推拿结合探穴针法治疗肩胛背神经卡压综合征的疗效观察  

Therapeutic Effect of Massage Combined with Probing Point Needling Therapy for Scapular Nerve Compression Syndrome

作　　者：詹强 李小梅 申屠嘉俊 刘晨 崔太松 寇智君 ZHAN Qiang;LI Xiao-Mei;SHENTU Jia-Jun;LIU Chen;CUI TaiSong;KOU Zhi-Jun(Hangzhou Children's Hospital,Hangzhou 310006 Zhejiang,China;Dept.of Massage,Guangxing Hospital Affiliated to Zhejiang University of Traditional Chinese Medicine,Hangzhou 310007 Zhejiang,China)

机构地区：[1]杭州市儿童医院,浙江杭州310006 [2]浙江中医药大学附属广兴医院,浙江杭州310007

出　　处：《广州中医药大学学报》2020年第3期469-473,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：浙江省中医药管理局资助项目(编号:2017ZA150)。

摘　　要：【目的】观察推拿结合探穴针法治疗肩胛背神经卡压综合征(Dsn ES)的临床疗效及安全性。【方法】将60例肩胛背神经卡压综合征患者随机分为观察组和对照组,每组各30例。对照组给予推拿加小针刀治疗,观察组给予推拿加探穴针治疗,均每周治疗2次,2周为1个疗程,共治疗4个疗程。比较2组患者治疗前后疼痛视觉模拟量表(VAS)评分、颈部残障指数(NDI)评分及健康状况调查量表(SF-36)评分的变化情况,并评价2组患者的临床疗效及安全性。【结果】(1)治疗后,2组患者VAS、NDI、SF-36评分均明显改善(P<0.05),且观察组在改善VAS、NDI、SF-36评分方面均明显优于对照组,差异均有统计学意义(P<0.05)。(2)经4个疗程治疗后,观察组临床愈显率为73.33%,对照组为53.33%,观察组疗效优于对照组,差异有统计学意义(P<0.05)。观察组总有效率为93.33%,对照组为90.00%。观察组疗效优于对照组,但差异无统计学意义(P>0.05)。(3)治疗期间,2组患者均未出现明显的不良反应。【结论】推拿结合探穴针法治疗Dsn ES较针刺疗法能够更有效地缓解疼痛,改善肢体活动功能,提高生活质量,安全性高,疗效显著。Objective To observe the clinical efficacy and safety of massage combined with probing point needling therapy for scapular nerve compression syndrome(Dsn ES). Methods Sixty patients with Dsn ES were randomly divided into observation group and control group,30 cases in each group. The control group received massage and small needle knife treatment,and the observation group received massage combined with probing point needling therapy, two times per week, 2 weeks constituted one course, and the treatment covered 4 courses. Visual analogue scale(VAS)pain score,neck disability index(NDI)and 36-item short form health survey questionnaire(SF-36)were compared in the two groups before and after treatment. The clinical effect and safety were evaluated.Results(1)After treatment,VAS,NDI and SF-36 scores of the two groups were significantly improved(P<0.05),and the improvement in VAS,NDI and SF-36 scores of the treatment group was superior to that of the control group, the difference being statistically significant(P<0.05).(2)After 4 courses of treatment, the clinical cure rate of the observation group(73.33%) was significantly higher than that of the control group(53.33%),the difference being statistically significant(P < 0.05). The total effective rate of the observation group(93.33%)was higher than that of the control group(90.00%),but the difference was statistically nonsignificant(P > 0.05).(3)During the treatment, no adverse reactions occurred in the two groups. Conclusion Massage combined with probing point needling therapy is more effective for the treatment of Dsn ES than acupuncture to relieve pain,improve limb function,promote quality of life,and has high safety.

关 键 词：推拿 探穴针法 肩胛背神经卡压综合征 临床疗效 

分 类 号：R246.9[医药卫生—针灸推拿学]