颈椎间盘切除术后仍颈腰痛的银质针疗法《中英文摘要》

              Silver needle therapy for cervical and lumbar pain after PCD                                 

   Guocai Wang1 Jianwen Wang1 Jianping Wang2

                                                                     Huaibei MinKang Hospital of Anhui Province

                                                             Electricity Supply Company Hospital of Anhui Province

                                                                                          abstract

Objective: To observe the clinical effect of silver needle moxibustion on 67 cases of cervical and lumbar pain after PCD.

METHODS: From July 2006 to October 2018, 67 patients with cervical spondylosis who underwent PCD were still suffering from severe cervical and lumbar pain. Six kinds of functional tests of cervical spine were negative, and three kinds of tests of lumbar spine were negative. The symptoms were alleviated immediately after massage at the high and moderate sensitive tenderness points on the mastoid part of occipital bone, cervical and dorsal spine, thoracic and dorsal spine, back of scapula, upper concave of clavicle etc. With their cooperation, the patient's accepted  silver needle acupuncture and moxibustion.The treatment follows principles of first treat the Primary site and Secondary treat the site of subsequent，once a day, for 10 days. During one course of treatment, the degree of pain relieved，and 1-3 needles of silver needle therapy were applied to the posterior margin of cervical intervertebral foramen in the scar of operation area.

Result: 67 cases tolerated the feeling of silver needle. After the first treatment, the symptoms were significantly reduced. With the daily treatment, the curative effect was steadily improved. After 1-3 courses, 58 cases were cured, 6 cases were markedly effective and 3 cases were effective. No complications.

CONCLUSION: Most patients with cervical and lumbar pain after PCD,which is the result of aseptic inflammation damage of soft tissues such as occipital-mammary cervical-dorsal spine、thoracic-dorsal spine、 back of scapula, upper concave of clavicle、sacroiliac and lumbar regions, forming the primary and secondary aseptic inflammation damage of soft tissues mentioned above. The dialectical treatment of silver acupuncture and moxibustion can greatly improve the clinical cure efficiency. It is concluded that this therapy is effective for patients after PCD surgery which is still suffering from cervical and lumbar pain.This treatment has the characteristics of high efficiency, economy and safety, and does not destroy the stable structure of the spine. The chronic pain of cervical and low back is not associated with cervical disc herniation and osteophyte. It is related to aseptic inflammation of soft tissue damage inside and outside spinal canal.

颈椎间盘切除术后仍颈腰痛的银质针疗法《中文摘要》

王 国才1  王建文1  王建萍2

                                                           1、安徽省淮北市民康医院

                                                          2、安徽省淮北供电公司医院 

                                                                       摘要：

目的：运用银质针灸治疗颈椎间盘突出摘除术后仍颈腰痛67例及临床观察疗效。

方法：2006年7月—2018年10月，我们对慕名来诊的67例颈椎间盘突出经外院行突出的颈椎间盘髓核摘除术后仍有严重颈腰痛患者，经颈脊柱6种活动功能检查阴性，腰脊柱三种试验阴性；对枕乳部、颈背部脊柱旁、胸背部脊柱旁、肩胛骨背面、锁骨上窝、等处查及的高中度敏感性压痛点处强刺激推拿后征象立即缓解，很快复发者，在病人同意并密切配合下，对上述高中部敏感性压痛点区按先治原发后治继发分别辨证银质针针灸，每日治疗一次一区，10日为一疗程，逐日观察疼痛等征象缓解程度，对颈椎间盘切除手术区瘢痕处的颈椎间后孔后缘各作1-3针银质针疗法。

结果：67例都耐受了进针后的银质针针感，首次治疗后征象多明显减轻，随着逐日治疗，疗效稳步提高，经1-3个疗程后临床治愈58例，显效6例，有效3例。无并发症。

结论：颈椎间盘突出症髓核摘除术后仍颈腰痛的患者多为残留枕乳部、颈背部脊柱旁、胸背部脊柱旁、肩胛骨背面、锁骨上窝、骶髂部、腰骶部等软组织无菌性炎症损害的结果，形成上述原发与继发的多部软组织无菌性炎症损害并存的集结征象；用银质针灸辩证对这些软组织损害区压痛点分步治疗，使临床治愈显效率极大地提高。认定该疗法治疗颈椎间盘突出髓核摘除术后仍颈腰痛患者，治愈率高、安全、经济，不破坏脊柱稳定结构，为当代治疗颈椎间盘突出症髓核摘除术后仍颈腰痛的患者的最佳疗法。慢性颈腰痛与颈椎间盘突出和增生骨赘无关。于相应椎管内外软组织损害无菌性炎症有关。

                                                 王国才手法银针治慢痛专业组

                                                          2019年元月16日