, Shi Q, Wang YJ. Effects of Qishe Pill, a compound traditional Chinese herbal medicine, on cervical radiculopathy: study protocol for a randomized controlled trial. Trials, 2013, 14: 322.

    [10]Liu ZY, Liu BG, Lin X. Kinematic effect of Chinese herbal fomentation on patients with chronic neck pain. Chin J Integr Med, 2014, 20(12): 917-922.

    [11]Que QH, Ye XD, Su QG, Yan W, Chu JF, Mei LJ, Huang WW, Lu RH, Zheng GH. Effectiveness of acupuncture intervention for neck pain caused by cervical spondylosis: study protocol for a randomized controlled trial. Trials, 2013, (14): 186.

    [12]Wu YC, Zhang JF, Sun YJ. Clinical study on electroacupuncture for cervical intervertebral disc herniation. J Acupunct Tuina Sci, 2013, 11(6): 371-374.

    [13] Seo BK, Lee JH, Kim PK, Baek YH, Jo DJ, Lee S. Bee venom acupuncture, NSAIDs or combined treatment for chronic neck pain: study protocol for a randomized, assessor-blind trial. Trials, 2014, 15: 132.

    [14]Wang SN, Sheng F, Pan YH. Clinical study on tuina combined with auricular point sticking for cervical radiculopathy. J Acupunct Tuina Sci, 2014, 12(4): 230-235.

    [15]Cao HJ, Han M, Li X, Dong SJ, Shang YM, Wang Q, Xu S, Liu JP. Clinical research evidence of cupping therapy in China: a systematic literature review. BMC Complement Altern Med, 2010, 10: 70.

    [16]Guo XR. Clinical study advance in acupuncture treatment for cervical radiculopathy. Yatai Chuantong Yiyao, 2015, 11(2): 60-61.

    [17]Xu YL, Zhang K, Meng XW. Study on the security of collateral puncture in treating vertebrae disease. Tianjin Zhongyiyao Daxue Xuebao, 2012, 31(2): 114-115.

    [18] Chinese Association of Rehabilitation Medicine. Guidelines for Diagnosis, Treatment and Rehabilitation of Cervical Spondylosis. Beijing: Chinese Association of Rehabilitation Medicine, 2010: 1-13.

    [19]General Administration of Quality Supervision, Inspection and Quarantine of the People’s Republic of China, Standardization Administration of the People’s Republic of China. Nomenclature and Location of Acupuncture Points (GB/T 12346-2006). Standards Press of China, 2006.

    [20] Yan TB. Modern Rehabilitative Therapeutics. Guangzhou: Guangdong Science &Technology Press, 2004: 493.

    [21]Wu SL, Ma C, Wu SL, Yan TB. Validity and reliability of the neck disability index for cervical spondylopathy patients. Zhongguo Kangfu Yixue Zazhi, 2008, 23(7): 625-628.

    [22]Vernon H, Mior S. The neck disability index: a study of reliability and validity. J Manipulative Physiol Ther, 1991, 14(7): 409-415.

    [23]Zhang MS, Xu WC, Lin ZM, Chen Y. The reliability and validity of a clinical assessment scale for cervical spondylosis. Zhonghua Wuli Yixue Yu Kangfu Zazhi, 2003, 25(3): 151-154.

    [24]Qiu XW. Clinical research on acupuncture at cervical Jiaji points for radicular type of cervical spondylosis. Doctor thesis of Guangzhou University of Traditional Chinese Medicine, 2011.

    [25]Wang JR, Gong CM, Ma SJ, Xiu JJ, Liu LJ. Mechanism and component analysis of Bi Tong Ling medicated wine for cervical radiculopathy. Zhongguo Zhongyiyao Xiandai Yuancheng Jiaoyu, 2011, 9(2): 98.

    [26] Piao SA, Meng XW, Zhu CH, Liu HP, Li DD. Effect of bloodletting therapy on local blood perfusion in patients with cervical radiculopathy. Tianjin Zhongyiyao, 2014, 31(11): 656-659.

    [27]Chen XK, Li LP, Wu H, Li G, Cai WH. Study of the influence of pricking bloodletting method on intracellular adhesion molecule-1 in the treatment of cervical spondylosis. Shanghai Zhenjiu Zazhi, 2010, 29(1): 25-27.

