摘要
目的观察美式整脊与针刺治疗联合应用治疗颈型颈椎病的临床效果。方法根据就诊时间先后,按照随机数字表将广元市中医院骨科门诊就诊的90例诊断为神经根型颈椎病患者分为3组,分别是针刺组、美式整脊组、针刺+美式整脊组,每组30人,分别予以针刺治疗、美式整脊治疗和针刺+美式整脊联合治疗,3组治疗均为隔日1次,共3次,观察7 d。观察各组治疗前、后症状量表评分、VAS评分的变化,了解不同治疗方式对于颈型颈椎病的改善情况。结果各组治疗前后症状量表评分有统计学差异(P<0.05);组间比较,针刺组与美式整脊组症状量表评分改善无统计学差异,联合治疗组与针刺组比较有显著差异(P<0.05,且P<0.01),联合组与美式整脊组比较有显著差异(P<0.05,且P<0.01)。针刺组、美式整脊组、联合治疗组治疗前后VAS评分比较,P<0.05;组间比较,P>0.05。结论针刺治疗、美式整脊、联合治疗均能较好地改善患者的颈椎不适症状,包括缓解肩颈部的疼痛、活动障碍以及肩颈部的麻木情况。并且针刺治疗与美式整脊治疗相比,两者疗效并无差异,而联合治疗的疗效明显优于针刺及美式整脊单一的治疗,而从VAS评分中可以看出针刺组、美式整脊组和联合治疗组对于疼痛的缓解和睡眠障碍都有明显的疗效,且并无组间的差异。可见3者均可迅速缓解颈椎疼痛的情况,而对颈椎小错位压迫神经引起的手麻和肌肉僵硬活动障碍,联合治疗效果更优。
Objective To observe the clinical effect of the combined application of American chiropractic and acupuncture for cervical spondylosis. Methods According to the time order and random number table to hospital orthopaedics clinics in Guangyuan city, 90 patients with cervicalspondylotic radiculopathy were divided into acupuncture group, the American chiropractic group, acupuncture combined with American chiropractic group, and each group had 30 people. They were given acupuncture treatment, the American chiropractic therapy and acupuncture combined with American chiropractic therapy respectively for. All the 3 groups were treated once every other day for 3 times, and observed for 7 days. The changes of the 20 scores of the symptoms scale and VAS scale of the patients before and after treatment were observed, and the improvement of cervical spondylosis with different treatment methods was understood. Results Before and after treatment, each group had statistically difference（P 〈 0.05）, the comparison between the two groups, acupuncture group and the American chiropractic symptom score improvement had no statistical difference, the joint treatment group was compared with acupuncture group, and there had significant difference（ P 〈 0.05 and P 〈 0.01）. The joint group was compared with the American chiropractic group, and there were significant differences（ P 〈 0.05 and P 〈 0.01）. The scores of acupuncture group, American chiropractic group and combined treatment group were compared with before and after treatment, and there had statistical difference P 〈0.05. There was no significant difference between the two groups（ P 〉0.05）.Conclusion Acupuncture treatment, American whole ridge and combination therapy can improve patients’ cervical discomfort,including relieving pain, activity disorder and numbness of shoulder and neck. And acupuncture treatment was compared with the American chiropractic treatment, the curative effect had no differences, and the curative effect of combination therapy was superior to the treatment of acupuncture and American chiropractic single, and can be seen from the VAS scale in the acupuncture group, the American chiropractic group and combination group for pain relief and sleep disorders had obvious curative effect, and there was no difference between groups. It can be seen that all three group patients can rapidly relieve the pain in the cervical vertebra, and the joint treatment effect is better with the obstruction of the hand and muscle caused by the small dislocation of the cervical vertebra.
作者
康道家
廖逸茹
KANG Daojia;LIAO Yiru(Orthopedics Department, Guangyuan Hospital of Traditional Chinese Medicine, Sichuan Province, Guangyuan 628000, China;Institute of Medicinal Fungi, Sichuan Academy of Chinese Medicine, Sichuan Province, Chengdu 610041, China)
出处
《中国中医药现代远程教育》
2018年第7期129-131,共3页
Chinese Medicine Modern Distance Education of China
关键词
颈型颈椎病
美式整脊
针刺疗法
眩晕
cervicalspondylotic radiculopathy
American chiropractic
acupuncture treatment
vertigo
