中医推拿与针灸联合治疗方案在神经根型颈椎病患者中应用的临床效果分析  

Clinical Effect Analysis of the Combination of Chinese Massage and Acupuncture and Moxibustion in the Treatment of Cervical Spondylotic Radiculopathy

作　　者：于恒 陈艳 李佳莹 YU Heng;CHEN Yan;LI Jiaying(Department of TuinaⅠ,Xiamen Traditional Chinese Medicine Hospital,Xiamen,Fujian,361003,China;Xiamen Siming District Wucun Community Health Service Center,Xiamen,Fujian,361000,China;Xiamen Technician Col-lege,Xiamen,Fujian,361100,China)

机构地区：[1]厦门市中医院推拿一科,福建厦门361003 [2]厦门市思明区梧村社区卫生服务中心,福建厦门361000 [3]厦门技师学院,福建厦门361100

出　　处：《中外医疗》2024年第31期187-190,共4页China & Foreign Medical Treatment

摘　　要：目的分析神经根型颈椎病运用中医治疗方法(针灸结合中医推拿)的临床价值。方法方便选取2023年1—12月厦门市中医院收治的96例神经根型颈椎病患者为观察对象,按照不同治疗方法分为对照组、观察组,各48例。对照组接受中医针灸疗法,观察组接受针灸结合推拿疗法。比较两组的临床效果、中医证候积分、生活质量评分。结果观察组治疗总有效率为95.83%(46/48)高于对照组的83.33%(40/48),差异有统计学意义(χ2=4.019,P<0.05)。治疗前,两组患者的中医证候积分对比,差异无统计学意义(P>0.05);治疗后,两组患者的中医证候积分低于治疗前,且观察组低于对照组,差异有统计学意义(P均<0.05)。治疗前,两组患者的生活质量评分对比,差异无统计学意义(P>0.05);治疗后,两组患者的生活质量评分高于治疗前,且观察组高于对照组,差异有统计学意义(P均<0.05)。结论中医推拿结合针灸治疗方法可以有效治疗神经根型颈椎病,相比于单一针灸疗法更利于临床症状的减轻,可提高患者生活质量。Objective To analyze the clinical value of traditional Chinese medicine(acupuncture combined with traditional Chinese medicine massage)in the treatment of cervical spondylotic radiculopathy.Methods A total of 96 patients with cervical spondylotic radiculopathy admitted to Xiamen Hospital of Traditional Chinese Medicine from January to December 2023 were conveniently selected as observation objects.According to different treatment methods,they were divided into control group and observation group,with 48 cases in each group.The control group received traditional Chinese medicine acupuncture therapy,and the observation group received acupuncture combined with massage therapy.The clinical effect,TCM syndrome score and quality of life score of the two groups were compared.Results The total effective rate of treatment in the observation group was 95.83%(46/48)higher than 83.33%(40/48)in the control group,and the difference was statistically significant(χ2=4.019,P<0.05).Before treatment,there was no significant difference in TCM syndrome scores between the two groups(P>0.05);after treatment,the TCM syndrome scores of the two groups were lower than those before treatment,and the observation group was lower than the control group,the differences were statistically significant(all P<0.05).Before treatment,there was no significant difference in quality of life scores between the two groups(P>0.05);after treatment,the quality of life scores of the two groups were higher than those before treatment,and the observation group was higher than the control group,the differences were statistically significant(all P<0.05).Conclusion Traditional Chinese medicine massage combined with acupuncture can effectively treat cervical spondylotic radiculopathy.Compared with single acupuncture therapy,it is more conducive to the reduction of clinical symptoms and can improve the quality of life of patients.

关 键 词：神经根型颈椎病 中医推拿 针灸 中医证候积分 临床疗效 

分 类 号：R244.1[医药卫生—针灸推拿学]