摘要
目的 探讨神经根型颈椎病行针灸配合推拿治疗的效果。方法 本次抽取58例神经根型颈椎病患者进行研究分析,选取时间在2020年3月-2021年3月,行随机抽签模式均分为两组,其中有29例在常规西药治疗基础上施行针灸治疗设为参考组,有29例在常规西药治疗基础上施行针灸配合推拿治疗设为实验组。对比2组治疗效果。结果 治疗有效率中实验组较高(P<0.05)。症状评分中,实验组治疗后较低(P<0.05)。颈椎生理曲度中,治疗后实验组外侧关节间隙、齿状突及两侧块距离、椎体棘突及中线距离较低(P<0.05),其颈椎曲度较高(P<0.05)。结论 神经根型颈椎病行针灸配合推拿治疗效果确切,能够改善患者症状,提高患者颈椎活动能力。由此可见,此种治疗方法具有重要的意义。
关键词: 针灸;推拿;神经根型颈椎病;治疗有效率;症状评分;颈椎生理曲度
Abstract
Objective: To investigate the effect of acupuncture and massage on cervical spondylosis of nerve root type. Methods: 58 patients with cervical spondylosis of nerve root type were selected for research and analysis. The selected time was from March 2020 to March 2021. They were randomly divided into two groups. Among them, 29 patients were treated with acupuncture and moxibustion on the basis of conventional western medicine as the reference group, and 29 patients were treated with acupuncture and massage on the basis of conventional western medicine as the experimental group. The therapeutic effects of the two groups were compared. Results: The effective rate of treatment in the experimental group was higher (P<0.05). In the symptom score, the experimental group was lower after treatment (P<0.05). In the physiological curvature of the cervical spine, the distance between the lateral joint space, the odontoid process and the bilateral mass, the distance between the spinous process and the midline of the vertebral body in the experimental group after treatment was lower (P<0.05), and the cervical curvature was higher (P<0.05). Conclusion : Acupuncture and massage are effective in treating cervical spondylosis of nerve root type, which can improve the symptoms of patients and improve their cervical activity. This shows that this treatment is of great significance.
Key words: Acupuncture and moxibustion; Massage; Cervical spondylosis of nerve root type; Effective rate of treatment; Symptom score; Physiological curvature of cervical vertebra
参考文献 References
[1] 杨思永.颈椎牵引联合针刺治疗对神经根型颈椎病患者疼痛及治疗效果的影响[J].医疗装备,2021, 34(24): 105-106.
[2] 李文辉,梁爱萍.中医推拿结合针灸治疗神经根型颈椎病患者的临床疗效、疼痛程度及生活质量[J].中国医药指南,2021,19(36):118-120.
[3] 莫国麟.针灸联合桂枝葛根汤加减治疗神经根型颈椎病的临床疗效[J].内蒙古中医药,2021,40(12):113-115.
[4] 贾峻.针灸推拿治疗神经根型颈椎病的研究进展[J].内蒙古中医药,2021,40(12):151-153.
[5] 陈思思,刘沛,石晨,杨英.中医综合疗法联合颈前路零切迹椎间融合手术治疗神经根型颈椎病的临床研究[J].河北中医,2021,43(12):2017-2021.
[6] 郑小莉.针刺、推拿联合康复训练治疗神经根型颈椎病临床研究[J].新中医,2021,53(24):169-172.
[7] 兰锐军,鲍毅梅,吴笑杰,夏武雪,李政.针灸特色疗法治疗神经根型颈椎病的研究进展[J].新疆中医药,2021, 39(06):73-76.
[8] 罗芳芳.针刺联合脊神经定位诊断技术治疗神经根型颈椎病的临床疗效[J].实用心脑肺血管病杂志,2021, 29(S2):81-83.
[9] 宋海瑞,孙刚,布尔古德,熊志坚,刘浩波.针灸治疗对神经根型颈椎病患者的疗效及炎症因子、氧化应激及血液流变学的影响[J].湖南师范大学学报(医学版),2020, 17(06):188-191.
[10] 陈爽.按摩推拿治疗神经根型颈椎病的疗效观察[J].继续医学教育,2020,34(11):165-166.