    Translator:Han Chou-ping (韓丑萍)

    刺絡(luò)療法治療神經(jīng)根型頸椎病的療效觀察

    目的:觀察刺絡(luò)療法治療神經(jīng)根型頸椎病(cervical spondylotic radiculopathy, CSR)的有效性及安全性。方法:采用五個中心、隨機(jī)、對照的方法, 將183名符合納入標(biāo)準(zhǔn)的受試者按隨機(jī)數(shù)字表分為刺絡(luò)組(68例)、針刺組(56例)及刺絡(luò)加針刺組(59例)。刺絡(luò)組患者接受在大椎、患側(cè)肩井刺絡(luò)放血并拔火罐治療, 留罐5-10 min, 出血量每罐5 mL, 共2-3罐。針刺組患者接受在雙側(cè)C3-7夾脊穴、患側(cè)肩井針刺治療, 留針30 min。刺絡(luò)加針刺組患者接受與刺絡(luò)組相同的刺絡(luò)治療和與針刺組相同的針刺治療。三組均3日治療1次,每星期治療2次, 治療4星期為1療程, 治療1-3療程。采用視覺模擬量表(visual analogue scale, VAS)、頸部功能障礙指數(shù)(neck disability index, NDI)和臨床評價量表(clinical assessment scale, CAS)評分于治療前及治療1、2、3療程后, 對各組進(jìn)行療效評價。結(jié)果:三組治療1、2、3個療程后VAS、NDI、CAS評分均較本組治療前有明顯下降(均P<0.001), 三組組間VAS、NDI及CAS評分比較, 無統(tǒng)計學(xué)差異(均P>0.05)。結(jié)論:刺絡(luò)療法治療CSR可有效緩解患者疼痛并改善其生活質(zhì)量, 與針刺療法具有同樣治療作用。

    針刺療法; 刺絡(luò)拔罐療法; 頸痛; 椎關(guān)節(jié)強(qiáng)硬; 頸椎病; 隨機(jī)對照臨床試驗

    R246.2 【

    】A

    Author: Mou Ming-yuan, master degree candidate

    Meng Xiang-wen, associated professor.

    E-mail: mengxiangwen@139.com

    Methods:The randomized controlled clinical trial was conducted in five centers. A total of 183 eligible subjects were randomly allocated into a bloodletting group (n=68), an acupuncture group (n=56) and a combined group (n=59). Patients in the bloodletting group were treated with bloodletting at Dazhui (GV 14) and Jianjing (GB 21) on the affected side, coupled with 5-10 min of cupping, 5 mL blood for each cup, 2-3 cups for one treatment. Patients in the acupuncture group were treated with needling cervical Jiaji (EX-B 2) points and Jianjing (GB 21) on the affected side. The needles were retained for 30 min. Patients in the combined group were treated with both methods. The treatment in all three groups were done once every three days, twice a week, 4 weeks for a course of treatment, for a total of 1-3 courses. Then the therapeutic efficacy was evaluated using scores of visual analogue scale (VAS), neck disability index (NDL) and clinical assessment scale (CAS) before treatment and after 1, 2 and 3 courses of treatment.

    Results:The scores of VAS, NDI and CAS in all three groups were significantly decreased after 1, 2 and 3 courses of treatment (allP<0.001), and there were no inter-group statistical significances in comparing scores of VAS, NDI and CAS (allP>0.05).

    Conclusion:Bloodletting and cupping share the similar effect with acupuncture in pain relief and improvement of quality of life in patients with cervical radiculopathy.

