摘要
目的观察壮医经筋综合疗法治疗颈型颈椎病的临床疗效。方法将100例颈型颈椎病患者随机分为治疗组和对照组,每组50例。治疗组采用壮医经筋综合疗法(经筋推拿手法、壮医火针刺法及拔罐)治疗,对照组采用常规针刺治疗。观察两组治疗前后VAS评分及各项临床症状、体征评分,比较两组临床疗效。结果治疗组治疗1、2个疗程后VAS评分与同组治疗前比较,差异均具有统计学意义(P<0.05,P<0.01)。对照组治疗2个疗程后VAS评分与同组治疗前比较,差异具有统计学意义(P<0.05)。治疗组治疗2个疗程后VAS评分与对照组比较,差异具有统计学意义(P<0.05)。治疗组治疗后各项症状、体征(疼痛程度、疼痛范围、压痛点数量、活动受限及总体症状)评分与同组治疗前比较,差异均具有统计学意义(P<0.01,P<0.05)。对照组治疗后疼痛程度、活动受限及总体症状评分与同组治疗前比较,差异均具有统计学意义(P<0.05,P<0.01)。治疗组治疗后各项症状、体征评分与对照组比较,差异具有统计学意义(P<0.05,P<0.01)。治疗组总有效率为100.0%,对照组为84.0%,两组比较差异具有统计学意义(P<0.05)。结论壮医经筋综合疗法是一种治疗颈型颈椎病的有效方法。
Objective To observe the clinical efficacy of comprehensive muscle-region therapy based on Chuang Medicine in treating cervical spondylosis of neck type. Method A hundred patients with cervical spondylosis of neck type were randomized into a treatment group and a control group, 50 cases in each group. The treatment group was intervened by the comprehensive muscle-region therapy based on Chuang medicine（muscle-region tuina, fire-needle acupuncture of Chuang medicine, and cupping）, while the control group was by regular acupuncture treatment. The Visual Analogue Scale（VAS） score and symptoms and signs scores were observed before and after intervention, and the clinical efficacies were compared. Result The VAS scores respectively after 1 and 2 treatment courses were significantly different from that before intervention in the treatment group（P〈0.05,P〈0.01）. The VAS score after 2 treatment courses was significantly different from that before intervention in the control group（P〈0.05）. After 2 treatment courses, the VAS score in the treatment group was significantly different from that in the control group（P〈0.05）. After treatment, the symptoms and signs scores（pain intensity, pain-affected area, number of tender points, limited motion, and general score） were significantly different from that before intervention in the treatment group（P〈0.01, P〈0.05）. In the control group, the pain intensity, limited motion and general score after treatment were significantly different from that before intervention（P 0.05,P 0.01）. After treatment, the symptoms and signs scores in the treatment group were significantly different from that in the control group（P〈0.05,P〈0.01）. The total effective rate was 100.0% in the treatment group versus 84.0% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion Comprehensive muscleregion therapy in Chuang medicine is an effective approach in treating cervical spondylosis of neck type.
出处
《上海针灸杂志》
2016年第5期564-567,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
国家科技支撑计划(2012BAI27B04)
关键词
针刺疗法
壮医药学
颈椎病
颈型
火针疗法
拔罐
Acupuncture therapy
Chuang medicine
Cervical spondylosis
Neck type
Fire-needle therapy
Cupping therapy
