摘要
目的探讨电针联合中频电刺激治疗神经根型颈椎病的效果.方法选择泰州中西医结合医院2020年1月—2023年6月收治的62例神经根型颈椎病患者为研究对象,以随机数字表法将其分为对照组及观察组.对照组(n=31)采用牵引加推拿治疗,观察组(n=31)在此基础上采用电针联合中频电刺激干预.比较两组患者的疗效、颈椎功能、疼痛程度、活动度及神经传导速度.结果观察组的治疗总有效率为93.55%,高于对照组的74.19%,差异有统计学意义(P﹤0.05).治疗后,观察组的颈椎功能障碍指数评分、疼痛数字评分分别为(15.58±3.16)分、(1.76±0.54)分,均低于对照组,组间差异有统计学意义(P﹤0.05);观察组的颈椎左右屈及左右旋活动度均大于对照组,组间差异有统计学意义(P﹤0.05);观察组的运动、感觉神经传导速度分别为(48.51±2.32)cm/s、(41.63±2.11)cm/s,均快于对照组,组间差异有统计学意义(P﹤0.05).结论电针联合中频电刺激治疗神经根型颈椎病的效果确切,能减轻患者疼痛,改善其颈椎功能与活动度,提高神经传导速度.
Objective To investigate the effect of electroacupuncture combined with medium frequency electrical stimulation in the treatment of cervical radiculopathy.Methods 62 patients with cervical radiculopathy admitted to Taizhou Integrated Traditional Chinese and Western Medicine Hospital from January 2020 to June 2023 were selected as the study objects and were divided into a control group and an observation group by random number table method.The control group(n=31)was treated with traction and massage,and the observation group(n=31)was treated with electroacupuncture combined with medium frequency electrical stimulation on this basis.The efficacy,cervical function,pain degree,range of motion and nerve conduction velocity were compared between the two groups.Results The total effective rate of the observation group was 93.55%,which was higher than 74.19%of the control group,the difference was statistically significant(P﹤0.05).After treatment,the neck disability index score and pain numerical rating scale score in the observation group were(15.58±3.16)points and(1.76±0.54)points,respectively,which were lower than those in the control group,and the differences between the groups were statistically significant(P﹤0.05);the left and right flexion and left and right rotation of cervical vertebra in the observation group were larger than those in the control group,and the differences between the groups were statistically significant(P﹤0.05);the motor nerve conduction velocity and sensory nerve conduction velocity of the observation group were(48.51±2.32)cm/s and(41.63±2.11)cm/s,respectively,which were faster than those of the control group,and the differences between the groups were statistically significant(P﹤0.05).Conclusion Electroacupuncture combined with medium frequency electrical stimulation is effective in the treatment of cervical radiculopathy,which can reduce pain,improve cervical function and motion,and increase nerve conduction velocity.
作者
王月
周密
WANG Yue;ZHOU Mi(Department of Rehabilitation,Taizhou Integrated Traditional Chinese and Western Medicine Hospital,Taizhou Jiangsu,225300,China)
出处
《反射疗法与康复医学》
2024年第1期61-63,67,共4页
Reflexology And Rehabilitation Medicine
关键词
神经根型颈椎病
电针
中频电刺激
牵引
推拿
颈椎功能
Cervical radiculopathy
Electroacupuncture
Medium frequency electrical stimulation
Traction
Massage
Cervical spine function