摘要
目的:观察夹脊电针联合Mulligan动态关节松动术治疗神经根型颈椎病的临床疗效。方法:选取2018年3月-2019年6月和田地区人民医院康复科和北京小汤山医院康复科门诊和病房神经根型颈椎病患者72例,根据随机对照分为对照组和治疗组各36例。两组患者均给予营养神经和消炎止痛治疗,对照组采用普通针刺和颈椎牵引和按摩治疗,治疗组采用夹脊电针和Mulligan动态关节松动术进行治疗,电针每天1次,以6 d为一个疗程,动态关节松动术每周2次,共治疗4个疗程,治疗前后并应用疼痛视觉模拟评分法(Visual Analogue Scale,VAS)评分表和颈椎活动度量表以及总共有效率评估疗效。结果:颈椎活动度(前屈、后伸、旋转)明显改善。组内比较:与治疗前相对比,治疗后两组患者的VAS评分均显著下降(P<0.01)。组间比较:(1)疗前两组患者VAS评分和关节活动度比较,差异无统计学意义(P>0.05)。(2)治疗后的VAS评分对比,治疗组显著低于对照(P<0.05);(3)两组患者治疗后总有效率比较,观察组治疗有效率为94.3%(33/35),与对照组(88.2%,30/34)比较差异有统计学意义(P<0.05)。结论:夹脊电针联合Mulligan动态关节松动术治疗颈型颈椎病可明显改善患者颈椎活动度,从而缓解疼痛和麻木的症状。
Objective:To observe the clinical efficacy of Jiaji(夹脊)electro-acupuncture combined with Mulligan dynamic joint loosening in the treatment of cervical spondylosis.Methods:A total of 60 patients with cervical spondylotic radiculopathy from March 2018 to June 2019 were selected from the Rehabilitation Department of Hetian District People’s Hospital,Beijing Xiaotangshan Hospital,and randomly divided into the control group and the treatment group,with 30 patients in each group.The control group was treated with ordinary acupuncture and cervical traction and massage,while the treatment group was treated with dynamic joint loosening and spinal Jiaji electro-acupuncture.The electro-acupuncture was performed once a day for 6 days,and dynamic joint loosening was performed twice a week for 3 courses of treatment.Before and after the treatment,VAS rating scale was used to evaluate the efficacy.Results:The range of motion of the cervical spine(flexion,extension,rotation)was significantly improved.Intra-group comparison:Compared with before treatment,the VAS scores of the two groups of patients decreased significantly after treatment(P<0.01).Comparison between groups:(1)Comparison of VAS score and joint range of motion between the two groups before treatment showed P>0.05,there was no significant difference.(2)Comparing the VAS score after treatment,which in the treatment group was significantly lower than the control group(P<0.05);(3)Comparing the total effective rate of the two groups of patients after treatment,the treatment effective rate of the treatment group was 94.3%(33/35).Compared with the control group,the difference was significant(P<0.05).Conclusion:Jiaji electroacupuncture combined with mulligan dynamic joint loosening can significantly relieve the pain of patients and improve the range of motion of the cervical vertebra in the treatment of cervical spondylosis.
出处
《中医临床研究》
2022年第24期101-104,共4页
Clinical Journal Of Chinese Medicine
