循经按摩治疗神经根型颈椎病  

Meridian massage in the treatment of cervical spondylotic radiculopathy

作　　者：何升华[1] 谭黄圣 黄勇 赖居易[1,2] HE Sheng-hua;TAN Huang-sheng;HUANG Yong;LAI Ju-yi(Shenzhen Traditonal Chinese Medicine Hospital,Shenzhen 518000,Guangdong,China;The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine,Shenzhen 518000,Guangdong,China)

机构地区：[1]深圳市中医院,广东深圳518000 [2]广州中医药大学第四临床医学院,广东深圳518000

出　　处：《中国骨伤》2024年第8期818-823,共6页China Journal of Orthopaedics and Traumatology

基　　金：深圳市三名工程项目(编号:SZZYSM202211004)。

摘　　要：目的:观察循经按摩治疗神经根型颈椎病的临床疗效。方法:选择2020年3月至2023年6月就诊的神经根型颈椎病患者64例,分为观察组和治疗组各32例。观察组采用常规治疗,男14例,女18例,年龄32~55(41.34±7.23)岁;病程9~17(14.23±3.56)个月;C5、C6神经根受压12例,C7神经根受压17例,C8神经根受压3例。治疗组在常规治疗的基础上加以循经按摩治疗,男17例,女15例,年龄30~54(40.86±6.97)岁;病程8~18(15.43±3.48)个月;C5、C6神经根受压14例,C7神经根受压16例,C8神经根受压2例。分别在治疗前和治疗2周后采用疼痛视觉模拟评分(visual analogue scale,VAS)、颈椎功能障碍指数评分(neck disability index,NDI)、颈椎病临床评价量表(clinical assessment scale for cervical spondylosis,CASCS)评价临床疗效,并比较治疗前后颈椎功能活动度。结果:治疗2周后,治疗组和观察组的VAS、NDI评分均降低,CASCS评分均升高(P<0.001)。治疗2周后,治疗组VAS、NDI评分低于观察组,CASCS评分高与观察组(P<0.001)。与治疗前相比,两组治疗2周后前屈、后伸、左侧屈、右侧屈、左旋转、右旋转活动度均增加(P<0.05)。与观察组相比,治疗组前屈、后伸、左侧屈、右侧屈、左旋转、右旋转活动度增加更明显(P<0.05)。结论:循经按摩治疗神经根型颈椎病疗效显著,能有效缓解颈项部疼痛,改善临床症状,患者满意度更高。Objective To observe the clinical efficacy of meridian massage in the treatment of cervical spondylotic radiculopathy.Methods Sixty-four patients with cervical radiculopathy treated from March 2020 to June 2023 were divided into the observation group and the treatment group,with 32 cases in each group.The observation group received conventional treatment,including 14 males and 18 females with an average age of(41.34±7.23)years old ranging from 32 to 55 years old;the disease duration ranged from 9 to 17 months with an average of(14.23±3.56)months;C5 and C6 nerve root compression occurred in 12 cases,C7 nerve root compression occurred in 17 cases,C8 nerve root compression occurred in 3 cases.The treatment group received massage therapy on the basis of conventional treatment,including 17 males and 15 females with an average age of(40.86±6.97)years old ranging from 30 to 54 years old;the disease duration ranged from 8 to 18 months with an average of(15.43±3.48)months;C5 and C6 nerve root compression occurred in 14 cases,C7 nerve root compression occurred in 16 cases,C8 nerve root compression occurred in 2 cases.The clinical efficacy was evaluated by visual analogue scale(VAS),neck disability index(NDI)and clinical assessment scale for cervical spondylosis(CASCS)before and after 2-week treatment,and the range of motion of cervical spine was compared before and after treatment.Results After 2-week treatment,the VAS and NDI scores of the treatment group and the observation group decreased,while the CASCS scores increased(P<0.001).After 2-week treatment,the VAS and NDI scores were lower and the CASCS scores were higher in the treatment group than those of the observation group(P<0.001).Comparing with those before treatment,the range of motion of flexion,extension,left flexion,right flexion,left rotation and right rotation after 2-week treatment increased in two groups(P<0.05).Comparing with the observation group,the range of motion of flexion,extension,left flexion,right flexion,left rotation and right rotation incre

关 键 词：循经按摩 神经根型颈椎病 手三阳经 经络辩证 

分 类 号：R687.3[医药卫生—骨科学]