理筋养阳法推拿治疗神经根型颈椎病的疗效  

The trerapeutic effect of Lijin Yangyang method massage in the treatment of cervical spondylotic radiculopathy

作　　者：郑振发 洪天生 ZHENG Zhen-fa;HONG Tian-sheng(Department of Rehabilitation Medicine,Jinjiang Hospital(Fujian Hospital of Shanghai Sixth People's Hospital),Jinjiang Fujian Province 362200,China)

机构地区：[1]晋江市医院(上海市第六人民医院福建医院)康复医学科,福建晋江362200

出　　处：《中国城乡企业卫生》2024年第11期94-97,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

基　　金：泉州市科技计划项目(2021N003S)。

摘　　要：目的 观察理筋养阳法推拿治疗神经根型颈椎病(CSR)的疗效及对患者肩部疼痛、颈椎活动度的影响。方法 将晋江市医院(上海市第六人民医院福建医院)2021年1月—2023年12月收治的90例CSR患者,按照随机数字表法分为观察组和对照组各45例。对照组患者采用常规颈椎牵引+针灸治疗,观察组患者在对照组治疗基础上应用理筋养阳法推拿治疗。比较两组患者的临床疗效、中医证候积分、肩部疼痛改善状况和颈椎活动度。结果 观察组治疗总有效率为95.56%,高于对照组的82.22%,差异有统计学意义(χ^(2)=4.050,P<0.05)。治疗前,两组中医症候积分、VAS评分、颈椎活动度比较,差异无统计学意义(P>0.05);治疗后,两组患者中医证候积分、VAS评分均低于治疗前,颈椎活动度优于治疗前,且观察组优于对照组,差异均有统计学意义(P<0.05)。结论 采用理筋养阳法推拿治疗气血瘀滞型CSR患者疗效较好,有利于改善肩部疼痛等不适症状,提高颈椎活动度,值得临床推广与应用。Objective To investigate the clinical efficacy of Lijin Yangyang method massage in the treatment of cervical spondylotic radiculopathy(CSR),and its effect on shoulder pain and cervical range of motion.Methods Ninety CSR patients admitted to Jinjiang Hospital(Fujian Hospital of Shanghai Sixth People's Hospital)from January 2021 to December 2023 were divided into observation group and control group by using random number table method,with 45 cases in each group.The control group received conventional cervical traction+acupuncture treatment,the observation group received Lijin Yangyang method massage treatment on the basis of the control group.Then the clinical efficacy,TCM syndrome score,shoulder pain alleviation and cervical range of motion were compared between two groups.Results The total effective rate of the observation group was 95.56%,which was higher than that of the control group with 82.22%,and the difference was statistically significant(χ^(2)=4.050,P<0.05).Before treatment,there was no significant difference in TCM syndrome score,VAS score and cervical motion between the two groups(P>0.05);after treatment,TCM syndrome scores and VAS scores in two groups were lower than before treatment,cervical motion was better than before treatment,and the observation group was better than the control group,and the differences were statistically significant(P<0.05).Conclusion Application of Lijin Yangyang method massage in the treatment of CSR patients with Qi and blood stasis had shown good therapeutic effects,which was beneficial to improve shoulder pain and other discomfort symptoms,and improve the range of motion,which was worthy of clinical promotion and application.

关 键 词：推拿 针刺 颈椎活动度 神经根型颈椎病 理筋养阳法 

分 类 号：R245[医药卫生—针灸推拿学] R244.1[医药卫生—中医临床基础]