远近同调思想对非脊髓型颈椎病即时疗效及用时影响  

Influnce of the Immediate Effect and Time Spent Used Far and Near Homology in the Treatment of Non-spinal Cervical Spondylosis

作　　者：郑亦斌 冉明山[2] 林贵斌 杨光 安丹蔷 胡庆川 见国繁 ZHENG Yibin;RAN Mingshan;LIN Guibin;YANG Guang;AN Danqiang;HU Qingchuan;JIAN Guofan(Department of Massage,Changping District Hospital of Integrated Traditional Chinese and Western Medicine,Bejing 102208,China;Department of Rehabilitation Medicine,Shougang Hospital,Peking University,Bejing 100144,China;Beijing Haidian District Dabai Spine Health Center,Bejing 100084,China;Beijing Fangshan Hancunhe Community Health Service Center,Bejing 102406,China;Department of Rehabilitation,Beijing Red Cross Peace Orthopedic Hospital,Bejing 100161,China;Acupuncture and message College,Beijing University of Chinese Medicine,Bejing 100029,China;Department of massage,Pinggu Hospital of Traditional Chinese Medicine,Bejing 101200,China)

机构地区：[1]北京市昌平区中西医结合医院推拿科,北京102208 [2]北京大学首钢医院康复医学科,北京100144 [3]北京海淀区大白脊柱健康中心,北京100084 [4]北京市房山韩村河社区卫生服务中心,北京102406 [5]北京市红十字会和平骨科医院康复科,北京100161 [6]北京中医药大学针灸推拿学院,北京100029 [7]北京市平谷中医院推拿科,北京101200

出　　处：《光明中医》2022年第16期2883-2886,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：目的观察远近同调思想对非脊髓型颈椎病的临床疗效及用时情况。方法选择2019年8月—2021年3月北京市昌平区中西医结合医院推拿科、平谷区中医院推拿科非脊髓型颈椎病患者随机分为远近同调组65例、颈椎局部整复组65例。远近同调组采用侧卧位牵张力下旋转定位复位技术、并且对全脊柱进行查体,触诊发现有张力异常关节,关节突关节异常压痛处均做轻手法复位治疗,颈部理筋整复组给予颈背部理筋点穴及颈椎定位旋转扳法治疗。采集治疗前和治疗后当天患者疼痛视觉模拟评分(Visual Analogue Scale,VAS)、颈椎活动度、手法操作用时。结果2组治疗后当天,VAS评分均有改善(P<0.05)。远近同调组略高于颈椎整复组,差异无统计学意义(P>0.05)。但是在颈椎活动度改善方面远近同调组明显优于局部整复组,差异有统计学意义(P<0.05)。同时通过记录每次操作用时,发现远近同调方案单次治疗用时更短,差异有统计学意义(P<0.05)。结论远近同调手法在对于非脊髓型颈椎病的疼痛缓解上与颈部理筋整复手法差异无统计学意义,但能更好地改善患者的颈椎活动度,且在保证有效的同时比理筋手法用时更短。Objective To observe the immediate effect and time spent used“far and near homology”in the treatment of non-spinal cervical spondylosis.Methods From August 2019 to March 2021,patients with non-spinal cervical spondylosis in the department of massage in Changping District Hospital of Integrated Traditional Chinese and Western Medicine and Pinggu Hospital of Traditional Chinese Medicine were randomly divided into two groups as the far and near synchronization group and the cervical local reduction group,with 65 cases in each group.The far and near synchronization group was treated with lateral position traction and rotation positioning chiropractic operation,and the whole spine physical examination.The abnormal tension joints and abnormal tenderness of facet joints were treated with chiropractic manipulation.The cervical local reduction group was treated with cervical back points and cervical positioning rotation pulling therapy.VAS,cervical vertebra ranges of motion and time spent were collected before and on the day after treatment.Results On the same day after treatment,VAS were improved in both groups(P<0.05).Results There was no significant difference between the two groups(P>0.05).But in the improvement of activity,the far and near synchronization group was significantly better than the local reduction group,and the difference had statistical significance(P<0.05).By recording the time of each operation,it was found that the treatment time spent of far and near synchronization scheme was shorter,and the difference had statistical significance(P<0.05).Conclusion There is no significant difference in the pain relief of non-spinal cervical spondylosis between chiropractic manipulation and the cervical local reduction group,but the range of motion is better and the time spent is shorter.

关 键 词：非脊髓型颈椎病 远近同调 治疗用时 活动度 

分 类 号：R244.1[医药卫生—针灸推拿学]