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推拿手法治疗颈椎病急性发作临床观察

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目的 观察分析中医推拿手法治疗颈椎病急性发作的临床疗效.方法 采用随机数字表法将90例患者分为观察组与对照组各45例;其中对照组予塞来昔布口服治疗,观察组在对照组基础上使用中医推拿手法(一指禅推法联合胸锁乳突肌部局部推拿)进行治疗.观察比较两组患者临床疗效、治疗后视觉模拟量表(VAS)评分、NDI指数、平均肌电值以及不良事件发生情况.结果 观察组总有效率为95.56%,显著高于对照组的80.00%(P<0.05),且观察组治疗后的VAS评分、NDI指数、平均肌电值改善程度均明显优于对照组(P<0.05),两组患者均未发生不良事件.结论 一指禅推法联合胸锁乳突肌部局部推拿治疗可明显减轻颈椎病急性患者的疼痛,缓解其颈部肌肉痉挛,安全有效.
Clinical Observation of TCM Massage on Acute Attack of Cervical Spondylosis
Objective:To explore and analyze the clinical effect of traditional Chinese massage on acute attack of cervical spondylosis.Methods:A total of 90 patients with acute attack of cervical spondylosis admitted to our hospital were divided into the observation group and control group by random number table method,with 45 cases in each group.The control group was treated with celeoxib orally,and the observation group was treated with tradi-tional Chinese massage(one finger Zen pushing method combined with local massage of sternocleidomastoid mus-cle)on the basis of the control group.The clinical efficacy,VAS score,NDI index,mean EMG value and the oc-currence of adverse events were observed and compared between the two groups.Results:The total effective rate of the observation group was 95.56%,which was significantly higher than that of the control group(80.00%)(P<0.05),and the improvement degree of VAS score,NDI index and average EMG value of the observation group was significantly better than those of the control group(P<0.05).No adverse events occurred in both groups.Conclu-sion:Traditional Chinese massage(one finger Zen pushing method combined with local massage of sternocleido-mastoid muscle)can significantly reduce the pain of patients with acute attack cervical spondylosis,relieve their neck muscle spasm,which is safe and effective,and is worthy of further research and promotion.

Cervical spondylosisAcute attackTCM massage manipulationClinical efficacy

许彬、刘英敏、郄丹丹、马苏俞、李玉媛、温亚菲

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河北省保定市第二医院,河北 保定 071051

河北省蠡县医院,河北 蠡县 071051

颈椎病 急性发作 推拿手法 临床疗效

保定市科技计划自筹经费项目

2141ZF212

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(4)
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