针刀联合经络定期推拿治疗混合型颈椎病患者的疗效观察  

Observation on the Curative Effect of Acupotomy Combined with Regular Meridian Massage in Treating Patients with Mixed Cervical Spondylosis

作　　者：杨东强 史智军 YANG Dongqiang;SHI Zhijun(Department of Orthopaedics,Pucheng County Hospital of Chinese Medicine,Weinan 715500,China)

机构地区：[1]蒲城县中医院骨科,陕西渭南715500

出　　处：《反射疗法与康复医学》2024年第22期29-32,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨针刀联合经络定期推拿治疗混合型颈椎病患者的康复效果。方法选取2021年4月—2024年4月蒲城县中医院收治的86例混合型颈椎病患者为研究对象,按随机数字表法将其分为对照组和观察组,每组43例。对照组患者给予经络推拿治疗,观察组患者在对照组基础上给予针刀治疗,两组患者均持续治疗3周。比较两组的临床疗效、血流动力学指标、颈椎活动度、疼痛程度、颈性眩晕症状。结果观察组治疗总有效率为93.02%,高于对照组的72.09%,差异有统计学意义(P<0.05)。治疗后,观察组收缩期峰值血流速度快于对照组,阻力指数小于对照组,血流量大于对照组,组间差异有统计学意义(P<0.05);观察组屈曲、伸展、左旋转、右旋转、左侧屈、右侧屈活动度均大于对照组,组间差异有统计学意义(P<0.05);观察组Northwick Park颈痛量表评分低于对照组,颈性眩晕症状与功能评估量表评分高于对照组,组间差异有统计学意义(P<0.05)。结论针刀联合经络推拿治疗混合型颈椎病可协同增效,可有效改善患者的椎动脉血流动力学指标,消除症状,恢复颈椎功能,提升临床疗效。Objective To explore the rehabilitation effect of acupotomy combined with regular meridian massage in the treatment of mixed cervical spondylosis patients.Methods A total of 86 patients with mixed cervical spondylosis who were admitted to Pucheng County Hospital of Chinese Medicine from April 2021 to April 2024 were selected as the research objects,they were divided into a control group and an observation group according to the random number table method,with 43 cases in each group.Patients in the control group were given meridian massage treatment,while patients in the observation group were given acupotomy treatment on the basis of the treatment of the control group,both groups of patients continued the treatment for 3 weeks.The clinical efficacy,hemodynamic indicators,cervical spine range of motion,pain degree,and symptoms of cervical vertigo were compared between the two groups.Results The total effective rate of treatment in the observation group was 93.02%,which was higher than 72.09%in the control group,and the difference was statistically significant(P<0.05).After treatment,the peak systolic blood flow velocity in the observation group was faster than that in the control group,the resistance index was smaller than that in the control group,and the blood flow volume was larger than that in the control group,the differences between the groups were statistically significant(P<0.05);the ranges of motion in flexion,extension,left rotation,right rotation,left lateral flexion and right lateral flexion in the observation group were all greater than those in the control group,and the differences between the groups were statistically significant(P<0.05);the score of the Northwick Park Neck Pain Questionnaire in the observation group was lower than that in the control group,and the score of the Cervical Vertigo Symptom and Function Assessment Scale in the observation group was higher than that in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion The combination of

关 键 词：混合型颈椎病 针刀 经络推拿 血流动力学指标 颈椎活动度 

分 类 号：R681.5[医药卫生—骨科学]