针刀改善颈椎旁肌肉脂肪浸润的研究进展
Research Progress on Acupuncture to Improve Paracervical Muscle-Fat Infiltration
DOI: 10.12677/jcpm.2024.34211, PDF,   
作者: 罗金田:黑龙江中医药大学第二临床医学院,黑龙江 哈尔滨;徐西林*:黑龙江中医药大学附属第三医院骨科,黑龙江 哈尔滨
关键词: 针刀颈椎病椎旁肌肉脂肪浸润Acupuncture Cervical Spondylosis Paravertebral Muscles Fatty Infiltration
摘要: 针刀是一种通过作用于局部组织结构达到松解患部周围组织粘连及挛缩,缓解周围组织压迫及肌肉痉挛的传统中医治疗手段,被广泛运用于临床各种骨伤科疾病的治疗。颈椎病是累及颈部周围组织及椎间盘的骨关节炎性疾病,通常可伴有颈椎旁肌肉及周围组织退行性改变,同时导致椎旁肌肉脂肪浸润。针刀医学是一门以中医学理论作为基础,以临床实践为根本而发展起来的医学新学科,同时它还结合了现代医学理论,使自身更加完善。循证医学研究证明颈椎病是针刀疗法的优势病种,基于此,本文以针刀疗法为出发点,研究针刀对于改善颈椎旁肌肉脂肪浸润的研究进展,以期对想要使用针刀治疗颈椎病的临床医生提供更完善的理论基础。
Abstract: Acupuncture is a traditional Chinese medicine treatment method that relieves the adhesion and contracture of the surrounding tissues and relieves the compression and muscle spasm of the surrounding tissues by acting on the local tissue structure, and is widely used in the treatment of various orthopedic diseases in clinical practice. Cervical spondylosis is an osteoarthritic disease that affects the tissues around the neck and intervertebral discs, usually accompanied by degenerative changes in the paravertebral muscles and surrounding tissues, and leads to paravertebral muscle-fat infiltration. Acupuncture medicine is a new medical discipline based on the theory of traditional Chinese medicine and based on clinical practice, and it also combines modern medical theories to make itself more perfect. Based on evidence-based medical research, cervical spondylosis is the dominant disease of acupuncture therapy, and this paper takes acupuncture therapy as the starting point to study the research progress of acupuncture on improving cervical paraspine muscle fat infiltration, in order to provide clinicians with a more complete theoretical basis for acupuncture in the treatment of cervical spondylosis.
文章引用:罗金田, 徐西林. 针刀改善颈椎旁肌肉脂肪浸润的研究进展[J]. 临床个性化医学, 2024, 3(4): 1479-1482. https://doi.org/10.12677/jcpm.2024.34211

参考文献

[1] 那木罕, 马长春, 李忠明. 基于经筋理论探讨针刺治疗神经根型颈椎病[J]. 吉林中医药, 2024, 44(7): 852-855.
[2] 张恩龙, 李媛, 郎宁. 人工智能在颈椎病影像研究中的现状及进展[J]. 临床放射学杂志, 2024, 43(8): 1414-1418.
[3] Li, Q., Long, X., Wang, R., Niu, P., Cai, L., Wang, L., et al. (2024) Correlation between Degeneration of Cervical Intervertebral Disc and Degeneration of Paravertebral Muscle. Frontiers in Endocrinology (Lausanne), 15, Article ID: 1391970. [Google Scholar] [CrossRef] [PubMed]
[4] 姚洲, 黄培培, 凃志鹏, 等. MRI联合CT测量腰椎椎旁肌脂肪含量的初步研究[J]. 骨科, 2024, 15(3): 193-199.
[5] 卢白雪, 高伟成. 肌内脂肪浸润的研究进展[J]. 组织工程与重建外科, 2024, 20(4): 481-485.
[6] Cloney, M., Smith, A.C., Coffey, T., Paliwal, M., Dhaher, Y., Parrish, T., et al. (2018) Fatty Infiltration of the Cervical Multifidus Musculature and Their Clinical Correlates in Spondylotic Myelopathy. Journal of Clinical Neuroscience, 57, 208-213. [Google Scholar] [CrossRef] [PubMed]
[7] Panjabi, M.M. (1992) The Stabilizing System of the Spine. Part I. Function, Dysfunction, Adaptation, and Enhancement. Journal of Spinal Disorders, 5, 383-389. [Google Scholar] [CrossRef] [PubMed]
[8] 唐明, 曾凡袆, 常新东, 等. 椎旁功能性肌肉横截面积预测腰椎间盘突出症术后复发的Nomogram建立与验证[J]. 暨南大学学报(自然科学与医学版), 2023, 44(6): 602-611.
[9] 朱永红. 以颈部解剖学为基础的针灸治疗颈椎病的临床效果[J]. 临床医学研究与实践, 2024, 9(21): 127-130.
[10] 马迎存, 李彩霞, 王武洋, 等. 弧刃针刀联合神经阻滞治疗枕大神经痛的临床研究[J]. 中国疼痛医学杂志, 2024, 30(7): 539-543.
[11] Zhong, Y.X., Ding, Y., Fu, B.S., Ma, G.H., Cui, H.P., Chen, T.T., et al. (2023) Effect of Acupotomy on the Fat Infiltration Degree of Lumbar Multifidus Muscle in Patients with Lumbar Disc Herniation after Percutaneous Trans-Foraminal Endoscopic Discectom. Chinese Acupuncture & Moxibustion, 43, 153-157.
[12] 张雅雯, 李姜嫄, 李沅骋, 等. 针刀干预对颈型颈椎病兔颈多裂肌细胞中Wnt3αβ-catenin和MyHC1表达的影响[J]. 中华中医药学刊, 2023, 41(10): 130-134+276-278.
[13] 孙盼. 颈椎椎旁肌脂肪浸润与颈椎曲度及颈痛相关性的影像学研究[D]: [硕士学位论文]. 青岛: 青岛大学, 2020.