王氏围剿推拿治疗颈型颈椎病颈痛的临床疗效观察  

Clinical Observation on WANG’s Encircle Massage for the Treatment of Neck Pain of Neck Type Cervical Spondylosis

作　　者：邓文雯 杜均能 肖慧 王曙辉[2] DENG Wen-Wen;DU Jun-Neng;XIAO Hui;WANG Shu-Hui(Clinical Medical School of Acupuncture,Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Shenzhen Hospital of Guangzhou University of Chinese Medicine,Shenzhen 518000 Guangdong,China)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510006 [2]广州中医药大学深圳医院,广东深圳518000

出　　处：《广州中医药大学学报》2023年第4期928-934,共7页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：深圳市医疗卫生三名工程项目(编号:SZSM201502044)。

摘　　要：【目的】观察王氏围剿推拿疗法治疗颈型颈椎病颈痛的临床疗效及在自我操作下的疗效维持情况。【方法】将70例颈型颈椎病患者随机分为观察组和对照组,每组各35例。2组患者均给予相同的常规针刺治疗(取双侧C4-C7颈夹脊、天柱、颈百劳、肩井等穴),在此基础上,观察组给予王氏围剿推拿疗法治疗,对照组给予传统推拿疗法治疗。每天治疗1次,连续治疗5 d为1个疗程,共治疗1个疗程。疗程结束后,2组患者均进行2周4次的随访。随访期间,观察组患者在医者指导下行围剿推拿疗法自我操作,对照组患者未施加任何干预措施。观察2组患者治疗前后Northwick Park颈痛量表(NPQ)评分、疼痛视觉模拟量表(VAS)评分的变化情况,评价2组患者治疗1个疗程后的临床疗效;并于治疗结束后第7天和第14天进行VAS随访评分,以观察2组患者的疗效维持情况。【结果】(1)脱落情况:研究过程中,观察组和对照各有1例患者脱落,最终各有34例患者纳入疗效统计。(2)疗效情况:经1个疗程治疗后,观察组的总有效率为88.24%(30/34),对照组为76.47%(26/34);组间比较(Mann-Whitney U检验),观察组的疗效明显优于对照组(P<0.05)。(3)NPQ评分情况:治疗后,2组患者NPQ量表的各项评分及总分均较治疗前明显降低(P<0.01),且观察组对疼痛程度、睡眠、持续时间、阅读评分及总分的降低幅度均明显优于对照组(P<0.05或P<0.01)。(4)VAS评分情况:治疗后,2组患者的疼痛VAS评分均较治疗前明显降低(P<0.01),且观察组对疼痛VAS评分的降低幅度明显优于对照组(P<0.01)。(5)随访情况:在疗程结束后第7天和第14天,观察组患者的疼痛VAS评分均无明显升高(P>0.05),而对照组患者的疼痛VAS评分均较治疗后明显升高(P<0.05);组间比较,观察组患者在疗程结束后第7天和第14天的疼痛VAS评分均明显低于对照组(P<0.01)。【结论】王氏围剿推拿疗法治疗颈型颈椎病�Objective To observe the clinical efficacy and WANG’s encircle massage for the treatment of neck pain of neck type cervical spondylosis and the efficacy maintenance under self-administration of the encircle massage. Methods Seventy patients with neck type cervical spondylosis were randomly divided into the observation group and the control group, with 35 patients in each group. Both groups of patients were given the same conventional acupuncture on the bilateral C4-C7 cervical Jia-ji points,Tianzhu(BL10),cervical Bailao(EXHN14)and Jianjing(GB21),and additionally,the observation group was given WANG’s encircle massage and the control group was given traditional massage therapy. Both groups were treated once a day for one course of treatment,and 5 consecutive days constituted a course of treatment. After treatment,the patients in both groups were followed up for 4 times in 2 weeks. During the follow-up period, patients in the observation group were guided by the medical practitioner to perform encircle massage by themselves,while patients in the control group had no more intervention. The changes in Northwick Park Neck Pain Questionnaire(NPQ)scores and visual analogue scale(VAS)scores in the two groups were observed before and after treatment for the evaluation of the clinical efficacy after one course of treatment. On the 7thand 14thday after the end of treatment,VAS scores were examined during the follow-up for the evaluation of the efficacy maintenance in the two groups. Results(1)During the trial,both of the observation group and the control group had one case falling off,and 34 cases in each group eventually completed the trial.(2)After one course of treatment,the overall effective rate of the observation group was 88.24%(30/34)and that of the control group was 76.47%(26/34). The intergroup comparison by MannWhitney U test showed that the therapeutic effect of the observation group was significantly superior to that of the control group(P<0.05).(3)After treatment,all item scores and overall scores of the N

关 键 词：王氏围剿推拿 颈型颈椎病 颈痛 疗效维持 Northwick Park颈痛量表(NPQ)评分 视觉模拟量表(VAS)评分 

分 类 号：R244.1[医药卫生—针灸推拿学]