    猜你喜歡
    肩井殿軍刺絡(luò)
    “刺絡(luò)放血補(bǔ)虛”淵源及機(jī)理考
    肩頸痛,揉肩井
    華聲文萃(2021年6期)2021-08-25 06:03:19
    肩頸痛,揉肩井
    觀“塔子城”遺址感吟
    戊戌兩會(新韻)
    拿肩井 提氣血
    古代刺絡(luò)理論的歷史演變
    刺絡(luò)放血療法臨床應(yīng)用概況
    姜殿軍:辛苦為了萬人潔
    刺絡(luò)拔罐加藥物配合TDP照射治療帶狀皰疹
    18禁黄网站禁片免费观看直播| 少妇高潮的动态图| 国内精品久久久久久久电影| 嫁个100分男人电影在线观看| 国产精品精品国产色婷婷| 淫秽高清视频在线观看| 99精品欧美一区二区三区四区| 国产黄a三级三级三级人| 亚洲熟妇熟女久久| 成年女人永久免费观看视频| 国产亚洲欧美在线一区二区| 在线观看美女被高潮喷水网站 | 美女免费视频网站| 日本 av在线| 色吧在线观看| 露出奶头的视频| 欧美在线一区亚洲| 狠狠狠狠99中文字幕| 欧美日韩乱码在线| 亚洲无线在线观看| 精品电影一区二区在线| 午夜免费激情av| 久久久久国内视频| 我要搜黄色片| 国产中年淑女户外野战色| 免费看十八禁软件| 丝袜美腿在线中文| 两个人视频免费观看高清| 亚洲精品国产精品久久久不卡| 最好的美女福利视频网| svipshipincom国产片| 内地一区二区视频在线| 欧美另类亚洲清纯唯美| 蜜桃久久精品国产亚洲av| 国产又黄又爽又无遮挡在线| 日日夜夜操网爽| 一个人看视频在线观看www免费 | 亚洲国产欧美人成| 欧美性猛交╳xxx乱大交人| 99国产精品一区二区蜜桃av| 午夜精品在线福利| 欧美色欧美亚洲另类二区| 亚洲国产精品久久男人天堂| 真人做人爱边吃奶动态| 欧美激情久久久久久爽电影| 日韩欧美精品v在线| 午夜福利免费观看在线| 欧美3d第一页| 婷婷亚洲欧美| 国产91精品成人一区二区三区| 免费搜索国产男女视频| 一本精品99久久精品77| 精品一区二区三区人妻视频| 色综合站精品国产| 美女 人体艺术 gogo| 国产av麻豆久久久久久久| 1000部很黄的大片| 国产一区二区三区在线臀色熟女| www国产在线视频色| 国产免费男女视频| 黄色女人牲交| 一本一本综合久久| 看免费av毛片| 国产精品影院久久| 欧美zozozo另类| 亚洲av电影不卡..在线观看| 三级男女做爰猛烈吃奶摸视频| 热99在线观看视频| 一本一本综合久久| 国产探花在线观看一区二区| 亚洲真实伦在线观看| 一进一出好大好爽视频| 综合色av麻豆| 91在线精品国自产拍蜜月 | av视频在线观看入口| a级毛片a级免费在线| 丰满乱子伦码专区| 午夜老司机福利剧场| 中出人妻视频一区二区| 一级毛片高清免费大全| 熟女电影av网| 日本与韩国留学比较| 日韩欧美一区二区三区在线观看| 长腿黑丝高跟| 国产国拍精品亚洲av在线观看 | 99国产精品一区二区蜜桃av| 欧美乱妇无乱码| 久久久久性生活片| 国产色爽女视频免费观看| 国产免费男女视频| 午夜福利高清视频| 日韩 欧美 亚洲 中文字幕| 老汉色av国产亚洲站长工具| 51午夜福利影视在线观看| 欧美黑人巨大hd| 三级毛片av免费| 制服人妻中文乱码| 一本综合久久免费| 午夜两性在线视频| 日韩精品青青久久久久久| 内射极品少妇av片p| 亚洲国产欧洲综合997久久,| 成人国产一区最新在线观看| 级片在线观看| 人人妻人人看人人澡| 精品福利观看| 亚洲真实伦在线观看| www.999成人在线观看| 性色av乱码一区二区三区2| 男女之事视频高清在线观看| 