摘要
目的探讨针灸、推拿、牵引联合治疗神经根型颈椎病中的临床疗效及对患者颈椎病临床恢复及疼痛的影响。方法选取2019年1月至2020年12月本院收治的80例神经根型颈椎病患者作为研究对象,根据治疗方法不同分为A组(n=25)、B组(n=25)及C组(n=30)。A组采用针灸治疗,B组采用针灸+推拿治疗,C组采用针灸+推拿+牵引治疗,比较3组治疗前后中医症候积分、颈椎病临床评价量表(CASCS)评分、颈痛评分量表(NPQ)、颈椎功能障碍指数(NDI)及日本骨科协会(JOA)评分。结果治疗后,3组颈部疼痛、颈部僵硬麻木、上肢沉重积分均低于治疗前,且C组颈部疼痛、颈部僵硬麻木、上肢沉重积分均低于A组、B组,B组颈部疼痛、上肢沉重积分均低于A组,差异有统计学意义(P<0.05),A组与B组颈部僵硬麻木积分比较差异无统计学意义。治疗后,3组CASCS评分均高于治疗前,NPQ评分均低于治疗前,且C组CASCS评分高于A组、B组,NPQ评分低于A组、B组,B组CASCS评分高于A组,NPQ评分低于A组,差异有统计学意义(P<0.05)。治疗后,3组NDI评分、JOA评分均低于治疗前,且C组低于A组、B组,B组低于A组,差异有统计学意义(P<0.05)。结论针灸、推拿、牵引均适用于神经根型颈椎病患者,但相较于单独应用某一治法,三者联合治疗的临床疗效更佳。
Objective To investigate the clinical effect of acupuncture,massage combined with traction in the treatment of cervical spondylotic radiculopathy and its influence on clinical recovery and pain of patients with cervical spondylotic radiculopathy.Methods 80 patients with cervical spondylotic radiculopathy treated in our hospital from January 2019 to December 2020 were selected as the study subjects,and they were divided into the group A(n=25),group B(n=25)and the group C(n=30)according to different treatment methods.Group A was treated with acupuncture,group B was treated with acupuncture+massage,and group C was treated with acupuncture+massage+traction,the clinicol assessment scale for cervical spondylosis(CASCS)score,neck pain questionnaire(NPQ)score,neck disability index(NDI)and Japanese Orthopaedic Association(JOA)score before and after treatment were compared among the three groups.Results After treatment,the scores of neck pain,neck stiffness and numbness,and upper limb heaviness in the three groups were lower than those before treatment,and the scores of neck pain,neck stiffness and numbness and upper limb heaviness in the group C were lower than those in the group A and group B,the scores of neck pain and upper limb heaviness in group B were lower than those in the group A,the differences were statistically significant(P<0.05),there was no significant difference in neck stiffness and numbness score between the group A and group B.After treatment,CASCS scores of the three groups were higher than those before treatment,NPQ scores were lower than those before treatment,and CASCS scores of group C was higher than that of group A and group B,NPQ scores was lower than that in the group A and group B,CASCS scores in the group B was higher than that in the group A,NPQ scores was lower than that the group A,the differences were statistically significant(P<0.05).After treatment,the NDI and JOA scores in the three groups were lower than those before treatment,and the group C were lower than those in the group A and g
作者
潘迅
苏旻
承诗琪
苏秋菊
PAN Xun;SU Min;CHENG Shiqi;SU Qiuju(Department of Acupuncture,Wuxi Medical Center of Nanjing Medical University/Wuxi People's Hospital Affiliated to Nanjing Medical University,Wuxi,Jiangsu,214023,China)
出处
《当代医学》
2023年第13期29-33,共5页
Contemporary Medicine
关键词
神经根型颈椎病
针灸
推拿
牵引
颈椎疼痛
颈椎功能
Cervical spondylotic radiculopathy
Acupuncture
Massage
Traction
Cervical pain
Cervical function
