Intensive stimulation tuina at tender points plus medication for cervical intervertebral disc herniation  

压痛点强刺激推拿配合药物治疗颈椎间盘突出症(英文)

作　　者：闻鑫高 严樱菊 吴有鲁 洪珏 

机构地区：[1]Orthopedics Department of Yuhang District No.2 People’s Hospital [2]Urology Department of Hangzhou First People’s Hospital

出　　处：《Journal of Acupuncture and Tuina Science》2015年第6期377-380,共4页针灸推拿医学（英文版）

摘　　要：Objective： To observe the clinical efficacy of tuina with intensive stimulation at tender points plus medication in treating cervical intervertebral disc herniation（CIDH）.Methods： Totally 158 CIDH patients were randomized into an observation group and a control group by their visit sequence, 79 cases in each group. The control group was intervened by oral administration of Meloxicam tablets, 7.5 mg for each dose, once each day. The observation group was additionally intervened by tuina with intensive stimulation at tender points based on the treatment given to the control group, once each day. The therapeutic efficacy was evaluated after successive 14-day treatment for the two groups. Results： The total effective rate was 92.4% in the observation group, significantly higher than 81.0% in the control group（P〈0.05）. The visual analogue scale（VAS） scores dropped significantly after the treatment in both groups（both P〈0.01）, and the VAS score of the observation group was significantly lower than that of the control group（P〈0.01）. Conclusion： Tuina with intensive stimulation at tender points plus oral administration of Meloxicam tablets can produce a more significant efficacy in treating CIDH than taking Meloxicam alone, thus worth promoting in clinic.目的:观察压痛点强刺激推拿配合药物治疗颈椎间盘突出症的临床疗效。方法:将158例颈椎间盘突出症患者按就诊顺序随机分为观察组和对照组,每组79例。对照组口服美洛昔康片治疗,每次7.5 mg,每日1次。观察组在对照组基础上加用压痛点强刺激推拿治疗,每日1次。两组均连续治疗14 d后观察疗效。结果:观察组总有效率为92.4%,高于对照组的81.0%(P<0.05)。治疗后,两组疼痛视觉模拟量表(visual analogue scale,VAS)评分均较本组治疗前明显下降(均P<0.01),且观察组VAS评分明显低于对照组(P<0.01)。结论:压痛点强刺激推拿结合口服美洛昔康片治疗颈椎间盘突出症的疗效优于单纯口服美洛昔康片治疗,值得临床推广应用。

关 键 词：TUINA MASSAGE Cervical Spondylosis Intervertebral Disc Displacement Neck Pain MYALGIA 

分 类 号：R[医药卫生]