亚洲欧美日韩高清专用| 在线a可以看的网站| 亚洲无线观看免费| 久久久久久久久大av| 午夜福利在线观看吧| 精品久久久久久成人av| 成人欧美大片| 国产真实伦视频高清在线观看 | 国产男靠女视频免费网站| 99国产综合亚洲精品| 欧美3d第一页| 黄色成人免费大全| 色综合站精品国产| 特大巨黑吊av在线直播| 激情在线观看视频在线高清| 亚洲片人在线观看| 日日干狠狠操夜夜爽| 少妇裸体淫交视频免费看高清| 午夜免费成人在线视频| 男女做爰动态图高潮gif福利片| 亚洲性夜色夜夜综合| 毛片女人毛片| 很黄的视频免费| 窝窝影院91人妻| 免费无遮挡裸体视频| 国产三级在线视频| 欧美黑人欧美精品刺激| 中国美女看黄片| 成人亚洲精品av一区二区| 亚洲国产欧美网| 91久久精品电影网| 黄片小视频在线播放| 老鸭窝网址在线观看| 色综合欧美亚洲国产小说| 欧美日韩国产亚洲二区| 国产爱豆传媒在线观看| 深夜精品福利| 午夜老司机福利剧场| 精品99又大又爽又粗少妇毛片 | 久久久久久久久大av| 桃红色精品国产亚洲av| 国产精品永久免费网站| 国产精品亚洲美女久久久| 午夜影院日韩av| 综合色av麻豆| 最近在线观看免费完整版| 国产综合懂色| 岛国在线观看网站| 99国产极品粉嫩在线观看| av欧美777| 亚洲,欧美精品.| 日本免费a在线| 欧美zozozo另类| 国产亚洲精品久久久com| 给我免费播放毛片高清在线观看| 日本黄色片子视频| 欧美成人免费av一区二区三区| 99热这里只有是精品50| 亚洲午夜理论影院| 欧美区成人在线视频| 国产免费一级a男人的天堂| 成人特级黄色片久久久久久久| 精品不卡国产一区二区三区| 久久精品人妻少妇| 精华霜和精华液先用哪个| 亚洲乱码一区二区免费版| 欧美av亚洲av综合av国产av| 国产成人系列免费观看| av欧美777| 91麻豆精品激情在线观看国产| 哪里可以看免费的av片| 一进一出好大好爽视频| 色吧在线观看| 哪里可以看免费的av片| 欧美日韩乱码在线| 高清毛片免费观看视频网站| 99在线视频只有这里精品首页| 国模一区二区三区四区视频| 别揉我奶头~嗯~啊~动态视频| 欧美另类亚洲清纯唯美| 天堂影院成人在线观看| 久久久久精品国产欧美久久久| 九色国产91popny在线| 级片在线观看| 小蜜桃在线观看免费完整版高清| netflix在线观看网站| 久久久久免费精品人妻一区二区| 在线十欧美十亚洲十日本专区| 黄色成人免费大全| 中文资源天堂在线| 一本综合久久免费| 在线a可以看的网站| 国产高清视频在线播放一区| 1000部很黄的大片| 老汉色∧v一级毛片| 国产野战对白在线观看| 亚洲精品亚洲一区二区| 又粗又爽又猛毛片免费看| www日本黄色视频网| 欧美黑人欧美精品刺激| 男女那种视频在线观看| 国产美女午夜福利| 夜夜夜夜夜久久久久| 内地一区二区视频在线| 成人一区二区视频在线观看| 亚洲一区二区三区不卡视频| 特级一级黄色大片| av福利片在线观看| 日本黄色视频三级网站网址| 亚洲一区二区三区色噜噜| 精品电影一区二区在线| 亚洲成人中文字幕在线播放| 日本 av在线| 亚洲激情在线av| 十八禁网站免费在线| a级毛片a级免费在线| 国产一区二区三区在线臀色熟女| 一夜夜www| 天天躁日日操中文字幕| tocl精华| 国产精品美女特级片免费视频播放器| 性欧美人与动物交配| 国产 一区 欧美 日韩| 美女被艹到高潮喷水动态| 欧美绝顶高潮抽搐喷水| h日本视频在线播放| 日本免费一区二区三区高清不卡| 色在线成人网| 一进一出好大好爽视频| 国产精品精品国产色婷婷| 一本久久中文字幕| 