中医推拿疗法联合颈椎牵引治疗椎动脉型颈椎病  

TCM Massage Combined with Cervical Traction in Treatment of Cervical Spondylosis of Vertebral Artery Type

作　　者：逯俊霞[1] 张典 赵计轩 袁冬 LU Junxia;ZHANG Dian;ZHAO Jixuan;YUAN Dong(The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou Henan China 450000)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450000

出　　处：《中医学报》2023年第6期1340-1344,共5页Acta Chinese Medicine

基　　金：河南省中医药科学研究专项课题项目(20-21ZY2191)。

摘　　要：目的:观察中医推拿疗法联合颈椎牵引治疗椎动脉型颈椎病的临床疗效。方法:186例椎动脉型颈椎病患者按照随机数字表法分为观察组95例和对照组91例。对照组给予颈椎牵引,观察组在对照组治疗基础上给予中医推拿疗法,两组均连续治疗3个月。治疗后,比较两组患者临床疗效、中医证候评分及视觉模拟疼痛量表(visual analogue pain scale,VAS)评分。结果:治疗后,观察组有效率高于对照组(91.57%vs 71.42%),差异有统计学意义(P<0.05)。治疗后,两组患者中医证候评分均显著降低;观察组中医证候评分低于同期对照组[(5.69±1.15)分vs(15.71±1.45)分],差异均有统计学意义(P<0.05)。治疗后,两组患者VAS评分均显著降低(P<0.05);观察组VAS评分低于同期对照组[(1.96±0.65)分vs(4.35±1.31)分],差异均有统计学意义(P<0.05)。两组患者治疗期间均未见明显不良反应。结论:中医推拿疗法联合颈椎牵引治疗椎动脉型颈椎病临床疗效显著,可显著降低患者中医证候评分、VAS评分。Objective:To observe the clinical efficacy of TCM massage combined with cervical traction in the treatment of vertebral artery type cervical spondylosis.Methods:186 patients with cervical spondylosis of vertebral artery type were randomly divided into observation group of 95 cases and control group of 91 cases.The control group was given cervical traction,and the observation group was given TCM massage on the basis of the control group′s treatment,and both groups were treated continuously for 3 months.After treatment,the clinical efficacy,TCM syndrome scores,and visual analog pain scale(VAS)scores were compared between the two groups.Results:After treatment,the effective rate of the observation group was higher than that of the control group(91.57%vs 71.42%),and the difference was statistically significant(P<0.05).After treatment,the TCM syndrome scores in both groups were significantly reduced.The TCM syndrome scores of the observation group were lower than those of the control group[(5.69±1.15)points vs(15.71±1.45)points],the difference was statistically significant(P<0.05).And the VAS scores of the two groups were significantly reduced(P<0.05).The VAS scores of the observation group were lower than that of the control group[(1.96±0.65)points vs(4.35±1.31)points]in the same period,and the differences were statistically significant(P<0.05).No obvious adverse reactions were observed in the two groups of patients during the treatment.Conclusion:TCM massage combined with cervical traction has a significant clinical effect in the treatment of vertebral artery type cervical spondylosis,and can significantly reduce the TCM syndrome score and VAS score of patients.

关 键 词：椎动脉型颈椎病 中医推拿 颈椎牵引 

分 类 号：R244.15[医药卫生—针灸推拿学]