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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:

第26卷

期數(shù):

2014年10期

頁碼:

25-27

欄目:

臨床研究

出版日期:

2014-10-30

文章信息/Info

Title:

Clinical study on the therapy of manipulation combined with specific electromagnetic spectrum irradiation in the treatment of stiff neck

作者:

陳威; 孫懿君; 吳耀持

上海交通大學附屬第六人民醫(yī)院,上海 200233

Author(s):

Chen Wei^*; Sun Yijun; Wu Yaochi.^*

Affiliated Sixth People's Hospital of Shanghai Jiao Tong University,Shanghai,200233,China

關鍵詞:

落枕 推拿; 脊柱 電磁波譜 斜方肌

Keywords:

Stiff neck;  Manipulation; spinal;  Electromagnetic spectrum;  Trapezius muscle

摘要:

目的:觀察推拿結合特定電磁波譜照射治療落枕的臨床療效,并探討其對斜方肌狀態(tài)的影響。方法:將符合要求的60例落枕 患者隨機分為2組,每組30例。治療組采用推拿結合特定電磁波譜照射,對照組采用特定電磁波譜照射。治療后參照《中醫(yī)病證診 斷療效標準》中落枕的診斷標準評價療效,并采用Myotonometer快速肌張力檢測儀測定靜息狀態(tài)下斜方肌的肌肉張力。結果:① 療效評價結果。治療組治愈15例、顯效8例、有效7例,對照組治愈13例、顯效8例、有效4例、無效5例,治療組療效優(yōu)于對照組 (Z=-2.561,P=0.010)。②斜方肌狀態(tài)測定結果。2組患者治療前的壓力位移曲線下面積比較,差異無統(tǒng)計學意義 [(10.69±2.08)mg·mL^-1·min^-1,(10.63±2.14)mg·mL^-1·min^{- 1},t=0.110,P=0.913]; 治療后治療組的壓力位移曲線下面積較對照組顯著增加[(16.90±1.61)mg·mL^-1 ·min^-1,(11.35±1.65)mg·mL^-1·min^-1,t=13.186,P=0.000]。結論:推拿結合特定 電磁波譜照射治療落枕,可以有效改善斜方肌狀態(tài),緩解肌緊張,有助于促進頸部功能恢復,療效優(yōu)于單純的特定電磁波譜照射療 法。

Abstract:

Objective:To observe the clinical curative effect of the manipulation therapy combined with specific electromagnetic spectrum irradiation in the treatment of stiff neck and to explore its impact on the state of trapezius muscle.Methods:Sixty patients with stiff neck enrolled in the study were randomly divided into two groups,30 cases in each group.Patients in treatment group were treated with manipulation therapy combined with specific electromagnetic spectrum irradiation,while the others in control group were treated with specific electromagnetic spectrum irradiation.The curative effect were evaluated after the treatment according to the diagnostic criteria of stiff neck which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes,and the trapezius muscle tonus were measured in quiescent condition by using Myotonometer.Results:Fifteen patients were cured,8 got a good result and 7 fair in the treatment group; while 13 patients were cured,8 got a good result,4 fair and 5 poor in the control group.The treatment group surpassed the control group in the curative effect(Z=-2.561,P=0.010).There was no statistical difference in the area under pressure displacement curve(AUC)between the 2 groups before the treatment (10.69+/-2.08 vs 10.63+/-2.14 mg/ml/min,t=0.110,P=0.913).The AUC increased more significantly in the treatment group after treatment compared to the control group(16.90+/-1.61 vs 11.35+/-1.65 mg/ml/min,t=13.186,P=0.000).Conclusion:In the treatment of stiff neck,the therapy of manipulation combined with specific electromagnetic spectrum irradiation can effectively improve the trapezius muscle state,relieve muscular tension,and it is helpful to the neck functional recovery.Moreover,its therapeutic effect is better than that of monotherapy of specific electromagnetic spectrum irradiation.

備注/Memo

備注/Memo:

通訊作者:吳耀持 E-mail:wuyaochi11238@hotmail.com

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更新日期/Last Update: 2014-10-30