摘要
目的:观察超微针刀颈枕快速松解术结合颈椎微调法治疗青年颈椎曲度异常患者的临床疗效和安全性。方法:自2016年11月至2018年10月治疗青年颈椎曲度异常88例,因失访而实际获完整临床资料86例,男37例,女49例;年龄20~40(30.55±5.21)岁;病程1~42(14.21±7.38)个月。86例分为两组,44例采用超微针刀颈枕快速松解术结合颈椎微调法治疗(治疗组),42例采用常规针刺结合推拿治疗(对照组)。治疗组1次/周,对照组3次/周,3周为1个疗程。分别于治疗前、治疗3周结束、治疗结束后1个月随访时记录颈痛量表(NPQ)评分(并计算百分率)、颈椎活动度(ROM)评分,治疗前与治疗结束1个月随访时记录颈椎生理曲度D值,并评定治疗结束时和1个月随访时两组临床疗效。治疗期间同时要求患者注意纠正日常不良姿势,睡觉保持低枕位,每日早、晚用高低适中的柱形枕置于颈后,颈椎后伸状态下平睡0.5 h。结果:对照组脱落2例,两组患者均未出现不良反应。与治疗前比较,两组治疗后各个观察时点颈痛评分、颈椎活动度评分、颈椎生理曲度D值均显著改善(均P<0.05);组间比较,治疗3周结束及1个月后随访时,治疗组颈痛NPQ评分改善优于对照组,组间比较差异均有统计学意义(均P<0.05),治疗前后不同时间点颈痛NPQ评分的差异有统计学意义,即存在时间效应(F=203.63,P=0.000),时间因素和分组因素存在交互效应(F=4.964,P=0.012);两组颈椎活动度的ROM评分组间比较差异均无统计学意义(均P>0.05),治疗前后不同时间点颈椎活动度ROM评分的差异有统计学意义,即存在时间效应(F=240.32,P=0.000),但时间因素和分组因素并不存在交互效应(F=0.311,P=0.734)。治疗结束1个月后随访时颈椎生理曲度D值的改善程度治疗组优于对照组,差异有统计学意义(P<0.05);治疗结束时治疗组总有效率为90.91%(40/44),高于对照组的80.95%(34/42,P<0.05);治疗结束后1个月随访
Objective:To study the therapeutic effects of the ultramicro needle-knife combine with cervical spine fine adjusting on youth cervical curvature abnormality case.Methods:From November 2016 to October 2018,88 young patients with abnormal curvature of cervical spine were treated.Due to loss of follow-up,86 cases were actually completely including 37 males and 49 females,ranging in age from 20 to 40 years old,with an average of(30.55±5.21)years old,and the course of disease ranged from 1 to 42 months,with a mean of(14.21±7.38)months.All the patients were divided into two groups:treatment group(44 cases)and control group(42 cases).The patients in the treatment group were treated with ultramicro needle-knife and cervical spine fine adjusting,and the patients in the control group were treated with conventional acupuncture and manipulation.The treatments were done 1 time per week in the treatment group while 3 times per week in control group every week,with a duration of 3 weeks for both groups.Before treatment,3 weeks after treatment,and at the end of 1 month follow-up,the score of neck pain questionnaire(NPQ),range of the motion(ROM)in the cervical region and the D values of cervical physiological curvature were recorded.The efficacy at the end of treatment and in the follow up was evaluated.During the treatment,the patients were also required to correct the bad posture in daily life,to sleep in a low pillow position,and put a moderately columnar pillow behind the neck for 0.5 hours every morning and evening.Results:Two patients in the control group were dropped out after 3 weeks treatment.No adverse reactions were found in the 2 groups during the treatment period.Compared with those before treatment,all scores at all the observation time points were significantly improved between two groups after treatment(all P<0.05).The NPQ scores of cervical symptoms were different significantly between two groups(all P<0.05).The changing range of the the NPQ score of cervical symptoms and cervical spine alignment curve of the t
作者
洪海平
陶冶
钟诚
李婕
徐玉云
HONG Hai-ping;TAO Ye;ZHONG Cheng;LI Jie;XU Yu-yun(Fangta Hospital of Traditional Chinese Medicine,Songjiang Branch,Shanghai 201699,China)
出处
《中国骨伤》
CAS
CSCD
2020年第6期524-529,共6页
China Journal of Orthopaedics and Traumatology
基金
2019年上海市中医骨伤专科培育项目[编号:沪卫中管(2019)7号]
上海市中医药科研基金项目(编号:2018LP041)
2017年度上海市中医特色诊疗技术提升项目(编号:zyjx-2017054)。
关键词
针刺疗法
超微针刀
手法
骨科
颈椎病
Acupuncture therapy
Ultramicro knife needle
Manipulation
orthopedic
Cervical spondylosis
