首页|针灸推拿联合颈椎牵引治疗对神经根型颈椎病患者肩部疼痛及颈椎功能的影响

针灸推拿联合颈椎牵引治疗对神经根型颈椎病患者肩部疼痛及颈椎功能的影响

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目的 探讨神经根型颈椎病(Cervical Spondylotic Radiculopathy,CSR)患者行针灸、推拿与颈椎牵引共治对肩部疼痛及颈椎功能的影响.方法 随机选取2020年5月—2023年5月厦门市第五医院确诊的60例CSR患者作为研究对象,并依照随机数表法分为对照组和观察组,各30例.对照组仅接受颈椎牵引治疗,观察组基于对照组治疗条件下增加针灸推拿治疗,比较两组的中医证候、肩部疼痛状况、颈椎功能以及复发率.结果 治疗后,观察组各项中医证候积分以及总积分均低于对照组,差异有统计学意义(P均<0.05).治疗后,观察组肩部疼痛症状[视觉模拟评分法(Visual Analogue Scale,VAS)]得分低于对照组,差异有统计学意义(P<0.05).治疗后,观察组颈椎功能障碍指数量表(Cervical Spine Dysfunction Index Scale,NDI)得分低于对照组,颈椎生理曲度高于对照组,差异有统计学意义(P均<0.05).观察组治疗后3个月的复发率(0)低于对照组(20.00%),差异有统计学意义(χ2=4.629,P=0.031).结论 针灸推拿联合颈椎牵引疗法可更有效缓解CSR患者的中医证候,减轻肩部疼痛症状,促进患者颈椎功能恢复,并降低复发率.
Effects of Acupuncture,Massage and Cervical Traction on Shoulder Pain and Cervical Spine Function in Patients with Cervical Spondylotic Radicu-lopathy
Objective To investigate the effects of acupuncture,massage and cervical traction on shoulder pain and cervical function in patients with cervical spondylotic radiculopathy(CSR).Methods 60 confirmed CSR patients from Xiamen Fifth Hospital from May 2020 to May 2023 were randomly selected as the study subjects,and were divided into a control group and an observation group,with 30 cases in each group using a random number table method.The control group only received cervical traction treatment,while the observation group received acupuncture and massage treatment under the treatment conditions of the control group.The traditional Chinese medicine syndrome,shoulder pain,cervical function,and recurrence rate of the two groups were compared.Results After treatment,the scores and total scores of various traditional Chinese medicine syndromes in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the observation group had lower scores for shoulder pain symptoms(Visual Analog Scale,VAS)compared to the control group,and the difference was statistically significant(P<0.05).After treatment,the Cervical Spine Dysfunction Index Scale(NDI)score of the observation group was lower than that of the control group,and the physiological curvature of the cervical spine was higher than that of the control group,and the differences were statistically significant(both P<0.05).The recurrence rate of the observation group after 3 months of treatment(0)was lower than that of the control group(20.00%),and the difference was statistically significant(χ2=4.629,P=0.031).Conclusion Acupuncture,massage and cervical traction therapy can more effectively relieve the traditional Chinese medicine syndrome of CSR patients,reduce the symptoms of shoulder pain,promote the recovery of cervical spine function,and reduce the recurrence rate.

Cervical spondylotic radiculopathyAcupunctureMassageCervical tractionShoulder painCervical spine function

林晓、王佳梅

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厦门市第五医院推拿科,福建厦门 361101

厦门市第五医院中医科,福建厦门 361101

神经根型颈椎病 针灸 推拿 颈椎牵引 肩部疼痛 颈椎功能

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(2)
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