摘要
[目的]观察颈椎手法牵引复位联合推拿治疗颈椎病疗效。[方法]使用随机平行对照方法,将80例门诊患者按抽签法简单随机分为两组。对照组40例推拿：肌肉分布方向推拿及循经穴位推拿相结合,肌肉分布推拿应用局部关节松动术,循经法则应用推、摩、按、捏、拔、揉、滚、拍、点手法,30min/次,1次/d。治疗组40例颈椎手法牵引复位,平卧,放松全身,左面颊贴床,固定两肩与躯干,右后方旋转颈椎右侧诸横突至右方,左后方旋转左侧诸横突至后方,从后下方旋转诸横突至右后下方,虎口托颈部,右手拇指轻按颈动脉及肌肉、右侧神经根、右侧诸横突及软组织,了解病灶部位;头旋转至右侧,方法与上同,但方向相反;后头部恢复,左手托下颌,右手托颈枕部,颈椎前屈30°~40°,抓稳向后上方牵拉,拉力以拖动患者为宜;保持牵拉状态15~20秒后放松10秒,之后重复进行15次;完成后带上颈托保护,平卧休息15~20min,1次/d;推拿治疗同对照组。连续治疗40d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈17例,显效18例,有效4例,无效1例,总有效率97.50%。对照组痊愈11例,显效14例,有效9例,无效6例,总有效率85.00%。治疗组疗效优于对照组（P〈0.05）。[结论]颈椎手法牵引复位联合推拿治疗颈椎病效果显著,值得推广。
[Objective]To observe the cervical vertebra traction combined massage treatment of cervical spondylosis curative effect. [Methods]Using random parallel control method, 80 cases of clinic patients into two groups according to random number table method. Control group, 40 cases of massage： massage muscle distribution direction and tired combined acupuncture point massage, massage muscle distribution application local joint mobilization, tired day law application, moab, press, kneading, dial, kneading, rolling, shoot and point technique, 30 min/times, 1/d. Treatment group（40 cases cervical traction, recumbent, relax the whole body, left cheek bed, fixed the shoulders and torso, right rear spin on the right side of the cervical spine transverse process to the right, the left rear spin on the left side of the transverse process to the rear, from below after rotating the transverse process to the right rear below, fleeing from the neck, right hand thumb lightly in the carotid artery and muscle, nerve root on the right side, on the right side of the transverse process and soft tissue, understand the focal areas; Head spin to the right, method with on, but in the opposite direction; After the head back, holding the chin, his right hand neck pillow, cervical anteflexion 30 ° ~ 40 °, hang above pull back, it is advisable to pull to will drag patients; Keep pull 15~20seconds, then relax 10 seconds, after repeated 15 times; Bring the neck protection, after the completion of recumbent rest 15~20 min, 1/d; Massage therapy with the control group. Continuous treatment of 40 d 1 course of treatment. Observation of clinical symptoms and adverse reactions. As a course treatment, judge curative effect. [Results]The treatment group cure of 17 cases, 18 cases were markedly effective, effective 4 cases, 1 had no effect, total effective rate was 97.50%. Control group healed in 11 cases, 14 cases were markedly effective, effective 9 cases, 6 no effect, the total effective rate was 85.00%. The treatment group curative effect is bett
出处
《实用中医内科杂志》
2014年第12期135-137,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
颈椎病
颈椎手法牵引复位
推拿
随机平行对照研究
Cervical spondylosis
Cervical approach traction
Massage
Random parallel control study
