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[1]李正祥,李秀彬,吳松.脊柱微調(diào)手法聯(lián)合遠近配穴針刺治療神經(jīng)根型頸椎病的臨床研究[J].中醫(yī)正骨,2020,32(08):1-5.
　LI Zhengxiang,LI Xiubin,WU Song.A clinical study of spinal fine-tuning manipulation combined with acupuncture at distal and proximal acupoints for treatment of cervical spondylotic radiculopathy[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2020,32(08):1-5.
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脊柱微調(diào)手法聯(lián)合遠近配穴針刺治療神經(jīng)根型頸椎病的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期數(shù):
2020年08期
頁碼:
1-5
欄目:
臨床研究
出版日期:
2020-08-20

文章信息/Info

Title:
A clinical study of spinal fine-tuning manipulation combined with acupuncture at distal and proximal acupoints for treatment of cervical spondylotic radiculopathy
作者:
李正祥1; 李秀彬1; 吳松2
(1.溫嶺市中醫(yī)院,浙江 溫嶺 317500; 2.湖北中醫(yī)藥大學(xué),湖北 武漢 430061)
Author(s):
LI Zhengxiang1; LI Xiubin1; WU Song2
1.Wenling Hospital of Traditional Chinese Medicine,Wenling 317500,Zhejiang,China 2.Hubei University of Chinese Medicine,Wuhan 430061,Hubei,China
關(guān)鍵詞:
頸椎病;  推拿; 脊柱;  針刺療法;  穴; 夾脊;  穴; 太溪;  配穴法;  肌張力;  斜方肌;  頸椎曲度
Keywords:
cervical spondylosis;  manipulation; spinal;  acupuncture therapy;  Point ex-b2(JIAJI);  Point ki3(TAIXI);  point combination;  muscle tonus;  trapezius muscle;  cervical curvature
摘要:
目的:探討脊柱微調(diào)手法聯(lián)合遠近配穴針刺治療神經(jīng)根型頸椎病的臨床療效及對患者頸部肌張力和頸椎曲度的影響。方法:將90例神經(jīng)根型頸椎病患者隨機分為手法組、針刺組、手法聯(lián)合針刺組,每組30例。手法組行脊柱微調(diào)手法治療,針刺組行遠近配穴針刺治療,手法聯(lián)合針刺組每次脊柱微調(diào)手法治療后行遠近配穴針刺治療; 遠近配穴為頸夾脊穴配雙側(cè)太溪穴。每日治療1次,5次為1個療程,連續(xù)治療3個療程。分別于治療前和治療結(jié)束后,采用疼痛視覺模擬量表(visual analogue score,VAS)評價患者頸部疼痛情況,采用頸椎功能障礙指數(shù)(neck disability index,NDI)量表評價頸椎功能,采用頸椎病臨床評價量表(clinical assessment scale for cervical spondylosis,CASCS)進行總體療效評價,檢測患者靜息狀態(tài)下斜方肌肌張力(以壓力-位移曲線下面積表示,數(shù)值越大、肌張力越低),在頸椎側(cè)位X線片上測量頸椎曲度。結(jié)果:①臨床療效評價結(jié)果。治療前3組患者CASCS評分、頸部疼痛VAS評分、NDI評分總體比較,差異均無統(tǒng)計學(xué)意義[(63.2±7.2)分,(62.7±8.9)分,(64.1±6.3)分,F=0.265,P=0.768;(7.3±1.0)分,(7.4±1.5)分,(7.4±0.8)分,F=0.077,P=0.926;(30.7±14.1)分,(34.6±16.4)分,(32.8±12.9)分,F=0.541,P=0.584]; 治療結(jié)束后,3組患者CASCS評分、頸部疼痛VAS評分、NDI評分總體比較,差異均有統(tǒng)計學(xué)意義[(81.8±6.4)分,(84.3±7.3)分,(92.3±3.7)分,F=25.080,P=0.000;(4.2±0.9)分,(3.5±1.3)分,(3.0±0.4)分,F=12.290,P=0.000;(21.4±11.4)分,(24.0±13.5)分,(15.1±12.0)分,F=4.132,P=0.019]; 手法聯(lián)合針刺組CASCS評分高于手法組和針刺組(P=0.012,P=0.000),頸部疼痛VAS評分、NDI評分低于手法組和針刺組(P=0.002,P=0.049; P=0.042,P=0.009); 針刺組CASCS評分、NDI評分與手法組相比差異均無統(tǒng)計學(xué)意義(P=0.164,P=0.081),頸部疼痛VAS評分低于手法組(P=0.018)。②頸部肌張力檢測結(jié)果。治療前3組患者靜息狀態(tài)下斜方肌肌張力總體比較,差異無統(tǒng)計學(xué)意義[(15.2±4.3),(16.8±2.4),(16.3±3.2),F=1.748,P=0.180]; 治療結(jié)束后,3組患者靜息狀態(tài)下斜方肌肌張力總體比較,差異有統(tǒng)計學(xué)意義[(26.3±5.2),(28.7±4.9),(29.5±3.8),F=3.811,P=0.026]; 手法聯(lián)合針刺組斜方肌肌張力低于手法組(P=0.008),與針刺組比較差異無統(tǒng)計學(xué)意義(P=0.483); 針刺組與手法組斜方肌肌張力比較差異無統(tǒng)計學(xué)意義(P=0.071)。③頸椎曲度測量結(jié)果。治療前3組患者頸椎曲度值總體比較,差異無統(tǒng)計學(xué)意義[(5.2±1.8)mm,(4.9±2.1)mm,(5.3±1.5)mm,F=0.394,P=0.676]; 治療結(jié)束后,3組患者的頸椎曲度值總體比較差異有統(tǒng)計學(xué)意義[(9.0±3.6)mm,(6.9±3.9)mm,(9.2±4.0)mm,F=3.308,P=0.041]; 手法聯(lián)合針刺組頸椎曲度大于針刺組(P=0.034),與手法組比較差異無統(tǒng)計學(xué)意義(P=0.839); 手法組頸椎曲度大于針刺組(P=0.028)。結(jié)論:脊柱微調(diào)手法聯(lián)合遠近配穴針刺治療神經(jīng)根型頸椎病,可有效緩解患者頸部疼痛、改善頸椎功能,且能降低斜方肌肌張力、改善頸椎曲度; 總體療效優(yōu)于單純針刺和手法治療,降低斜方肌肌張力的效果優(yōu)于單純手法治療,改善頸椎曲度的效果優(yōu)于單純針刺治療。
Abstract:
To explore the clinical curative effects of spinal fine-tuning manipulation combined with acupuncture at distal and proximal acupoints for treatment of cervical spondylotic radiculopathy(CSR)and its effects on patients' cervical muscular tension and cervical curvature.Methods:Ninety CSR patients were enrolled in the study and were randomly divided into manipulation group,acupuncture group and combination therapy group,30 cases in each group.The patients in manipulation group and acupuncture group were treated

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備注/Memo

備注/Memo:
基金項目:浙江省中醫(yī)藥科技計劃項目(2018ZT012) 通訊作者:吳松 E-mail:[email protected]
更新日期/Last Update: 2020-08-20