骨膜压揉法对前斜角肌综合征患者的治疗效果分析  

Treatment Effect Analysis of Periosteum Compression and Kneading Manipulation in Patients with Scalenus Anticus Syndrome

作　　者：栗晓东[1] 刘红军[2] 邱文风[3] 迟文[1] 孔令伟[1] Li Xiao-dong;Liu Hong-jun;Qiu Wen-feng;Chi Wen;Kong Ling-wei(TCM Department,Beijing Jiaotong University Hospital1,Beijing 100044,China;Internal Medicine Department,Beijing Jiaotong University Hospital2,Beijing 100044,China;Ultrasound Department,Beijing Jiaotong University Hospital3,Beijing 100044,China)

机构地区：[1]北京交通大学医院中医科,北京100044 [2]北京交通大学医院内科,北京100044 [3]北京交通大学医院超声科,北京100044

出　　处：《中国社区医师》2023年第8期70-72,共3页Chinese Community Doctors

基　　金：中央高校基本科研业务费专项资金资助(编号:2021JBM443)。

摘　　要：目的:探讨骨膜压揉法对前斜角肌综合征患者的治疗效果。方法:选取2020年1月—2021年12月北京交通大学医院收治的86例前斜角肌综合征患者作为研究对象,根据随机摸球法分为观察组与对照组,各43例。对照组采用常规针灸法治疗,观察组采用骨膜压揉法治疗。比较两组临床疗效、疼痛程度、上肢肌力、颈椎功能。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P=0.003)。治疗前,两组疼痛评分比较,差异无统计学意义(P=0.670);治疗后,两组疼痛评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组上肢肌力≥Ⅲ级者占比高于对照组,上肢肌力≤Ⅱ级者占比低于对照组,差异有统计学意义(P<0.05)。治疗前,两组颈椎功能障碍指数量表(NDI)评分比较,差异无统计学意义(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)。结论:前斜角肌综合征患者采用骨膜压揉法能够增强疗效,减轻疼痛程度,改善患者上肢肌力水平和颈椎功能。Objective:To investigate the treatment effect of periosteum compression and kneading manipulation in patients with scalenus anticus syndrome.Methods:A total of 86 patients with scalenus anticus syndrome admitted to Beijing Jiaotong University Hospital from January 2020 to December 2021 were selected as the study subjects.They were divided into observation group and control group according to random ball touching method,with 43 cases in each group.The control group was treated by conventional acupuncture and moxibustion,and the observation group was treated by periosteum compression and kneading manipulation.The clinical efficacy,pain degree,upper limb muscle strength and cervical spine function of the two groups were compared.Results:The total effective rate in observation group was higher than that in control group,with statistically significant difference(P=0.003).Before treatment,there was no significant difference the pain scores between the two groups(P=0.670).After treatment,the pain scores in both groups were lower than those before treatment,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).After treatment,the proportion of cases with upper limb muscle strength≥grade III in the observation group was higher than that in the control group,and the proportion of cases with upper limb muscle strength≤grade II in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in the scores of Neck Disability Index(NDI)between the two groups(P>0.05).After treatment,the NDI scores in both groups were lower than those before treatment,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).Conclusion:Using periosteum compression and kneading manipulation in patients with scalenus anticus syndrome can enhance the therapeutic effect,reduce the degree of pain,improve the level of up

关 键 词：骨膜压揉法 前斜角肌综合征 疼痛程度 颈椎功能 

分 类 号：R244.1[医药卫生—针灸推拿学]