针刀配合脊柱调衡手法治疗颈椎病临床疗效观察
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摘要
目的:观察比较针刀配合脊柱调衡手法治疗与单纯针灸治疗颈椎病的效果。方法:随机将103例颈椎病患者分两组,治疗组52例施以针刀和脊柱调衡手法治疗;对照组51例以针灸疗法治疗。评估两组治疗前后中医证候疗效、CASCS评分情况及治疗后6个月复发情况。结果:治疗组总有效率(96.15%)优于对照组(92.16%),具有统计学差异(P<0.05);两组均能改善症状,但治疗组改善更加明显,复发率更低,差异具有统计学意义(P<0.05),治疗组优于对照组。结论:针刀配合脊柱调衡手法治疗颈椎病具有起效快、效果好、效果稳定不易复发等优势。
Objective: To observe and compare the effect of applying needle spinal adjustment scale combined with needle knife and simple acupuncture in the treatment of cervical spondylosis. Methods: 103 cases of cervical spondylosis patients were divided into two groups at random: the treatment group was treated with needle knife and spinal adjustment scale technique,a total of 52cases; the controlled group treated with acupuncture,a total of 51 cases. Evaluating the curative effect of the two groups before and after treatment of traditional Chinese medicine syndrome,CASCS scores and recurrence after six months of treatment.Results: The total effective rate of the treatment group was 96. 15%,92. 16%,it was better than that of the controlled group with statistical difference( P < 0. 05); both of the two groups could improve the symptoms,but the treatment group improved more obviously,lower recurrence rate,the difference was statistically significant( P < 0. 05),the treatment group was better than the controlled group. Conclusion: Needle knife combined with spine to leveraging manipulation treatment of cervical spondylosis has the advantages of quick and good effect,stable effect is not easy to relapse.
Objective: To observe and compare the effect of applying needle spinal adjustment scale combined with needle knife and simple acupuncture in the treatment of cervical spondylosis. Methods: 103 cases of cervical spondylosis patients were divided into two groups at random: the treatment group was treated with needle knife and spinal adjustment scale technique,a total of 52cases; the controlled group treated with acupuncture,a total of 51 cases. Evaluating the curative effect of the two groups before and after treatment of traditional Chinese medicine syndrome,CASCS scores and recurrence after six months of treatment.Results: The total effective rate of the treatment group was 96. 15%,92. 16%,it was better than that of the controlled group with statistical difference( P < 0. 05); both of the two groups could improve the symptoms,but the treatment group improved more obviously,lower recurrence rate,the difference was statistically significant( P < 0. 05),the treatment group was better than the controlled group. Conclusion: Needle knife combined with spine to leveraging manipulation treatment of cervical spondylosis has the advantages of quick and good effect,stable effect is not easy to relapse.
引文
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[2]朱爱军.多排螺旋CT对成人下颈椎增龄变化的应用解剖学研究[J].医学信息,2010,(5):1319~1321
[3]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:186
[4]CFDA.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002,4:346
[5]张鸣生,许伟成,林仲民,等.颈椎病临床评价的量表的信度和效度研究[J].中华物理康复杂志,2003,25(3):151~153
[6]周贤华,项娟萍,叶娜莎,等.微针刀结合动态牵引治疗颈型颈椎病的疗效观察[J].中医正骨,2012,24(4):61
[7]贺齐梅,贺孝胜.针刀配合身痛逐瘀汤治疗颈型颈椎病临床观察[C].第四届全国微创针刀学术年会暨第五次湖北省针灸学会针刀学术交流会会议论文集.2012:56~59
[8]余家阔,吴毅文,戴先进,等.颈椎病生物力学发病机制实验研究[J].安徽医科大学学报,1990,25(1):47~51
[9]施杞,郝永强,彭宝淦,等.动静力平衡失调与颈椎病—颈椎病动物模型的实验研究[J].上海中医药大学学报,1999,13(1):55~59
[10]柯尊华,王静宜.颈椎病流行病学及发病机理研究进展[J].颈腰痛杂志,2014,35(1):62~64
[11]魏效森,曲宏民,王静丽.小针刀疗法的作用机制和临床应用[J].中医正骨,1993,5(3):17~18
[12]丁方平,王人彦,张玉柱,等.小针刀配合手法松解治疗膝骨关节炎的临床研究[J].中华中医药志,2014,29(4):1275~1277
[13]王德良.针刀结合手法治疗神经根型颈椎病[J].广西民族学院学报(自然科学版),2002,8(1):65~67
[14]孙国栋,师彬,吴清波.三维针刀治疗神经根型颈椎病的临床研究[J].针灸临床杂志,2009,25(6):10~12
[15]田金尧,苏改梅,郝喜才.牵引配合手法治疗颈椎病230例[J].陕西中医,2011,32(12):1653~1654
[16]王敏.颈椎人工椎间盘置换术37例围手术期护理体会[J].陕西医学杂志,2011,40(7):934