色视频www国产| 国产综合懂色| 欧美高清成人免费视频www| 在线a可以看的网站| 久久精品人妻少妇| eeuss影院久久| 国产私拍福利视频在线观看| 国产一区二区在线av高清观看| 在线观看美女被高潮喷水网站 | 亚洲中文字幕一区二区三区有码在线看| 神马国产精品三级电影在线观看| 美女免费视频网站| 久久久久久久久久黄片| 国产一区二区三区在线臀色熟女| 欧美成人a在线观看| 禁无遮挡网站| 午夜福利成人在线免费观看| 高潮久久久久久久久久久不卡| 欧美不卡视频在线免费观看| 国产99白浆流出| 亚洲精品一区av在线观看| 国产一区在线观看成人免费| 久久精品影院6| 国产三级黄色录像| 国产精品自产拍在线观看55亚洲| 深爱激情五月婷婷| 啪啪无遮挡十八禁网站| 天美传媒精品一区二区| 69人妻影院| 最后的刺客免费高清国语| 最近最新中文字幕大全免费视频| 国产亚洲精品久久久com| 亚洲精品久久国产高清桃花| 色哟哟哟哟哟哟| 亚洲欧美日韩东京热| 色老头精品视频在线观看| 99久久久亚洲精品蜜臀av| 2021天堂中文幕一二区在线观| 国产精品一及| 国产私拍福利视频在线观看| 99在线人妻在线中文字幕| 亚洲黑人精品在线| 国产中年淑女户外野战色| 久久人妻av系列| 日韩大尺度精品在线看网址| 天天一区二区日本电影三级| 999久久久精品免费观看国产| 国产野战对白在线观看| 亚洲国产欧洲综合997久久,| 亚洲aⅴ乱码一区二区在线播放| 中国美女看黄片| 欧美色视频一区免费| 精品久久久久久成人av| 啦啦啦韩国在线观看视频| 天天一区二区日本电影三级| 精品一区二区三区人妻视频| 久久中文看片网| 久久久久久久精品吃奶| 色视频www国产| 啦啦啦韩国在线观看视频| 成人高潮视频无遮挡免费网站| 免费在线观看影片大全网站| 日本 av在线| 两个人视频免费观看高清| 精品欧美国产一区二区三| 在线免费观看不下载黄p国产 | 一a级毛片在线观看| 舔av片在线| 久9热在线精品视频| 欧美一区二区精品小视频在线| 高清日韩中文字幕在线| 在线观看午夜福利视频| www国产在线视频色| 中文资源天堂在线| 我的老师免费观看完整版| 国产av不卡久久| 国产精品久久久久久人妻精品电影| bbb黄色大片| 日韩大尺度精品在线看网址| 亚洲专区国产一区二区| av中文乱码字幕在线| 一进一出好大好爽视频| 欧美成人一区二区免费高清观看| 又爽又黄无遮挡网站| netflix在线观看网站| 我的老师免费观看完整版| 国产一区二区在线观看日韩 | 国产精品女同一区二区软件 | 国产精品久久久久久久电影 | 色视频www国产| 中文字幕av在线有码专区| 国产视频一区二区在线看| 色在线成人网| 黄色视频,在线免费观看| 午夜激情福利司机影院| 国产av麻豆久久久久久久| 网址你懂的国产日韩在线| 国内揄拍国产精品人妻在线| 久久久久久久精品吃奶| 法律面前人人平等表现在哪些方面| 在线播放无遮挡| 麻豆久久精品国产亚洲av| 久久婷婷人人爽人人干人人爱| а√天堂www在线а√下载| 国产成人欧美在线观看| 人人妻人人看人人澡| 久久欧美精品欧美久久欧美| 欧美性猛交黑人性爽| 在线看三级毛片| 国产伦在线观看视频一区| 在线观看av片永久免费下载| 国产成年人精品一区二区| 色精品久久人妻99蜜桃| 亚洲在线观看片| 一个人看的www免费观看视频| 少妇丰满av| 一个人观看的视频www高清免费观看| 国产日本99.