推拿结合Mulligan技术治疗青少年颈椎病
|
摘要
目的观察推拿结合Mulligan技术治疗青少年颈椎病的临床疗效。方法将80例青少年颈椎病患者随机分成治疗组与对照组,各40例。治疗组采用推拿结合Mulligan技术治疗,对照组采用推拿治疗,观察2组治疗2周后的颈椎功能障碍指数量表(NDI)、疼痛视觉模拟评分法(VAS)及Borden值的变化,并作比较与分析。结果 2组治疗前后Borden值、NDI、VSA评分比较均具有统计学意义(P <0.01);2组之间比较治疗后Borden值、NDI、VSA比较均具有统计学意义(P <0.05);治疗组治愈率37.5%,总有效率95.0%;对照组治愈率22.5%,总有效率87.5%;治疗组疗效优于对照组,差异比较有显著性(P <0.05)。结论推拿结合Mulligan技术治疗具有较好的临床疗效,效果优于常规推拿法。
Objective To observe the clinical effect of massage combined with Mulligan in the treatment of juvenile cervical spondylosis. Methods 80 cases of juvenile cervical spondylosis patients were randomly divided into two groups, 40 cases in each group. The treatment group was treated with massage combined with Mulligan techniques and the control group was treated with massage therapy. The changes of cervical dysfunction index(NDI),pain visual analogue scale(VAS) and Borden's value were observed and compared between the two groups after 2 weeks of treatment. Results Both groups showed a significant change in Borden's value, NDI and VSA scores after treatment(P < 0.01). The Borden's value, NDI and VSA scores were significantly dif ferent between the two groups after treatment(P < 0.05). The curative ef fect and total ef fective rate of the treatment group were 37.5% and 95.0%,respectively, versus 22.5% and 87.5% of the control group. The curative ef fect of the treatment group was better than that of the control group(P < 0.05). Conclusion Massage combined with Mulligan technique has a good clinical ef fect in the treatment of juvenile cervical spondylosis, and the ef fect is better than massage.
Objective To observe the clinical effect of massage combined with Mulligan in the treatment of juvenile cervical spondylosis. Methods 80 cases of juvenile cervical spondylosis patients were randomly divided into two groups, 40 cases in each group. The treatment group was treated with massage combined with Mulligan techniques and the control group was treated with massage therapy. The changes of cervical dysfunction index(NDI),pain visual analogue scale(VAS) and Borden's value were observed and compared between the two groups after 2 weeks of treatment. Results Both groups showed a significant change in Borden's value, NDI and VSA scores after treatment(P < 0.01). The Borden's value, NDI and VSA scores were significantly dif ferent between the two groups after treatment(P < 0.05). The curative ef fect and total ef fective rate of the treatment group were 37.5% and 95.0%,respectively, versus 22.5% and 87.5% of the control group. The curative ef fect of the treatment group was better than that of the control group(P < 0.05). Conclusion Massage combined with Mulligan technique has a good clinical ef fect in the treatment of juvenile cervical spondylosis, and the ef fect is better than massage.
引文
[1]沈尔安.关注青少年颈椎病[J].妇幼保健杂志,2005,12(12):18.
[2]孙宇,陈其福.第二届全国颈椎病专题座谈会纪要[J].中华外科杂志,1993,31(8):472-476.
[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.
[4]吴在德,吴肇汉.外科学[M].6版.北京:人民卫生出版社,2005.
[5]钟鉴,张德洲,易雪冰,等.儿童颈椎病[J].华西医学,2008,23(2):249-250.
[6]王拥军,施杞,彭宝淦.颈椎病危险因素的病例对照研究[J].中国中医骨伤科杂志,1997,5(6):12-16.
[7]圣磊,朱龙飞.颈椎病年轻化趋势的调查及X线表现[J].中外医学研究,2012,10(3):60-61.
[8]黄涛,张方,李修成,等.青年伏案工作者颈椎病的发病特点及预防措施[J].现代预防医学,2013,40(7):1362-1363,1369.
[9]WEBB R,BRAMMAH T,LUNtM,et al.Prevalence and predictors of intense,chronic and disabling neck and back pain in the UK general population[J].Spine,2003,28(11):1195-1202.
[10]康玉果,胡汉杰,刘志刚,等.颈椎生理曲度异常的流行病学研究[J].中华健康管理杂志,2011,5(6):361-362.
[11]马明,张世民.青年颈椎病的研究进展[J].中国骨伤,2014,27(9):792-795.
[12]曾科学,盖娟娟.颈椎生理曲度异常的影像学检查意义[J].现代中西医结合杂志,2012,21(20):2175-2176.
[13]郑福增,杨豪,程少丹,等.颈椎病颈曲异常的X线征象及临床资料分析[J].中医正骨,2004,16(8):21-22.
[14]韦以宗.中国整脊学[M].2版.北京:人民卫生出版社,2012:269.
