六经辨证手法经络推拿联合针刺治疗神经根型颈椎病临床效果观察
Clinical effect of Six meridians differentiation combined with acupuncture in the treatment of cervical spondylopa-thy of nerve root type
王嘉嘉 1田向东 2黎展文 1文永海 1钟潇羽 1庞金海 1廖健明 1梁一新 1廖信祥1
作者信息
- 1. 玉林市中医医院推拿科,广西玉林 537000
- 2. 北京中医药大学第三附属医院微创关节科,北京 100029
- 折叠
摘要
目的:探讨六经辨证手法经络推拿联合针刺治疗神经根型颈椎病临床效果及优势.方法:选取2019年10月～2021年10月在广西玉林市中医医院推拿科二区住院的诊断为神经根型颈椎病患者90例作为研究对象,采用随机方法将其分成治疗组和对照组(各45人).治疗组采用六经辨证手法经络推拿综合针刺疗法,对照组采用非经络辨证推拿手法综合针刺疗法,两组持续治疗时间为2周,以治疗前、治疗后及出院后1周、出院后4周为时间点进行考察,并采用中医评价量表、日本骨科协会评分(JOA)、视觉模拟痛觉评分(VAS)、颈椎功能障碍指数评分(NDI)进行记录,比较两组患者症状改善情况.结果:两组患者均完成全部治疗无不良事件发生.经治疗后,治疗组总有效率95.6％,对照组总有效率82.2％,治疗组中医评价高于对照组,差异有统计学意义(P＜0.05).组内比较结果显示:较治疗前相比,两组治疗后即时、出院后1周、出院后4周的JOA评分较治疗前升高(P＜0.05);VAS评分、NDI评分较治疗前降低(P＜0.05);组间比较结果显示:两组患者治疗前JOA、VAS、NDI评分比较,差异无统计学意义(P＞0.05),治疗组的治疗后即时、出院后1周、出院后4周的VAS评分、NDI评分低于对照组,JOA评分高于对照组,差异具有明显统计学意义(P＜0.05).研究总结:六经辨证经络手法推拿联合针刺治疗具有个体化的优势,可明显改善神经根型颈椎病放射性疼痛、麻木、乏力的三大临床症状,较普通推拿手法和针刺治疗而言,更具有推广意义.
Abstract
Objective:To investigate the clinical effect and advantage of Six meridians differentiation combined with acu-puncture in the treatment of radiculopathy of cervical spondylosis.Methods:A total of 90patients diagnosed as radiculopathy ad-mitted to the second District of the Massage Department of Yulin Hospital of Traditional Chinese Medicine of Guangxi Province from October 2019to October 2021were selected as the research objects,and randomly divided into the treatment group and the control group(45patients in each group).The treatment group was treated with comprehensive acupuncture therapy of Six meridi-ans differentiation,while the control group was treated with comprehensive acupuncture therapy of non-meridian and collaterals acupuncture and massage.The duration of treatment in both groups was 2weeks,and the time points were investigated before treat-ment,after treatment,1week after discharge and 4weeks after discharge.The Traditional Chinese Medicine Evaluation Scale,Jap-anese Orthopaedic Association score(JOA),visual analogue pain scale(VAS)and cervical spine Dysfunction Index score(NDI)were recorded to compare the improvement of symptoms between the two groups.Result:Patients in both groups comple-ted all treatment without adverse events.After treatment,the total effective rate of the treatment group was 95.6％,and the total effective rate of the control group was 82.2％.The TCM evaluation of the treatment group was higher than that of the control group,and the difference was statistically significant(P＜0.05).The results of intra-group comparison showed that compared with before treatment,JOA scores of the two groups were higher immediately after treatment,1week after discharge and 4weeks af-ter discharge(P＜0.05).VAS score and NDI score were lower than those before treatment(P＜0.05).The results of inter-group comparison showed that there was no statistical significance in JOA,VAS and NDI scores between the two groups before treatment(P＞0.05).VAS and NDI scores of the treatment group immediately after treatment,1week after discharge and 4weeks after discharge were lower than those of the control group,and JOA scores were higher than those of the control group,with signif-icant statistical significance(P＜0.05).Conclusion:Six meridians differentiation combined with acupuncture has the advantages of individual treatment,which can significantly improve the three clinical symptoms of radioactive pain,numbness and fatigue in cervical spondylotic radiculopathy.Compared with ordinary manipulation and acupuncture,it has more promotion significance.
关键词
六经辨证/循经论治/手法推拿/神经根型颈椎病Key words
Six meridians differentiation/Treatment based on syndrome differentiation of channel theory/Manipulation and massage/Cervical spondylotic radiculopathy引用本文复制引用
基金项目
广西中医药适宜技术开发与推广项目(GZSY22～95)
出版年
2024
国家科技期刊平台
NSTL
万方数据