摘要
目的:基于"脊柱整体观"自制功能锻炼操,观察自制颈部锻炼操结合推拿治疗颈型颈椎病的疗效。方法:将59例颈型颈椎病患者通过随机数字表法分为3组。A组19例,采用自制颈部锻炼操治疗;B组20例,采用推拿手法治疗;C组20例,采用自制颈部锻炼操结合推拿手法治疗。分别于治疗前、治疗后及治疗后6个月,运用Borden氏法测量患者X线颈椎曲度变化、视觉模拟评分法(VAS评分)评价患者疼痛程度、田中靖久颈椎评分表评判颈椎功能,上述3个指标共同评价患者不同阶段的治疗效果变化。结果:治疗后3组患者颈椎曲度比较,差异无统计学意义(P>0.05);治疗后6个月,A组、C组患者颈椎曲度均高于B组(P<0.01);A组患者颈椎曲度与C组比较,差异无统计学意义(P>0.05)。治疗后B组、C组患者VAS评分均低于A组(P<0.05或P<0.01);治疗后B组患者VAS评分与C组比较,差异无统计学意义(P>0.05)。治疗后6个月,A组、C组患者VAS评分均低于B组(P<0.01);A组患者VAS评分低于C组,差异无统计学意义(P>0.05)。治疗后3组患者田中靖久颈椎评分比较,差异无统计学意义(P>0.05)。治疗后6个月,A组、C组患者田中靖久颈椎评分均高于B组,差异均有统计学意义(P<0.01);A组患者田中靖久颈椎评分与C组比较,差异无统计学意义(P>0.05)。结论:推拿治疗颈型颈椎病的近期疗效明显优于颈部锻炼操锻炼,然而远期疗效低于颈部锻炼操锻炼;自制颈部锻炼操结合推拿治疗颈型颈椎病可获得更好的近期、远期疗效。
引文
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