首页|董氏奇穴联合神经松动术对神经根型颈椎病疗效的影响

董氏奇穴联合神经松动术对神经根型颈椎病疗效的影响

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目的:探讨董氏奇穴联合神经松动术治疗神经根型颈椎病的效果及对疼痛和颈椎功能等指标的影响.方法:选取 2022 年 6 月—2023 年 5 月在广东省人民医院赣州医院康复医学科住院及门诊治疗的 60 例神经根型颈椎病患者,根据就诊顺序进行分组,序号为单数的 30 例为观察组,双数的 30 例为对照组.对照组施行神经松动术,观察组在对照组基础上实施董氏奇穴治疗法.对比两组临床疗效、疼痛情况、颈椎功能及颈椎活动度.结果:观察组治疗总有效率为 96.67%明显高于对照组的 76.67%,差异有统计学意义(P<0.05).治疗前,两组视觉模拟评分法(VAS)、颈椎功能障碍指数(NDI)评分及颈椎活动度比较差异均无统计学意义(P>0.05).治疗后,两组VAS及NDI评分均低于治疗前,且观察组上述评分均低于对照组,差异均有统计学意义(P<0.05).治疗后,两组颈椎活动度均高于治疗前,且观察组颈椎活动度均明显高于对照组,差异均有统计学意义(P<0.05).结论:董氏奇穴联合神经松动术可有效提高神经根型颈椎病的治疗效果,并缓解患者疼痛,促进颈椎功能及活动度的恢复.
Effect of Dong's Special Acupoints Combined with Nerve Mobilization on Cervical Spondylotic Radiculopathy
Objective:To observe the clinical effect of Dong's special acupoints combined with nerve mobilization on cervical spondylotic radiculopathy and its effects on pain and cervical function indexes.Method:A total of 60 patients with cervical spondylotic radiculopathy who were hospitalized or treated in Outpatient Department of Rehabilitation Medicine,Guangdong Provincial People's Hospital Ganzhou Hospital from June 2022 to May 2023 were selected and grouped according to the order of treatment.30 patients with singular serial number were selected as the observation group and 30 patients with even number were selected as the control group.The control group was treated with nerve mobilization,and the observation group was treated with Dong's special acupoints on the basis of the control group.The clinical efficacy,pain,cervical function and cervical range of motion were compared between the two groups.Result:The total effective rate of the observation group was 96.67%,which was significantly higher than 76.67%of the control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in visual analogue scale(VAS)score,neck disability index(NDI)score and cervical range of motion between the two groups(P>0.05).After treatment,the scores of VAS and NDI in two groups were lower than those before treatment,the above scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the cervical range of motion of the two groups were higher than those before treatment,and the cervical range of motion of the observation group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Dong's special acupoints combined with nerve mobilization can effectively improve the therapeutic effect of cervical spondylotic radiculopathy,relieve pain of patients,and promote the recovery of cervical function and activity.

Dong's special acupointsNerve mobilizationCervical spondylotic radiculopathy

刘军、段学铭、黄小燕

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广东省人民医院赣州医院(赣州市立医院)康复医学科 江西 赣州 341000

董氏奇穴 神经松动术 神经根型颈椎病

江西省中医药局科技项目

2022B378

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(1)
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