定点正骨复位联合针刺治疗颈椎生理曲度异常临床研究  

Clinical Study on Fixed-Point Bonesetting Combined with Acupuncture for Abnormal Cervical Physiological Curvature

作　　者：胡静 赵莉 庞青民 王承惠 孙洁 张静静 李博 焦永伟 HU Jing;ZHAO Li;PANG Qingmin;WANG Chenghui;SUN Jie;ZHANG Jingjing;LI Bo;JIAO Yongwei

机构地区：[1]郑州大学附属郑州中心医院针灸理疗科,河南郑州450007 [2]郑州市骨科医院正骨科,河南郑州450099

出　　处：《新中医》2021年第10期125-128,共4页New Chinese Medicine

摘　　要：目的:观察定点正骨复位联合针刺治疗颈椎生理曲度异常的临床疗效。方法:选取88例颈椎生理曲度异常患者作为研究对象,根据治疗方案分为观察组45例和对照组43例。2组患者入院后均采用常规治疗手段进行治疗,对照组在常规治疗基础上采用针刺治疗,观察组在对照组基础上给予正骨复位手法治疗。比较2组临床疗效、生理曲度恢复情况,统计2组治疗前后的疼痛评分以及临床症状评分。结果:观察组总有效率为93.33%,高于对照组69.77%,差异有统计学意义(P<0.05)。观察组颈椎生理曲度恢复情况明显优于对照组,差异有统计学意义(P<0.05)。治疗前,2组疼痛评分比较,差异无统计学意义(P>0.05)。治疗后,2组疼痛评分较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗前,2组各项症状评分比较,差异无统计学意义(P>0.05)。治疗后,2组眩晕、颈肩痛、头痛、日常生活及工作、心理及社会适应评分较治疗前升高,且观察组各项评分均高于对照组(P<0.05)。结论:定点正骨复位联合针灸治疗能够有效纠正患者颈椎生理曲度,减轻患者疼痛和临床症状,临床疗效较好。Objective:To observe the clinical effect of fixed-point bonesetting combined with acupuncture for abnormal cervical physiological curvature.Methods:A total of 88 cases of patients with abnormal cervical physiological curvature were selected as the study subject and divided into the observation group and the control group according to treatment schemes,45 and 43 cases in each group respectively.After admission,both groups were given routine treatment;the control group was additionally treated with acupuncture,and the observation group was additionally treated with fixed-point bonesetting based on the treatment of the control group.Clinical effect and the recovery of physiological curvature were compared between the two groups.Scores of pain and clinical symptoms before and after treatment were counted in the two groups.Results:The total effective rate was 93.33%in the observation group,higher than that of 69.77%in the control group,the difference being significant(P<0.05).The recovery of cervical physiological curvature in the observation group was significantly better than that in the control group,the difference being significant(P<0.05).Before treatment,there was no significant difference being found in the comparison of pain score between the two groups(P>0.05).After treatment,pain scores in the two groups were decreased when compared with those before treatment,and the score in the observation group was lower than that in the control group,the difference being significant(P<0.05).Before treatment,there was no significant difference being found in the comparison of each symptom score between the two groups(P>0.05).After treatment,scores of veritigo,neck and shoulder pain,headache,daily living and working,as well as psychology and social adjustment in the two groups were increased when compared with those before treatment,and each score in the observation group was higher than that in the control group(P<0.05).Conclusion:The therapy of fixed-point bonesetting combined with acupuncture can effectively correct ce

关 键 词：颈椎生理曲度异常 定点正骨复位 针刺 颈椎生理曲度 视觉模拟评分 颈性眩晕症状与功能评估量表 

分 类 号：R681.5[医药卫生—骨科学]