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机构地区:[1]广西壮族自治区贵港市中医医院,广西贵港537100
出 处:《中国中医急症》2016年第3期525-528,共4页Journal of Emergency in Traditional Chinese Medicine
基 金:广西壮族自治区贵港市科学技术局自筹科研项目(贵科攻1408002)
摘 要:目的观察针刀灭活肌筋膜触发点术、复合扳法以及两者结合治疗椎动脉型颈椎病(CSA)的临床疗效。方法 120例患者随机分为试验组、对照1组和对照2组,每组40例。试验组采用针刀灭活颈椎肌筋膜触发点术结合颈椎复合扳法(定点旋提扳法+后伸位扳法+过屈位扳法)治疗,对照1组采用针刀灭活颈椎肌筋膜触发点术治疗,对照2组采用颈椎复合扳法治疗,观察治疗前后采用临床症状、体征评分、疗效指数及颈椎曲度测量结果进行评定。结果试验组愈显率85.00%和总有效率97.50%均优于对照1组和对照2组(P<0.05)。各组治疗前症状和体征积分差别不大(P>0.05)。治疗后各组症状和体征积分均比治疗前改善(均P<0.05),且试验组改善均优于对照1组和对照2组(均P<0.05)。各组治疗前颈椎曲度C线测定值差别不大(P>0.05)。治疗后各组颈椎曲度C线测定值均比治疗前改善(均P<0.05),且试验组改善均优于对照1组和对照2组(均P<0.05)。结论采用针刀灭活肌筋膜触发点术结合复合扳法治疗CSA疗效较好,更能有效改善颈椎生理曲度,重建颈椎的动静力平衡,恢复颈椎内外源性稳定。Objective: To observe the acupotomy inactivating myofascial trigger points combined with compound massage therapy on cervical spondylotic arteriopathy. Methods: 120 cases of CSA patients were randomly divided into the experimental group and control group 1 and control group 2,40 cases in each group. The experimental group received acupotome eliminate cervical muscle fascia Ashi point operation combined with cervical joint ma-nipulation(fixed rotating,lifting and pulling method + extension bit manipulation + flexion manipulation) treatment;control group 1 were treated with small needle knife eliminate cervical muscle fascia Ashi point therapy;control group 2 were treated with cervical spine combined with massage in treatment. Clinical symptoms,symptoms score and efficacy index and cervical physiological curvature measurement results were evaluated before and after treatment. Results: After treatment,the scores of clinical symptoms and signs and clinical efficacy in the experimental group,compared to the control group 1 and 2,were significantly improved(P〈 0.05);in improving the physiological curvature of the cervical part,the experimental group was also better than that of control group 1 and2(P〈 0.05). Conclusion: The acupotomy inactivating myofascial trigger points combined with compound massage therapy on cervical spondylotic arteriopathy can more effectively improve the physiological curvature of the cervical spine and dynamic static balance of cervical spine reconstruction,and restore cervical internal and external source of stability,with the value of popularization.
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