《易筋经》九鬼拔马刀势筋膜松解手法治疗神经根型颈椎病的临床疗效观察  

Clinical efficacy of fascia release manipulation of the Jiugui Ba Madao manner in Yijin Jing on cervical spondylotic radiculopathy

作　　者：陈浩男 涂展 孔之寅 杜文喜[1] CHEN Haonan

机构地区：[1]浙江中医药大学附属第一医院(浙江省中医院),浙江杭州310053

出　　处：《中医临床研究》2024年第32期136-140,共5页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨《易筋经》第七式——九鬼拔马刀势筋膜松解手法治疗神经根型颈椎病的临床疗效。方法:选取2023年3月-2024年3月在浙江中医药大学附属第一医院骨伤科、推拿科接受治疗且符合神经根型颈椎病诊断标准的60例患者,采用随机数字表法将其分为试验组和对照组,每组30例。对照组采取常规理筋手法治疗,试验组在常规理筋手法的基础上加用《易筋经》九鬼拔马刀势筋膜松解手法进行治疗。评估治疗前、治疗1周后、治疗2周后、治疗4周后两组患者颈、肩、背区3组易敏化穴位的压痛阈(Pressure Pain Threshold,PPT)值,以及治疗前后两组患者的疼痛视觉模拟评分法(Visual Analogue Scale,VAS)评分、颈椎功能障碍指数(Neck Disability Index,NDI)评分。结果:治疗1周后、治疗2周后试验组3组穴位的PPT值均显著高于对照组(P<0.05),治疗4周后试验组右侧颈部穴位的PPT值与对照组的差异无统计学意义(P>0.05),肩部及背部的PPT值仍高于对照组(P<0.05)。治疗4周后,两组VAS评分、NDI评分均低于治疗前,且试验组评分显著低于对照组,差异有统计学意义(P<0.05)。结论:两组治疗均能减轻神经根型颈椎病的症状、体征,试验组起效更快,对疼痛的缓解作用更加明显,提示普通理筋手法基础上加用《易筋经》九鬼拔马刀势筋膜松解手法可以更快地缓解疼痛,促进颈椎功能恢复。Objective:To explore the clinical efficacy of the seventh manner of Jiugui Ba Madao manner(九鬼拔马刀势)fascia Orelease manipulation in Yijin Jing(《易筋经》)on cervical spondylotic radiculopathy(CSR).Methods:Sixty patients who received treatment in the Orthopedics and Massage Department of First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine from March 2023 to March 2024 and met the diagnostic criteria for CSR were selected and divided into the experimental group and the control group by the random number table method,with 30 patients in each group.The control group was treated by routine tendon restoration manipulation,while the experimental group was treated by Jiugui Ba Madao manner fascia release manipulation in Yijin Jing additionally.The pressure pain threshold(PPT)values of three easily sensitized acupoints in the neck,shoulder,and back regions of patients in two groups before treatment,after 1 week of treatment,after 2 weeks of treatment,and after 4 weeks of treatment were evaluated,and the visual analogue scale(VAS)score and neck disability index(NDI)score of patients in the two groups before and after treatment were compared.Results:The PPT values of the three easily sensitized acupoints in the experimental group were significantly higher than those in the control group at 1 week after treatment and 2 weeks after treatment(P<0.05).After 4 weeks of treatment,there was no significant difference between the groups in the PPT values of the right neck acupoints(P>0.05),and the PPT values of the shoulder and back acupoints in the experimental group were still higher than those in the control group(P<0.05).After 4 weeks of treatment,both groups had lower VAS score and NDI score compared with before treatment,and the experimental group had significantly lower scores compared with the control group,with statistical significant differences(P<0.05).Conclusion:The treatment in the two groups can alleviate the symptoms and signs of CSR patients,and the experimental group has a

关 键 词：九鬼拔马刀式 神经根型颈椎病 肌筋膜 

分 类 号：R274[医药卫生—中医骨伤科学]