颈椎复位联合经筋推拿手法治疗气滞血瘀型颈椎病的临床研究  

Clinical Study of Cervical Reduction Combined with Meridian Sinew Tuina Manipulation in Treating Cervical Spondylosis of Qi Stagnation and Blood Stasis Pattern

作　　者：于志国[1,2] 关睿骞 吴文刚[1,3] YU Zhiguo;GUAN Ruiqian;WU Wengang(Heilongjiang University of Chinese Medicine,Harbin 150040,China;The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001 [3]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040

出　　处：《中医药信息》2022年第1期46-50,共5页Information on Traditional Chinese Medicine

基　　金：黑龙江中医药大学附属第二医院院内基金项目(2019YB-03)。

摘　　要：目的:观察颈椎复位手法联合经筋推拿手法对气滞血瘀型颈椎间盘突出症患者的临床疗效。方法:选择就诊于黑龙江中医药大学附属第二医院符合纳入标准的气滞血瘀型颈椎间盘突出患者60例,采用随机数字表随机分为治疗组和对照组,各30例。对照组患者颈部仅采用经筋推拿手法,而治疗组患者在此基础上配合颈椎复位手法治疗;于治疗前、治疗后分别对两组患者的颈椎病临床评价量表(CASCS)、疼痛视觉模拟评分(VAS)、中医证候评分进行比较,并观察两组患者治疗前后血清炎性因子白介素-6的变化情况。结果:两组患者治疗后总有效率比较,没有统计学意义,但显愈率方面治疗组优于对照组(P<0.05);两组患者治疗后VAS评分均显著下降,且治疗组显著低于对照组,差异均有统计学意义(P<0.01);两组治疗后CASCS评分均显著升高,且治疗组明显高于对照组,差异均有统计学意义(P<0.01,P<0.05)。两组治疗后中医证候评分均显著下降,且治疗组显著低于对照组,差异具有统计学意义(P<0.01)。两组治疗后血清炎性因子白介素-6均显著下降,且治疗组显著低于对照组,差异具有统计学意义(P<0.01)。结论:颈椎复位配合经筋推拿手法在颈椎间盘突出症患者治疗中的疗效显著,较传统中医颈部推拿手法治疗法能更快地缓解患者痛苦,改善患者生活质量,降低炎性因子水平。Objective:To observe the clinical effect of reduction manipulation combined with meridian sinew Tuina manipulation in the treatment of cervical intervertebral disc herniation(CIDH)of Qi stagnation and blood stasis pattern.Methods:60 CIDH cases met the inclusion criteria of Qi stagnation and blood stasis pattern were randomly divided into the treatment group and the control group,with 30 cases in each group.The control group was treated with meridian sinew Tuina manipulation;on which basis,the treatment group was also treated with cervical reduction.The scores of CASCS,VAS and TCM symptoms,as well as the serum changes of IL-6 were assessed before and after the treatment in the two groups.Results:There was no statistical difference in the total effective rate between the two groups,but marked effective rate was significantly higher in the treatment group than that in the control group(P<0.05).The VAS level was significantly decreased after the treatment compared to those before the treatment in the two groups;of which the decrease in the treatment group was more significant(P<0.01).The CASCS score was significantly increased after the treatment compared to that before the treatment in the two groups;of which the increase in the treatment group was more significant(P<0.05).The score of TCM symptoms in the treatment group was significantly improved compared to that in the control group(P<0.01).The serum level of inflammatory factor IL-6 was significantly lower than that in the control group(P<0.01).Conclusion:Cervical reduction combined with meridian sinew Tuina manipulation is effective in the treatment of CIDH,it can alleviate pain faster and better improve life quality of the patients compared to conventional TCM Tuina manipulation.

关 键 词：颈椎病 经筋推拿 颈椎复位手法 气滞血瘀 颈椎间盘突出 

分 类 号：R274.9[医药卫生—中西医结合]