传统功法结合手法治疗下颈段颈椎间盘突出症的疗效观察  

Observation on the efficacy of traditional Qigong exercise combined with Tuina manipulations in treating lower cervical disc herniation

作　　者：杨晓伟 盛锋 王赛娜 王志超 成磊 龚辰 吴艺 张凯维(译) YANG Xiaowei;SHENG Feng;WANG Saina;WANG Zhichao;CHENG Lei;GONG Chen;WU Yi;ZHANG Kaiwei(Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China;不详)

机构地区：[1]Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China [2]不详

出　　处：《Journal of Acupuncture and Tuina Science》2023年第3期203-209,共7页针灸推拿医学（英文版）

基　　金：上海市中医薄弱领域专科建设项目,No.BRZK2016001。

摘　　要：目的:观察传统功法结合手法治疗下颈段椎间盘突出症(CDH)的临床疗效。方法:将符合纳入标准的120例CDH患者采用随机数字表法随机分为观察组和对照组,每组60例。两组均接受相同的推拿手法治疗,观察组加用传统功法,对照组加用常规颈部活动。治疗8周后观察两组临床疗效;治疗结束3个月后进行随访,统计复发情况。结果:观察组总有效率高于对照组(P<0.05),症状积分改善情况优于对照组(P<0.05),部分颈部肌肉横截面积、脂肪浸润与对照组差异有统计学意义(P<0.05);且观察组复发率低于对照组(P<0.05)。结论:在相同推拿手法治疗基础上加用传统功法治疗CDH的疗效优于加用常规颈部活动,对患者疼痛及生活质量的改善更为明显,且复发率低。Objective:To observe the efficacy of traditional Qigong exercise combined with Tuina(Chinese therapeutic massage)manipulations in treating lower cervical disc herniation(CDH).Methods:A total of 120 CDH patients who met the inclusion criteria were randomly divided into an observation group and a control group,with 60 cases in each group.Patients in both groups were given the same Tuina manipulations.In addition,patients in the observation group practiced traditional Qigong exercise,and those in the control group did conventional neck exercise.After 8 weeks of treatment,the efficacy of the two groups was observed.Follow-up was conducted 3 months after the end of the treatment to record any recurrence.Results:The total effective rate of the observation group was higher than that of the control group(P<0.05).The improvement in symptom scores was more significant in the observation group than in the control group(P<0.05).There was inter-group statistical significance in comparing the cross-sectional area and fatty infiltration of certain cervical muscles(P<0.05).In addition,the recurrence rate in the observation group was lower than that in the control group(P<0.05).Conclusion:On the basis of the same Tuina manipulation treatment,the efficacy of traditional Qigong exercise in treating CDH is superior to that of conventional neck exercise,with more significant improvements in pain and quality of life and a lower recurrence rate.

关 键 词：推拿 按摩 气功 手法治疗 颈椎 椎间盘移位 生物力学 颈部肌肉 

分 类 号：R244.1[医药卫生—针灸推拿学]