整脊推拿联合短刺法治疗椎动脉型颈椎病患者的效果  

Effects of chiropractic massage combined with short needling in treatment of patients with cervical spondylosis of vertebral artery type

作　　者：王雅青 WANG Yaqing(Department of Rehabilitation Medicine of Guangzhou Eighth Hospital of Guangzhou Medical University,Guangzhou 510040 Guangdong,China)

机构地区：[1]广州医科大学附属市八医院康复医学科,广东广州510040

出　　处：《中国民康医学》2022年第17期110-112,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察整脊推拿联合短刺法治疗椎动脉型颈椎病患者的效果。方法:回顾性分析2020年7月至2021年7月该院收治的84例椎动脉型颈椎病患者的临床资料,按照治疗方式不同分为对照组和观察组各42例。对照组采用短刺法治疗,观察组采用整脊推拿联合短刺法治疗,比较两组临床疗效,治疗前后颈椎功能障碍指数(NDI)评分、颈椎病临床评价量表(CASCS)评分,以及治疗期间不良反应发生率。结果:观察组治疗总有效率为95.24%(40/42),高于对照组的78.57%(33/42),差异有统计学意义(P<0.05);治疗后,两组NDI评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组临床体征、主观症状和适应能力等CASCS评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:整脊推拿联合短刺法治疗椎动脉型颈椎病患者可提高治疗总有效率和CASCS评分,以及降低NDI评分,效果优于单纯短刺法治疗。Objective:To observe effects of chiropractic massage combined with short needling in treatment of patients with cervical spondylosis of vertebral artery type.Methods:The clinical data of 84 patients with cervical spondylosis of vertebral artery type admitted to our hospital from July 2020 to July 2021 were retrospectively analyzed,and were divided into control group and observation group according to different treatment methods,42 cases in each group.The control group was treated with short needling,while the observation group was treated with chiropractic massage combined with short needling.The clinical efficacy,the cervical spine dysfunction index(NDI)score and the clinical evaluation scale for cervical spondylosis(CASCS)score before and after the treatment,and the incidence of adverse reactions during treatment were compared between the two groups.Results:The total effective rate of treatment in the observation group was 95.24%(40/42),which was higher than the control group of 78.57%(33/42),and the difference was statistically significant(P<0.05).After the treatment,the NDI scores of the two groups were lower than those before the treatment,that of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).After the treatment,the CASCS scores of clinical signs,subjective symptoms and adaptability in the two groups were higher than those before the treatment;those of the observation group were higher than those of the control group;and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Chiropractic massage combined with short needling in the treatment of the patients with cervical spondylosis of vertebral artery type can improve the total effective rate and the CASCS score,and reduce the NDI score.Moreover,it is superior to single short needling treatment.

关 键 词：椎动脉型颈椎病 短刺法 整脊推拿 颈椎功能 不良反应 

分 类 号：R246[医药卫生—针灸推拿学]