首页|基于"辨构论治"理论推拿治疗前斜角肌综合征疗效观察

基于"辨构论治"理论推拿治疗前斜角肌综合征疗效观察

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目的:基于"辨证论治"理论,采用颈部调衡法治疗前斜角肌综合征,观察其临床疗效.方法:选取 2023 年 3月—2023 年 10 月来院确诊为前斜角肌综合征患者 66 例,随机分为观察组和对照组,每组 33 例.观察组患者进行颈部调衡法治疗,对照组采用中药封包(羌活胜湿汤加减)治疗.治疗 10 天后观察疗效,治疗结束后 1 个月进行随访.比较 2 组患者治疗前后及随访视觉模拟评分(VAS)量表、汉密尔顿焦虑(HAMA)量表;治疗后 2 组患者体征(Adson征、Tinel征、斜角肌压痛)、上肢肌力对比以及临床疗效.结果:治疗后,2 组患者VAS评分、HAMA评分均有所下降(P<0.05),但观察组更佳(P<0.05);2 组患者体征比较,观察组体征Adson征、斜角肌压痛阳性率较对照组低(P<0.05);上肢肌力≥3 级患者人数观察组较多(P<0.05);观察组临床疗效优于对照组(P<0.05).结论:基于"辨构论治"理论,颈部调衡法治疗前斜角肌综合征临床效果较优,可以有效减轻患者疼痛,缓解因疾病带来的焦虑,改善上肢肌力,值得临床进一步应用.
Observation on the Therapeutic Effect of Massage Therapy for Anterior Scalene Muscle Syndrome based on the Theory of"Differentiation of Structure and Treatment"
Objective:Based on the theory of"differentiation of syndromes and treatment",the neck balancing method was used to treat anterior scalene syndrome,and its clinical efficacy was observed.Methods:A total of 66 pa-tients diagnosed with anterior scalene syndrome from March 2023 to October 2023 were selected and randomly divided into an observation group and a control group,with 33 cases in each group.The observation group was treated with the neck balancing method,and the control group was treated with Chinese medicine sealing(Qianghuo Shengshi Decoc-tion plus or minus).The efficacy was observed after 10 days of treatment,and the patients were followed up 1 month after the end of treatment.The visual analogue scale(VAS)scale and Hamilton anxiety(HAMA)scale were compared between the two groups before and after treatment and during follow-up;the physical signs(Adson sign,Tinel sign,scalene tenderness),upper limb muscle strength and clinical efficacy of the two groups were compared after treatment.Results:After treatment,the VAS and HAMA scores of the two groups of patients decreased(P<0.05),but the observa-tion group was better(P<0.05);the physical signs of the two groups of patients were compared,and the positive rates of Adson's sign and scalene muscle tenderness in the observation group were lower than those in the control group(P<0.05);the number of patients with upper limb muscle strength≥3 in the observation group was more(P<0.05);the clinical efficacy of the observation group was better than that of the control group(P<0.05).Conclusion:Based on the theory of"treatment based on differentiation of structure",the neck balancing method has a better clinical effect in the treat-ment of anterior scalene syndrome,which can effectively reduce the pain of patients,relieve the anxiety caused by the disease,and improve the upper limb muscle strength,which is worthy of further clinical application.

Treatment based on differentiation of structureNeck balancing methodAnterior scalene syndromeClinical observation

王燚杨、罗芯雨、齐伟

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长春中医药大学 吉林 长春 130117

深圳市宝安纯中医治疗医院 广东 深圳 518101

辨构论治 颈部调衡法 前斜角肌综合征 临床观察

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(12)