痛敏源点主被动牵张疗法在颈椎病治疗中的临床研究  

Clinical study on active and passive traction therapy of pain sensitive source point in the treatment of cervical spondylosis

作　　者：唐瞻华 赵世杰 TANG Zhanhua;ZHAO Shijie(Orthopedics Department,the People's Hospital of Chongzuo,Chongzuo 532200;Orthopedics Department,Chongzuo Zhongyi Zhuangyi Hospital of Medicine,Chongzuo 532200,China)

机构地区：[1]崇左市人民医院骨科,广西崇左532200 [2]崇左市中医壮医医院骨科,广西崇左532200

出　　处：《临床医学研究与实践》2025年第11期118-121,共4页Clinical Research and Practice

基　　金：崇左市科技计划项目(崇科20220632);广西壮族自治区中医药管理局自筹经费科研课题(No.GXZYF20230872)。

摘　　要：目的探讨痛敏源点主被动牵张疗法在颈椎病治疗中的应用效果。方法选取崇左市人民医院和崇左市中医壮医医院骨科收治的90例颈椎病患者为研究对象,根据治疗方法不同将其分为对照组(n=45)和研究组(n=45)。对照组实施颈椎牵引疗法,研究组在对照组的基础上采用痛敏源点主被动牵张疗法。比较两组的临床疗效、颈椎功能障碍指数(NDI)评分、视觉模拟评分法(VAS)评分、不良反应发生情况及治疗后6个月的复发情况。结果研究组的治疗总有效率为93.33%(42/45),高于对照组的77.78%(35/45),差异具有统计学意义(P<0.05)。治疗4周后,两组患者的NDI、VAS评分均低于治疗前,差异具有统计学意义(P<0.05);治疗4周后,研究组的NDI、VAS评分均显著低于对照组,差异具有统计学意义(P<0.05)。两组的不良反应总发生率比较,差异无统计学意义(P>0.05);研究组治疗后6个月的复发率为2.22%(1/45),低于对照组的13.33%(6/45),差异具有统计学意义(P<0.05)。结论痛敏源点主被动牵张疗法应用于颈椎病治疗中可显著提高临床疗效,改善患者颈椎功能障碍,缓解颈部疼痛,降低复发率,且无严重不良反应,具有较高的临床应用价值。Objective To explore the application effect of active and passive traction therapy of pain sensitive source point in the treatment of cervical spondylosis.Methods A total of 90 patients with cervical spondylosis admitted in the orthopedics department,the People's Hospital of Chongzuo and Chongzuo Zhuangyi Hospital of Traditional Chinese Medicine were selected as the research objects.According to different treatment methods,the patients were divided into control group(n=45)and study group(n=45).The control group was treated with cervical traction therapy,and the study group was treated with active and passive traction therapy of pain sensitive source point on the basis of the control group.The clinical efficacy,Neck Disability Index(NDI)score,Visual Analogue Scale(VAS)score,adverse reactions and recurrence 6 months after treatment were compared between the two groups.Results The total effective rate of treatment in the study group was 93.33%(42/45),which was higher than 77.78%(35/45)in the control group,and the difference was statistically significant(P<0.05).After 4 weeks of treatment,the NDI and VAS scores of the two groups were lower than those before treatment,and the differences were statistically significant(P<0.05);after 4 weeks of treatment,the NDI and VAS scores of the study group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05);the recurrence rate of 6 months after treatment in the study group was 2.22%(1/45),which was lower than 13.33%(6/45)in the control group,and the difference was statistically significant(P<0.05).Conclusion The active and passive traction therapy of pain sensitive source point applied in the treatment of cervical spondylosis can significantly improve the clinical efficacy,improve cervical dysfunction,relieve neck pain,reduce the recurrence rate,and have no serious adverse reactions,which has high clinical ap

关 键 词：颈椎病 痛敏源点 主被动牵张疗法 颈椎功能障碍 疼痛 

分 类 号：R274[医药卫生—中医骨伤科学]