免费观看| 99精品在免费线老司机午夜| 午夜福利在线在线| 69av精品久久久久久| 两个人看的免费小视频| 少妇人妻一区二区三区视频| 午夜福利视频1000在线观看| 99久久精品一区二区三区| 国产精品香港三级国产av潘金莲| 欧美色视频一区免费| 欧美日本视频| 五月玫瑰六月丁香| 首页视频小说图片口味搜索| 每晚都被弄得嗷嗷叫到高潮| 色综合亚洲欧美另类图片| 欧美色视频一区免费| 免费人成在线观看视频色| 波多野结衣高清无吗| 精品久久久久久久毛片微露脸| 亚洲成a人片在线一区二区| 亚洲成av人片在线播放无| 久久香蕉精品热| 一二三四社区在线视频社区8| 青草久久国产| 国产欧美日韩精品一区二区| 精品一区二区三区人妻视频| 波多野结衣高清作品| 亚洲最大成人手机在线| a级一级毛片免费在线观看| 日本黄大片高清| 国产一区二区激情短视频| 99热6这里只有精品| 久久精品国产亚洲av涩爱 | 中文字幕精品亚洲无线码一区| 亚洲av中文字字幕乱码综合| 久久久久亚洲av毛片大全| 欧美日韩中文字幕国产精品一区二区三区| 一进一出抽搐动态| 日韩欧美在线乱码| 午夜福利18| 69人妻影院| 成人亚洲精品av一区二区| 免费av不卡在线播放| 日韩欧美三级三区| 狂野欧美白嫩少妇大欣赏| 精品久久久久久久人妻蜜臀av| 亚洲精品一区av在线观看| 俄罗斯特黄特色一大片| 少妇的丰满在线观看| 国产精品一区二区三区四区免费观看 | 有码 亚洲区| 亚洲五月天丁香| 老师上课跳d突然被开到最大视频 久久午夜综合久久蜜桃 | 久久久久性生活片| 国产亚洲精品av在线| 97人妻精品一区二区三区麻豆| 国产精品久久视频播放| 天堂影院成人在线观看| 亚洲一区二区三区色噜噜| 亚洲av电影在线进入| 特大巨黑吊av在线直播| 精品国产超薄肉色丝袜足j| 麻豆国产97在线/欧美| e午夜精品久久久久久久| 少妇高潮的动态图| 搡老岳熟女国产| 日韩欧美免费精品| 成人鲁丝片一二三区免费| 三级男女做爰猛烈吃奶摸视频| 岛国视频午夜一区免费看| 亚洲国产色片| 日韩精品中文字幕看吧| 亚洲国产欧美人成| 久久国产乱子伦精品免费另类| 亚洲狠狠婷婷综合久久图片| 内地一区二区视频在线| 麻豆成人av在线观看| 淫秽高清视频在线观看| 婷婷丁香在线五月| 三级男女做爰猛烈吃奶摸视频| 少妇的逼好多水| 老司机午夜福利在线观看视频| 欧美区成人在线视频| 亚洲av电影在线进入| 精品99又大又爽又粗少妇毛片 | 女人十人毛片免费观看3o分钟| 精品久久久久久久久久免费视频| 此物有八面人人有两片| 男女视频在线观看网站免费| 免费观看精品视频网站| 欧美av亚洲av综合av国产av| 久久九九热精品免费| 色综合婷婷激情| av欧美777| 可以在线观看的亚洲视频| 搞女人的毛片| 变态另类丝袜制服| 色综合欧美亚洲国产小说| 99久久久亚洲精品蜜臀av| 听说在线观看完整版免费高清| 淫秽高清视频在线观看| 国产精品永久免费网站| 国内少妇人妻偷人精品xxx网站| 欧美成人性av电影在线观看| 日本一本二区三区精品| 人人妻人人澡欧美一区二区| 欧美成人一区二区免费高清观看| 99精品在免费线老司机午夜| 在线视频色国产色| 国产亚洲av嫩草精品影院| 亚洲国产欧美网| 热99在线观看视频| 一进一出抽搐动态| 国产乱人伦免费视频| 亚洲熟妇熟女久久| 特大巨黑吊av在线直播| 精品福利观看| 精品乱码久久久久久99久播| 国产中年淑女户外野战色| 三级男女做爰猛烈吃奶摸视频| 琪琪午夜伦伦电影理论片6080| 免费在线观看成人毛片| 一个人看的www免费观看视频| 精品乱码久久久久久99久播| 欧美3d第一页| 亚洲中文字幕日韩| 一个人免费在线观看电影| 久久国产精品人妻蜜桃| 久久欧美精品欧美久久欧美| 一个人观看的视频www高清免费观看| 久久国产精品人妻蜜桃| 2021天堂中文幕一二区在线观| 久久久久九九精品影院| 91九色精品人成在线观看| 久久中文看片网| 亚洲成a人片在线一区二区| 国产精品98久久久久久宅男小说| 午夜福利免费观看在线| 欧美中文综合在线视频| 亚洲 国产 在线| a在线观看视频网站| 特级一级黄色大片| 国产成人福利小说| 国产精品久久电影中文字幕| 老熟妇仑乱视频hdxx| 久久天躁狠狠躁夜夜2o2o| 亚洲无线观看免费| 88av欧美| 熟女少妇亚洲综合色aaa.