基于筋骨平衡理论针刀联合南少林整脊手法治疗颈型颈椎病的疗效分析  

Therapeutic effect of acupotomy combined with Southern Shaolin chiropractic manipulation in the treatment of cervical spondylosis of neck type based on the theory of muscle and bone balance

作　　者：张泽升 曾维铨 付解辉 潘细桂 向明 温颢玮 吴世君 ZHANG Zesheng;ZENG Weiquan;FU Jiehui;PAN Xigui;XIANG Ming;WEN Haowei;WU Shijun(Department of Sports Medicine(Orthopaedics),Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350003,China;Key Laboratory of Rehabilitation Technology of Fujian Province,Fuzhou,Fujian 350003,China;Fujian Key Laboratory of Integrated Traditional Chinese and Western Medicine for the Prevention and Treatment of Osteoporosis,Fuzhou,Fujian 350003,China;Department of Medical Affairs,Affiliated Rehabilitation Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350003,China)

机构地区：[1]福建中医药大学附属康复医院运动医学科(骨科),福州350003 [2]福建省康复技术重点实验室,福州350003 [3]福建省中西医结合防治骨质疏松重点实验室,福州350003 [4]福建中医药大学附属康复医院医务部,福州350003

出　　处：《福建医药杂志》2025年第1期6-9,共4页Fujian Medical Journal

基　　金：福建中医药大学校管课题临床专项(XB2022070)。

摘　　要：目的探讨颈型颈椎病患者采用基于筋骨平衡理论针刀联合南少林整脊手法治疗的临床效果。方法选择福建中医药大学附属康复医院2023年1—12月收治的颈型颈椎病患者102例,将观察对象随机分为3组,每组34例。3组采用的治疗方法分别为基于筋骨平衡理论针刀治疗(A组)、基于筋骨平衡理论针刀联合南少林整脊手法治疗(B组)、南少林整脊手法治疗(C组),对比治疗前、治疗后、治疗3个月后的疼痛程度、颈椎功能、颈椎生理曲度及临床总有效率。结果治疗后及治疗3个月后,疼痛视觉模拟评分(VAS)比较,B组低于A组和C组(P<0.05);颈椎功能评分(JOA)比较,B组高于A组和C组(P<0.05);颈椎生理曲度比较,B组高于A组和C组(P<0.05);临床总有效率比较,B组高于A组和C组(P<0.05)。结论颈型颈椎病患者采用基于筋骨平衡理论针刀联合南少林整脊手法治疗效果好,可以有效减轻疼痛程度,促进颈椎功能的恢复,改善颈椎生理曲度。Objective To explore the clinical effect of acupotomology based on the theory of muscle and bone balance combined with Southern Shaolin chiropractic manipulation in the treatment of patients with cervical spondylosis of neck type.Methods A total of 102 patients with cervical spondylosis of cervical type admitted to the Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine from January to December 2023 were selected and randomly divided into three groups,with 34 cases in each group.The treatment methods used in the three groups were acupotomology based on the theory of muscle and bone balance(group A),acupotomology based on the theory of muscle and bone balance combined with South Shaolin chiropractic manipulation(group B),and South Shaolin chiropractic manipulation(group C).The pain degree,cervical function,cervical physiological curvature and total clinical effective rate were compared before treatment,after treatment and 3 months after treatment.Results After treatment and 3 months after treatment,the visual analogue scale(VAS)score of group B was lower than that of group A and group C(P<0.O5).The JOA score of group B was higher than that of group A and group C(P<0.05).The cervical physiological curvature in group B was higher than that in group A and group C(P<0.05).The total effective rate in group B was higher than that in group A and group C(P<o.O5).Conclusion Acupotomy based on the theory of muscle and bone balance combined with Southern Shaolin chiropractic manipulation is effective in the treatment of cervical spondylosis of cervical type,which can effectively reduce the degree of pain,promote the recovery of cervical function,and improve the physiological curvature of cervical spine.

关 键 词：颈型颈椎病 筋骨平衡理论 针刀治疗 南少林整脊手法 

分 类 号：R681[医药卫生—骨科学]