摘要
目的探讨针刺联合辨证推拿对神经根型颈椎病(Cervical spondylotic radiculopathy,CSR)患者疼痛及颈椎功能康复的影响。方法选取2018年3月—2020年3月南昌市洪都中医院收治的82例神经根型颈椎病患者,随机分为2组,每组41例。对照组采用针刺治疗,观察组在对照组基础上实施辨证推拿治疗。比较2组干预14 d后临床疗效、干预前和干预14 d后疼痛自评量表(Visual analogue scale,VAS)评分、颈椎功能康复情况。结果干预后,观察组治疗总有效率为97.56%(40/41),高于对照组78.05%(32/41);VAS评分低于对照组,差异有统计学意义(P<0.05);干预14 d后,观察组颈椎活动度评分为(3.95±0.56)分,高于对照组的(3.14±0.53)分;颈椎生理曲度(7.92±1.04)°,大于对照组的(6.68±1.02)°,差异有统计学意义(P<0.05)。结论针刺联合辨证推拿治疗CSR能够提高临床疗效,减轻CSR患者疼痛,促进颈椎功能康复。
Objective To investigate the effect of acupuncture combined with syndrome differentiation massage on pain and cervical spine function rehabilitation in patients with cervical spondylotic radiculopathy(CSR).Methods The 82 CSR patients who were treated in Nanchang Hongdu Hospital of Traditional Chinese Medicine from March 2018 to March 2020 were divided into two groups according to the random number table method,with 41 cases in each group.The control group was treated with acupuncture and the observation group was treated with syndrome differentiation massage on this basis.The clinical effects of the two groups were compared after 14 days of intervention,pain visual analogue scale(VAS)scores,and cervical spine function rehabilitation before and after 14 days of intervention.Results The total effective rate of treatment in the observation group after intervention was 97.56%(40/41),which was higher than 78.05%(32/41)in the control group;the VAS score was lower than that in the control group,with statistical difference(P<0.05).The cervical spine mobility score of the observation group after 14 days of intervention was(3.95±0.56)points,which was higher than the control group’s(3.14±0.53)points;the cervical spine physiological curvature was(7.92±1.04)°,which was greater than the control group’s(6.68±1.02)°.There was a statistical difference(P<0.05).Conclusion Acupuncture combined with dialectical massage for CSR can improve the clinical efficacy,reduce the pain of CSR patients,and promote the rehabilitation of cervical spine function.
作者
支芳
邓昌茂
吴星星
ZHI Fang;DENG Changmao;WU Xingxing(Department of Rehabilitation,Nanchang Hongdu Hospital of Traditional Chinese Medicine,Jiangxi Province,Nanchang 330000,China;Qili Hospital of Jinxian County,Jiangxi Province,Nanchang 331713,China)
出处
《中国中医药现代远程教育》
2021年第22期138-140,共3页
Chinese Medicine Modern Distance Education of China
基金
江西省卫生计生委中医药科研课题【No.2017A188】。
关键词
神经根型颈椎病
痹证
针刺
推拿
疼痛
颈椎功能
cervical spondylotic radiculopathy
arthromyodynia
acupuncture
massage
pain
cervical function
