成人脊柱侧凸伴肢体震颤1例。

中国针灸 Pub Date : 2025-07-12 Epub Date: 2025-05-28 DOI:10.13703/j.0255-2930.20241203-k0004
Shanshan Yan, Ran Li, Yuhang Jiang, Zehao Chen, Jinrong Yan, Jiakai He, Baohui Jia
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引用次数: 0

摘要

本文报告一例成人脊柱侧凸伴肢体震颤用电针治疗。患者以颈部僵硬伴肢体震颤为主要症状。该模式归因于阳气不足,治疗原则侧重于疏通督脉,暖阳,调气。针刺于大椎(GV14)、C4-C6棘突下及双侧C4-C6甲际穴(EX-B2)、肺俞穴(BL13)、心俞穴(BL15)、脾俞穴(BL20)、肝俞穴(BL18)、肾俞穴(BL23)、大常俞穴(BL25)。达到德气感觉后,将双侧C4夹脊(EX-B2)和C6夹脊(EX-B2)穴分别连接SDZ-Ⅴ电针装置,连续波,频率2 Hz,强度应在患者可承受范围内,留针20分钟。前5个月每周1-2次,此后减少为每月1-2次。治疗30次后,患者双侧下肢震颤缓解,临床震颤评定量表(CRST)评分为13分,脊柱侧凸改善,Cobb角减小约10°。随访1个月,病情保持稳定,无脊柱侧凸进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Case of adult scoliosis with limb tremor].

This article reports a case of adult scoliosis with limb tremor treated with electroacupuncture. The patient presented with neck stiffness accompanied with limb tremor as the primary symptoms. The pattern was attributed to yang qi deficiency, and the treatment principle focused on unblocking the governor vessel, warming yang, and regulating qi. Acupuncture was applied to Dazhui (GV14), below the spinous processes of C4-C6 and bilateral C4-C6 Jiaji (EX-B2) points, Feishu (BL13), Xinshu (BL15), Pishu (BL20), Ganshu (BL18), Shenshu (BL23), Dachangshu (BL25). After achieving deqi sensation, bilateral C4 Jiaji (EX-B2) and C6 Jiaji (EX-B2) points were separately connected to an SDZ-Ⅴ electroacupuncture device, with continuous wave, 2 Hz of frequency, intensity should be within the tolerance of the patient, the needles were retained for 20 min. For the first 5 months, the treatment was 1-2 times a week, then reduced to 1-2 times a month thereafter. After 30 times of treatment, the patient's bilateral lower limb tremor resolved, the clinical rating scale for tremor (CRST) score was 13 points, the scoliosis showed improvement with about 10° reduction in Cobb angle. At 1-month follow-up, the condition remained stable without progression of scoliosis.

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来源期刊
自引率
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发文量
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期刊介绍: Chinese Acupuncture and Moxibustion (founded in 1981, monthly) is an authoritative academic journal of acupuncture and moxibustion under the supervision of China Association for Science and Technology and co-sponsored by Chinese Acupuncture and Moxibustion Society and Institute of Acupuncture and Moxibustion of China Academy of Traditional Chinese Medicine. It is recognised as a core journal of Chinese science and technology, a core journal of Chinese language, and is included in the core journals of China Science Citation Database, as well as being included in MEDLINE and other international well-known medical index databases. The journal adheres to the tenet of ‘improving, taking into account the popularity, colourful and realistic’, and provides valuable learning and communication opportunities for the majority of acupuncture and moxibustion clinical and scientific research workers, and plays an important role in the domestic and international publicity and promotion of acupuncture and moxibustion disciplines.
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