| 日韩精品青青久久久久久| 国产成人影院久久av| 国产免费男女视频| 国产一区二区激情短视频| 色尼玛亚洲综合影院| 欧美日本亚洲视频在线播放| 免费观看的影片在线观看| 久久久久国产精品人妻aⅴ院| 国产一区二区亚洲精品在线观看| 蜜桃久久精品国产亚洲av| 免费看a级黄色片| 日韩亚洲欧美综合| 国产毛片a区久久久久| 午夜福利免费观看在线| 日本一本二区三区精品| 男人舔女人下体高潮全视频| 久久久久性生活片| 日韩欧美 国产精品| 日韩欧美精品免费久久 | 亚洲人成网站高清观看| eeuss影院久久| 热99re8久久精品国产| 日本黄大片高清| 一边摸一边抽搐一进一小说| 好看av亚洲va欧美ⅴa在| 国产三级黄色录像| 亚洲在线自拍视频| 草草在线视频免费看| 狂野欧美激情性xxxx| 国产三级中文精品| 一本久久中文字幕| 午夜日韩欧美国产| 国产精品免费一区二区三区在线| 97超级碰碰碰精品色视频在线观看| 亚洲国产高清在线一区二区三| 99久久无色码亚洲精品果冻| 丁香六月欧美| 国产黄a三级三级三级人| 美女 人体艺术 gogo| 国产伦在线观看视频一区| 亚洲熟妇中文字幕五十中出| 欧洲精品卡2卡3卡4卡5卡区| 婷婷精品国产亚洲av在线| 好男人在线观看高清免费视频| h日本视频在线播放| 国产精品女同一区二区软件 | 伊人久久精品亚洲午夜| 国产一区二区在线av高清观看| 成人18禁在线播放| 亚洲真实伦在线观看| 成年人黄色毛片网站| 亚洲av二区三区四区| 国内毛片毛片毛片毛片毛片| 国产精品野战在线观看| 久久久成人免费电影| 最新在线观看一区二区三区| 精品国产亚洲在线| 日日干狠狠操夜夜爽| 可以在线观看毛片的网站| 久久久久久久久大av| 免费看日本二区| 欧美+亚洲+日韩+国产| a在线观看视频网站| 国产精品乱码一区二三区的特点| 日韩 欧美 亚洲 中文字幕| 一本久久中文字幕| 国产老妇女一区| 亚洲av电影在线进入| 国产色爽女视频免费观看| 18禁黄网站禁片免费观看直播| 少妇人妻精品综合一区二区 | 成人18禁在线播放| 亚洲美女黄片视频| 两人在一起打扑克的视频| 又粗又爽又猛毛片免费看| 久久久色成人| 精品一区二区三区人妻视频| 高清毛片免费观看视频网站| 国产精品98久久久久久宅男小说| 一夜夜www| 成人永久免费在线观看视频| 欧美一区二区国产精品久久精品| 午夜精品一区二区三区免费看| 国内揄拍国产精品人妻在线| 亚洲第一欧美日韩一区二区三区| 亚洲成人久久性| 美女cb高潮喷水在线观看| 国产精品98久久久久久宅男小说| 精品免费久久久久久久清纯| 国产色婷婷99| 99久久精品热视频| 亚洲avbb在线观看| 啦啦啦免费观看视频1| 最新在线观看一区二区三区| 精品电影一区二区在线| 男人和女人高潮做爰伦理| 网址你懂的国产日韩在线| 丝袜美腿在线中文| 国内精品一区二区在线观看| 欧美日韩乱码在线| 搡老熟女国产l中国老女人| 亚洲av日韩精品久久久久久密| 窝窝影院91人妻| 中文字幕人妻丝袜一区二区| 免费人成在线观看视频色| 国产精品爽爽va在线观看网站| 国产伦一二天堂av在线观看| 偷拍熟女少妇极品色|