不同间隔时间推拿配合颈椎定位旋转扳法治疗颈型颈椎病临床研究  

Clinical Study on Tuina at Different Interval Time Combined with Positioning Rotating and Pulling Manipulation at Cervical Spine for Cervical Spondylosis of Neck Type

作　　者：李亚洲[1] 顾非[1] LI Yazhou;GU Fei

机构地区：[1]上海中医药大学附属岳阳中西医结合医院推拿科,上海200437

出　　处：《新中医》2021年第5期150-154,共5页New Chinese Medicine

基　　金：上海市申康医院发展中心项目(SHDC12014202);上海市科学技术委员会科研计划项目(16401932300)。

摘　　要：目的:观察不同间隔时间推拿配合颈椎定位旋转扳法治疗颈型颈椎病的临床疗效,探讨三步推拿法及颈椎定位旋转扳法干预的最优间隔时间。方法:采用2×2析因设计随机对照研究方法,设计方案为治疗间隔时间因素(隔1天治疗1次、隔3天治疗1次)×颈椎定位旋转扳法因素(使用、不使用),将60例颈型颈椎病患者随机分为隔1天有扳组(隔1天推拿治疗+使用颈椎定位旋转扳法)、隔1天无扳组(隔1天推拿治疗+不使用颈椎定位旋转扳法)、隔3天有扳组(隔3天推拿治疗+使用颈椎定位旋转扳法)和隔3天无扳组(隔3天推拿治疗+不使用颈椎定位旋转扳法),每组15例。比较4组临床疗效,观察4组治疗前后软组织张力的变化,分析两因素的主效应及交互效应。结果:总有效率隔1天有扳组为93.3%,隔1天无扳组为86.7%,隔3天有扳组为86.7%,隔3天无扳组为80.0%,4组比较,差异无统计学意义(P>0.05)。治疗后,4组软组织张力均较治疗前增大(P<0.01)。4组软组织张力治疗前后差值比较,差异有统计学意义(P<0.01);隔1天有扳组软组织张力治疗前后差值高于其余3组(P<0.01);隔3天无扳组软组织张力治疗前后差值低于其余3组(P<0.01)。治疗间隔因素的主效应及颈椎定位旋转扳法的主效应差异均有统计学意义(P<0.01),以上两因素间不存在交互作用(P>0.05)。结论:在颈型颈椎病治疗中,推拿间隔时间及是否使用颈椎定位旋转扳法均为影响疗效的重要因素,隔1天推拿治疗配合颈椎定位旋转扳法在改善软组织张力方面效果最好。Objective:To observe the clinical effect of tuina at different interval time combined with positioning rotating and pulling manipulation at cervical spine for cervical spondylosis of the neck type, and to discuss the best interval time between three-step tuina manipulation and intervention of positioning rotating and pulling manipulation at cervical spine.Methods:A randomized controlled research method with a 2×2 factorial design was adopted. The design scheme included factors of treatment interval time(treatment for once every two days or every four days),and factors of positioning rotating and pulling manipulation at cervical spine(application or without application). A total of 60 cases of patients with cervical spondylosis of the neck type were randomly divided into the group with tuina every two days+positioning rotating and pulling manipulation at cervical spine,the group with tuina every two days+no positioning rotating and pulling manipulation at cervical spine position),the group with tuina every four days+ positioning rotating and pulling manipulation at cervical spine,and the group with tuina every four days +no positioning rotating and pulling manipulation at cervical spine,15 cases in each group.The clinical effect was compared among the four groups. The change in soft tissue tension was observed in the four groups before and after treatment. Main effect and interaction effect of two factors were analyzed. Results:The total effective rate was 93.3% in the group with tuina every two days and rotating and pulling manipulation,86.7% in the group with tuina every two days and without rotating and pulling manipulation,86.7% in the group with tuina every four days and rotating and pulling manipulation,and 80.0% in the group with tuina every four days and without rotating and pulling manipulation,there being no significance in the difference(P>0.05). After treatment, soft tissue tension in the four groups was increased when compared with that before treatment(P<0.01). The comparison of difference values of

关 键 词：颈型颈椎病 三步推拿法 颈椎定位旋转扳法 间隔时间 软组织张力 

分 类 号：R681.53[医药卫生—骨科学] R244.1[医药卫生—外科学]