摘要
目的:讨论胸小肌、胸锁乳突肌“四点松解法”在混合型颈椎病临床治疗中的应用价值。方法:纳入76例在大英县中医医院实施诊治处理的混合型颈椎病患者作为研究样本,接受诊治时间为2017年7月-2019年7月,以随机数字表法将全部患者划分为两组。对照组患者接受推拿治疗,研究组基于对照组增加胸小肌、胸锁乳突肌四点松解法。结果:对照组的总有效率显著低于研究组(P<0.05);研究组患者疼痛评分、颈椎功能障碍指数的降低幅度比对照组患者更为显著(P<0.05)。治疗前两组中医症状积分对比差异无统计学意义,P>0.05,研究组治疗后中医症状积分低于对照组,组间、组内数据对比差异均具有统计学意义,P<0.05;两组治疗前椎-基底动脉血管阻力指数、平均血流速度对比差异无统计学意义,P>0.05,治疗后研究组椎-基底动脉血管阻力指数低于对照组,平均血流速度高于对照组,组间、组内数据对比差异均具有统计学意义,P<0.05;两组相关并发症的发生率对比差异无统计学意义,P>0.05。结论:胸小肌、胸锁乳突肌“四点松解法”治疗混合型颈椎病的临床效果较为理想,可有效减缓患者的疼痛感,提升临床治疗效率,加快患者的康复进程。
Objective:To discuss the application value of the four-point relaxation therapy at pectoralis minor and sternocleidomastoid muscles in treating mixed cervical spondylosis.Methods:76 cases from July 2017 to July 2019 were divided into two groups according to the random number table method.Patients in the control group received massage therapy,and the study group took the four-point relaxation therapy at pectoralis minor and sternocleidomastoid muscles more.Results:The total efficiency in the control group was significantly lower than the study group(P<0.05).The reduction of pain score and cervical spine dysfunction index in the study group was more significant than the control group(P<0.05).Before treatment,there was no statistically significant difference in TCM symptom score(P>0.05).After treatment,the TCM symptom scores in the study group were lower than the control group,and the differences between and within groups were statistically significant(all P<0.05).There was no statistically significant difference in vertebral-basal artery vascular resistance index and average blood flow velocity between the groups before treatment(P>0.05).After treatment,the vertebral-basal artery vascular resistance index in the study group was lower than the control group,and the average blood flow velocity was higher than the control group,and the differences between and within groups were statistically significant(all P<0.05).The complication rate showed no statistically significant difference between the groups(P>0.05).Conclusion:The four-point relaxation therapy at pectoralis minor and sternocleidomastoid muscles shows an ideal clinical effect on mixed cervical spondylosis,which can effectively reduce the pain of patients,improve the clinical efficacy,and speed up the recovery process of patients.
出处
《中医临床研究》
2021年第31期116-118,共3页
Clinical Journal Of Chinese Medicine
关键词
胸小肌
胸锁乳突肌
四点松解法
混合型颈椎病
Pectoralis minor muscle
Sternocleidomastoid muscle
The four-point relaxation therapy
Mixed cervical spondylosis
