回医理筋疗法治疗颈部筋伤的临床疗效
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摘要
目的评价回医理筋疗法治疗颈部筋伤疾病的临床疗效。方法选取200例颈部筋伤患者为研究对象,随机分为观察组和对照组,每组各100例,观察组患者接受回医理筋疗法+针灸治疗,对照组患者接受单纯的针灸治疗,一个疗程治疗后,比较两组的临床疗效。结果观察组治疗总有效率(91%)优于对照组(78%)(P<0.05);观察组症状与功能改善评分[(39.3±3.9)分]优于对照组[(28.9±3.5)分](P<0.05);观察组MPQ量表评分优于对照组(P<0.05)。结论回医理筋疗法能明显改善颈部筋伤患者颈部功能,疗效显著,安全可靠。
Objective To analyse and evaluate the clinical efficacy of tendon therapy of Hui Medicine in neck tendon trauma patients. Methods 200 cases with neck cervical spondylosis were selected as research subjects,which were divided into the observation group with 100 cases and the control group with 100 cases based on random number table. The observation group patients received the treatment of tendon therapy and acupuncture,while patients of the control group received the treatment of acupuncture only,then to compare the clinical efficacy of two groups after a course of treatment. Results The total efficiency of the observation group( 91%) was significantly higher than that of the control group( 78%)( P < 0. 05). The score of symptoms and thefunctionalimprovementinobservationgroupwas(39.3±3.9)and that was significantly higher than that of the control group with( 28. 9 ± 3. 5)( P < 0. 05). MPQ scores of the observation group were significantly higher than those of the control group. Conclusion The tendon therapy of Hui Medicine can improve the neck function in patients with neck tendon trauma significantly. The therapy was safe and reliable,which was suitable for application and promotion in clinics.
Objective To analyse and evaluate the clinical efficacy of tendon therapy of Hui Medicine in neck tendon trauma patients. Methods 200 cases with neck cervical spondylosis were selected as research subjects,which were divided into the observation group with 100 cases and the control group with 100 cases based on random number table. The observation group patients received the treatment of tendon therapy and acupuncture,while patients of the control group received the treatment of acupuncture only,then to compare the clinical efficacy of two groups after a course of treatment. Results The total efficiency of the observation group( 91%) was significantly higher than that of the control group( 78%)( P < 0. 05). The score of symptoms and thefunctionalimprovementinobservationgroupwas(39.3±3.9)and that was significantly higher than that of the control group with( 28. 9 ± 3. 5)( P < 0. 05). MPQ scores of the observation group were significantly higher than those of the control group. Conclusion The tendon therapy of Hui Medicine can improve the neck function in patients with neck tendon trauma significantly. The therapy was safe and reliable,which was suitable for application and promotion in clinics.
引文
[1]李增春,陈德玉,吴德升,等.第三届全国颈椎病专题座谈会纪要[J].中华外科杂志,2008,46(23):1796-1799.
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[11]邵宣,许竟斌,史可任,等.实用颈腰背痛学[M].北京:人民军医出版社,1997:46-51.
[12]郝永强,施杞.实验性动力平衡失调对颈椎退变影响的X线观察[J].颈腰痛杂志,2000,21(1):12-14.
[13]Gogia PP,Sabbahi MA.Electromyographic analysis of neck muscle fatigue in patients with osteoarthritis of the cervical spine[J].Spine,1994,19(5):502-506.
[14]Ylinen J,Salo P,Nyk nen M,et al.Decreased isometric neck strength in women with chronic neck pain and the repeatability of neck strength measurements[J].Arch Phys Med Rehabil,2004,85(8):1303-1308.
[15]田进文,石巧荣,韩成仁,等.论肝藏在体为骨骼肌系统[J].南京中医药大学学报(自然科学版),2005,21(3):143-145.
[16]李经纬.中医大辞典阅[M].北京:人民卫生出版社,1998:1522-1523.
[17]徐桂华,刘虹.中医护理学基础[M].中国中医药出版社,2012.
[18]苏泽波.中医伤科学[M].上海:上海科技出版社,1985:187.
[19]马惠昇,穆静,刘志华,等.回医理筋手法对兔颈肌慢性损伤干预的血清标志物研究[J].宁夏医科大学学报,2014,36(9):945-948,953.
[20]刘志华,马惠昇,穆静,等.回医理筋手法不同时间干预兔颈肌慢性损伤的组织学研究[J].宁夏医科大学学报,2013,35(10):1069-1071,封2.
[2]梁繁荣.针灸推拿学[M].中国中医药出版社,2009:382.
[3]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:186-189.
[4]张鸣生,许伟成,林仲民,等.颈椎病临床评价量表的信度与效度研究[J].中华物理医学与康复杂志,2003,25(3):25-28.
[5]洪雁,郑娜,赵枫林.综合疗法治疗颈型颈椎病[J].中国康复,2006,21(5):345-345.
[6]叶添文,贾连顺.颈椎周围肌肉系统病变与颈椎病的关系[J].中国骨与关节损伤杂志,2005,20(2):140-142.
[7]郝永强,施杞.实验性颈椎动力平衡失调后椎间盘胶原酶活性观察[J].中国矫形外科杂志,2000(4):44-45.
[8]房敏,严隽陶.颈部软组织病变在颈椎发病中的作用[J].中国骨伤,2001,14(2):94-95.
[9]Mannion AF,Weber BR,Dvorak J,et al.Fibre type characteristics of the lumbar paraspinal muscles in normal healthy subjects and in patients with low back pain[J].J Orthop Res,1997,15(6):881-887.
[10]王永红,段俊峰,宁俊忠.颈肌与颈椎病关系浅析[J].颈腰痛杂志,2004,25(1):46-47.
[11]邵宣,许竟斌,史可任,等.实用颈腰背痛学[M].北京:人民军医出版社,1997:46-51.
[12]郝永强,施杞.实验性动力平衡失调对颈椎退变影响的X线观察[J].颈腰痛杂志,2000,21(1):12-14.
[13]Gogia PP,Sabbahi MA.Electromyographic analysis of neck muscle fatigue in patients with osteoarthritis of the cervical spine[J].Spine,1994,19(5):502-506.
[14]Ylinen J,Salo P,Nyk nen M,et al.Decreased isometric neck strength in women with chronic neck pain and the repeatability of neck strength measurements[J].Arch Phys Med Rehabil,2004,85(8):1303-1308.
[15]田进文,石巧荣,韩成仁,等.论肝藏在体为骨骼肌系统[J].南京中医药大学学报(自然科学版),2005,21(3):143-145.
[16]李经纬.中医大辞典阅[M].北京:人民卫生出版社,1998:1522-1523.
[17]徐桂华,刘虹.中医护理学基础[M].中国中医药出版社,2012.
[18]苏泽波.中医伤科学[M].上海:上海科技出版社,1985:187.
[19]马惠昇,穆静,刘志华,等.回医理筋手法对兔颈肌慢性损伤干预的血清标志物研究[J].宁夏医科大学学报,2014,36(9):945-948,953.
[20]刘志华,马惠昇,穆静,等.回医理筋手法不同时间干预兔颈肌慢性损伤的组织学研究[J].宁夏医科大学学报,2013,35(10):1069-1071,封2.