理筋推拿配合低频脉冲电刺激治疗神经根型颈椎病临床研究  

Clinical Study on Tendon Tuina Combined with Low-Frequency Electrical Stimulation for Cervical Spondylotic Radiculopathy

作　　者：俞伟君 彭波 沈万 YU Weijun;PENG Bo;SHEN Wan(Department of Tuina,Hangzhou Lin'an Traditional Chinese Medicine Hospital,Hangzhou Zhejiang 311300,China)

机构地区：[1]杭州市临安区中医院推拿科,浙江杭州311300

出　　处：《新中医》2024年第8期134-138,共5页New Chinese Medicine

摘　　要：目的:观察理筋推拿配合低频脉冲电刺激治疗神经根型颈椎病(CSR)的临床疗效及对肌电图的影响。方法:选取150例CSR患者为研究对象,根据信封法随机分为试验组和对照组各75例。对照组予以低频脉冲电刺激和常规按摩治疗,试验组在对照组基础上予理筋推拿治疗。比较2组治疗前后颈椎疼痛评分[疼痛视觉模拟评分法(VAS)]、活动度、表面肌电信号平均功率频率(MPF)、中医证候评分及临床疗效。结果:治疗后,试验组总有效率为93.33%,对照组为78.67%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组颈椎疼痛VAS评分均较治疗前降低(P<0.05),且试验组VAS评分低于对照组(P<0.05)。治疗后,2组左侧屈、右侧屈、左旋转及右旋转活动度均较治疗前增大(P<0.05),且试验组4项指标均大于对照组(P<0.05)。治疗后,2组颈竖脊肌、斜方肌MPF均较治疗前增大(P<0.05),且试验组颈竖脊肌、斜方肌MPF均大于对照组(P<0.05)。治疗后,2组颈项强痛、手臂麻木、活动不利、面色晦暗等中医证候评分均较治疗前降低(P<0.05),且试验组各项评分均低于对照组(P<0.05)。结论:理筋推拿配合低频脉冲电治疗CSR患者,可显著减轻疼痛,改善颈椎活动度、颈椎功能及中医证候,提高临床治疗效果。Objective:To observe the clinical effect of tendon tuina combined with low-frequency electrical stimulation for cervical spondylotic radiculopathy(CSR)and its effect on electromyogram.Methods:A total of 150 cases of CSR patients were selected as the research subjects and randomly divided into the trial group and the control group by envelop method,with 75 cases in each group.The control group was treated with low-frequency electrical stimulation and routine massage,and the trial group was treated with tendon tuina based on the treatment of the control group.The cervical pain scores[Visual Analogue Scale(VAS)],range of motion,electromyographic mean power frequency(MPF),traditional Chinese medicine(TCM)syndrome scores,and clinical effects were compared between the two groups before and after treatment.Results:After treatment,the total effective rate was 93.33%in the trial group,and 78.67%in the control group,the difference being significant(P<0.05).After treatment,the VAS scores of cervical pain in the two groups were decreased when compared with those before treatment(P<0.05),and the VAS score in the trial group was lower than that in the control group(P<0.05).After treatment,the left flexion,right flexion,left rotation,and right rotation in the two groups were increased when compared with those before treatment(P<0.05),and all the four indexes in the trial group were higher than those in the control group(P<0.05).After treatment,the MPF of the cervical erector spinae and trapezius muscles in the two groups was increased when compared with that before treatment(P<0.05),and the MPF of the cervical erector spinae and trapezius muscles in the trial group was higher than that in the control group(P<0.05).After treatment,the scores of TCM syndromes such as painful spasm of nape,arm numbness,poor mobility,and dull complexion in the two groups were decreased when compared with those before treatment(P<0.05),and all the above scores in the trial group were lower than those in the control group(P<0.05).Conclusion:Tendon tu

关 键 词：神经根型颈椎病 理筋推拿 低频脉冲电刺激 疼痛 活动度 肌电图 

分 类 号：R681.5+5[医药卫生—骨科学]