推拿配合心理干预对颈椎病并发抑郁症患者的临床观察  

Clinical Observation of Tuina Combined with Psychological Intervention in Treatment of Patients with Cervical Spondylosis Complicated with Depression

作　　者：胡吴斌 王玉影 胡玲[2] 蔡荣林[2] 李梦[2] 吴以诚[1] 占茂林[1] HU Wubin;WANG Yuying;HU Ling;CAI Ronglin;LI Meng;WU Yicheng;ZHAN Maolin(The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230031,Anhui,China;Anhui University of Traditional Chinese Medicine,Hefei 230031,Anhui,China)

机构地区：[1]安徽中医药大学第一附属医院,安徽合肥230031 [2]安徽中医药大学,安徽合肥230038

出　　处：《辽宁中医杂志》2020年第4期113-116,共4页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的观察推拿配合心理干预对颈椎病并发抑郁症患者的临床疗效。方法将120例颈椎病并发抑郁症患者随机分为对照组、心理干预组、推拿配合心理干预组。对照组给予常规护理及颈椎功能锻炼;心理干预组在对照组基础上予以心理干预疗法;推拿配合心理干预组是在心理干预组基础上予以推拿治疗。每周治疗2次,治疗4周。采用汉密尔顿抑郁量表(HAMD24项)、颈椎病治疗成绩评分表及临床疗效评定表进行评分,比较3组干预前后HAMD评分变化、颈椎病治疗成绩评分变化以及患者临床有效率。结果心理干预组与推拿配合心理干预组HAMD评分显著低于对照组,差异具有统计学意义(P<0.01);且推拿配合心理干预组HAMD评分显著低于心理干预组,差异具有统计学意义(P<0.01)。与治疗前比较,治疗后心理干预组颈椎病治疗成绩评分及临床有效率明显高于对照组(P<0.05),而推拿配合心理干预组颈椎病治疗成绩评分及临床有效率显著高于对照组(P<0.01)。结论推拿配合心理干预能够显著降低颈椎病并发抑郁症患者的抑郁严重程度,并显著提高临床疗效。Objective To observe the clinical effect of Tuina and psychological intervention on patients with cervical spondylosis complicated with depression.Methods A total of 120 patients with cervical spondylosis complicated with depression were randomly divided into control group,psychological intervention group,Tuina and psychological intervention group.The control group was given routine nursing and cervical vertebra functional exercise.The psychological intervention group was given psychological intervention on the basis of the control group.Tuina combined with psychological intervention group was given Tuina on the basis of psychological intervention group.The treatment was applied twice a week,totally 4 weeks.Hamilton depression scal(HAMD24),score of cervical spondylosis treatment and the clinical effect were evaluated.We compared HAMD score changes before and after intervention in the three groups,changes in score of cervical spondylosis treatment and clinical efficiency.Results HAMD score of the psychological intervention group and the Tuina and psychological intervention group was significantly lower than that of the control group and the difference was statistically significant(P<0.01)HAMD score of Tuina and psychological intervention group was significantly lower than that of psychological intervention group and the difference was statistically significant(P<0.01).Compared to that before treatment,the score of cervical spondylosis treatment and the clinical effective rate in the psychological intervention group after treatment were significantly higher than those in the control group(P<0.05).The therapeutic score and clinical effective rate of cervical spondylosis in the Tuina and psychological intervention group were significantly higher than those in the control group(P<0.01).Conclusion Tuina combined with psychological intervention can significantly reduce the severity of depression in patients with cervical spondylosis complicated with depression,and significantly improve the clinical efficacy.

关 键 词：颈椎病 抑郁症 推拿 心理干预 

分 类 号：R274[医药卫生—中医骨伤科学]