摘要
目的:观察电针联合Mulligan关节松动术治疗神经根型颈椎病(CSR)的临床疗效。方法:将120例CSR患者按照随机抽签法分为对照A组、对照B组及观察组,每组40例。对照A组给予电针治疗,对照B组给予Mulligan关节松动术治疗,观察组在电针基础上联合Mulligan关节松动术治疗。治疗4周后评估治疗效果,比较3组关节活动度(ROM)、颈部肌电信号、视觉模拟评分法(VAS)、日常生活活动(ADL)量表评分变化。结果:治疗后,观察组总有效率高于对照A组、对照B组(P<0.05)。治疗后,观察组前倾、后仰、左偏、右偏、左旋、右旋角度均大于对照A组、对照B组(P<0.05);对照B组的前倾、后仰、左偏、右偏、左旋、右旋角度均大于对照A组(P<0.05)。治疗后,观察组平均肌电值低于对照A组、对照B组(P<0.05),对照B组平均肌电值低于对照A组(P<0.05);观察组肌电中位频数高于对照A组、对照B组(P<0.05),对照B组肌电中位频数高于对照A组(P<0.05)。治疗后,观察组VAS评分低于对照A组、对照B组(P<0.05);对照B组VAS评分低于对照A组(P<0.05)。治疗后,观察组ADL评分高于对照A组、对照B组(P<0.05);对照B组ADL评分高于对照A组(P<0.05)。结论:电针联合Mulligan关节松动术治疗CSR的临床效果显著,可有效减轻疼痛,增强关节活动功能,改善颈部肌电信号,提高患者日常生活能力。
Objective:To observe the clinical effect of electroacupuncture combined with Mulligan joint loosening therapy for cervical spondylotic radiculopathy(CSR).Methods:A total of 120 cases of patients with CSR were divided into the control group A,the control group B and the observation group according to the method of random sampling,with 40 cases in each group.The control group A was given electroacupuncture treatment,the control group B was given Mulligan joint loosening therapy,and the observation group was given electroacupuncture combined with Mulligan joint loosening therapy.After four weeks of treatment,the therapeutic effect was evaluated;the changes of range of motion(ROM)of joint,neck electromyographic signal,Visual Analogue Scale(VAS)and Activity Of Daily Living(ADL)scores were compared between the three groups.Results:After treatment,the total effective rate in the observation group was higher than those in the control group A and the control group B(P<0.05);the total effective rate in the control group B was higher than that in the control group A(P<0.05).After treatment,the forward,backward,left,right,left and right rotation angles in the observation group were greater than those in the other two groups(P<0.05);the above angles in the control group B were greater than those in the control group A(P<0.05).After treatment,the average electromyography in the observation group was lower than those in the control group A and the control group B(P<0.05),and the average electromyography in the control group B was lower than that in the control group A(P<0.05);the median frequency of electromyography in the observation group was lower than those in the control group A and the control group B(P<0.05),and the median frequency of electromyography in the control group B was higher than that in the control group A(P<0.05).After treatment,VAS scores in the observation group were lower than those in the control group A and the control group B(P<0.05);the VAS score in the control group B was lower than that in the contr
作者
俞建辉
盛培新
鲍建飞
戴艺运
YU Jianhui;SHENG Peixin;BAO Jianfei;DAI Yiyun(Department of Acupuncture and Moxibustion,Lanxi Hospital of Traditional Chinese Medicine,Lanxi)
出处
《新中医》
CAS
2024年第20期126-130,共5页
New Chinese Medicine
基金
金华市科技计划项目(2022-4-253)。
关键词
神经根型颈椎病
电针
Mulligan关节松动术
肌电信号
关节活动度
日常生活能力
Cervical spondylotic radiculopathy
Electroacupuncture
Mulligan joint loosening therapy
Electromyographic signal
Range of motion of joint
Activity of daily living
