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揿针联合中医护理干预神经根型颈椎病临床研究 被引量:8

Clinical Study on Thumbtack Needle Combined with Chinese Medicine Nursing for Nerve Root Cervical Spondylosis
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摘要 目的:观察揿针联合中医护理干预神经根型颈椎病的临床疗效。方法:选取92例神经根型颈椎病患者,按随机数字表法分为观察组和对照组,每组46例。对照组给予针刺联合常规护理干预,观察组在对照组常规护理基础上给予揿针联合中医护理干预,2组均连续干预4周。比较2组临床疗效、症状改善情况、颈椎功能康复效果及护理满意度。结果:观察组总有效率为91.30%,对照组总有效率为71.74%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组症状、体征及适应能力积分均较治疗前升高(P<0.05),观察组上述3项颈椎病临床评价量表(CASCS)细则积分均高于对照组(P<0.05)。治疗后,2组颈椎活动度评分均较治疗前升高(P<0.05),观察组颈椎活动度评分高于对照组(P<0.05);2组VAS评分均较治疗前降低(P<0.05),观察组VAS评分低于对照组(P<0.05)。观察组护理满意度为95.65%,对照组护理满意度为76.09%,2组比较,差异有统计学意义(P<0.05)。结论:揿针联合中医护理干预神经根型颈椎病,可有效改善患者的临床症状,减轻其疼痛感,提高护理满意度,对患者的颈椎功能康复有积极作用。 Objective: To observe the clinical effect of thumbtack needle combined with Chinese medicine nursing for nerve root cervical spondylosis. Methods:A total of 92 cases of patients with nerve root cervical spondylosis were selected and divided into the observation group and the control group according to the random number table method,46 cases in each group. The control group was given acupuncture combined with routine nursing intervention,and the observation group was additionally intervened with thumbtack needle combined with Chinese medicine nursing based on the routine nursing intervention in the control group. Both groups were intervened for four weeks. The clinical effect,symptom improvement,rehabilitation effect of cervical function and the nursing satisfaction in the two groups were compared. Results: The total effective rate was 91.30% in the observation group and 71.74% in the control group, the difference being significant(P<0.05). After treatment,the scores of symptoms,signs and adaptability in the two groups were increased when compared with those before treatment(P<0.05), and the scores of the above three detailed rules in Clinical Assessment Scale for Cervical Spondylosis(CASCS) in the observation group were higher than those in the control group(P<0.05). After treatment,the scores of the active degree of cervical vertebrate in the two groups were increased when compared with those before treatment(P<0.05),and the score in the observation group was higher than that in the control group(P<0.05);VAS scores in the two groups were decreased when compared with those before treatment(P<0.05), and VAS score in the observation group was lower than that in the control group(P<0.05). Nursing satisfaction was 95.65% in the observation group and76.09% in the control group, the difference being significant(P<0.05). Conclusion: The intervention of thumbtack needle combined with Chinese medicine nursing for nerve root cervical spondylosis can effectively improve the clinical symptoms of patients,relieve their pain a
作者 林玉丽 姚旭洁 项少茜 LIN Yuli;YAO Xujie;XIANG Shaoqian
出处 《新中医》 CAS 2020年第24期153-156,共4页 New Chinese Medicine
关键词 神经根型颈椎病 揿针 中医护理 颈椎功能 疼痛 护理满意度 Nerve root cervical spondylosis Thumbtack needle Chinese medicine nursing Cervical function Pain Nursing satisfaction
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