[15]王巨庆,黄鋆文.经筋推拿结合微火针治疗神经根型颈椎病疗效观察[J].浙江中西医结合杂志,2016,26(5):460-462.
[16]胡丰村,林发取,郑润杰,等.Mulligan手法联合局部按摩治疗椎动脉型颈椎病疗效观察[J].浙江中医杂志,2016,51(10):722.
[17]王宇澄.整脊调曲手法对青少年颈椎生理曲度的影响[J].陕西中医,2013,34(7):892-893.
[18]柯尊华,党博,郭发元,等.青少年颈椎病临床特征、X线特点及诊疗对策探讨[J].中国中医骨伤科杂志,2014,22(12):10-12.
[19]黄晖,徐克武.从治未病思想探讨青少年颈椎病的防治[J].中国社区医师(医学专业),2011,13(7):220-221.
[20]郑湘宏,陈小清,曹浩财,等.平衡推拿疗法配合低强度激光治疗肌力失衡性颈椎病的临床研究[J].中华中医药学刊,2009,27(1):156-157.
[21]全晓彬,木荣华,曹大成,等.正骨推拿治疗青少年颈椎病及颈曲与症状相关性分析[J].山东中医药大学学报,2012,36(1):38-39.
[22]高新,吕亚南.动态关节松动术Mulligan技术治疗神经根型颈椎病的临床疗效观察[J].广西医学,2015,37(11)1663-1664.
[23]张春文.三步推拿结合正脊技术治疗椎动脉型颈椎病临床研究[J].中医学报,2015,30(11):1685-1686.
[24]刘亚梅,徐振奇,刘岩,等.青少年颈椎病的预防及康复治疗[J].临床荟萃,2011,26(11):1001-1002.
[25]张明才,牛阿凤,石印玉等.上海市青少年颈椎亚健康状况调查及影响因素分析[J].上海中医药杂志,2014,48(3)7-9,11.
[2]孙宇,陈其福.第二届全国颈椎病专题座谈会纪要[J].中华外科杂志,1993,31(8):472-476.
[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.
[4]吴在德,吴肇汉.外科学[M].6版.北京:人民卫生出版社,2005.
[5]钟鉴,张德洲,易雪冰,等.儿童颈椎病[J].华西医学,2008,23(2):249-250.
[6]王拥军,施杞,彭宝淦.颈椎病危险因素的病例对照研究[J].中国中医骨伤科杂志,1997,5(6):12-16.
[7]圣磊,朱龙飞.颈椎病年轻化趋势的调查及X线表现[J].中外医学研究,2012,10(3):60-61.
[8]黄涛,张方,李修成,等.青年伏案工作者颈椎病的发病特点及预防措施[J].现代预防医学,2013,40(7):1362-1363,1369.
[9]WEBB R,BRAMMAH T,LUNtM,et al.Prevalence and predictors of intense,chronic and disabling neck and back pain in the UK general population[J].Spine,2003,28(11):1195-1202.
[10]康玉果,胡汉杰,刘志刚,等.颈椎生理曲度异常的流行病学研究[J].中华健康管理杂志,2011,5(6):361-362.
[11]马明,张世民.青年颈椎病的研究进展[J].中国骨伤,2014,27(9):792-795.
[12]曾科学,盖娟娟.颈椎生理曲度异常的影像学检查意义[J].现代中西医结合杂志,2012,21(20):2175-2176.
[13]郑福增,杨豪,程少丹,等.颈椎病颈曲异常的X线征象及临床资料分析[J].中医正骨,2004,16(8):21-22.
[14]韦以宗.中国整脊学[M].2版.北京:人民卫生出版社,2012:269.
[15]王巨庆,黄鋆文.经筋推拿结合微火针治疗神经根型颈椎病疗效观察[J].浙江中西医结合杂志,2016,26(5):460-462.
[16]胡丰村,林发取,郑润杰,等.Mulligan手法联合局部按摩治疗椎动脉型颈椎病疗效观察[J].浙江中医杂志,2016,51(10):722.
[17]王宇澄.整脊调曲手法对青少年颈椎生理曲度的影响[J].陕西中医,2013,34(7):892-893.
[18]柯尊华,党博,郭发元,等.青少年颈椎病临床特征、X线特点及诊疗对策探讨[J].中国中医骨伤科杂志,2014,22(12):10-12.
[19]黄晖,徐克武.从治未病思想探讨青少年颈椎病的防治[J].中国社区医师(医学专业),2011,13(7):220-221.
[20]郑湘宏,陈小清,曹浩财,等.平衡推拿疗法配合低强度激光治疗肌力失衡性颈椎病的临床研究[J].中华中医药学刊,2009,27(1):156-157.
[21]全晓彬,木荣华,曹大成,等.正骨推拿治疗青少年颈椎病及颈曲与症状相关性分析[J].山东中医药大学学报,2012,36(1):38-39.
[22]高新,吕亚南.动态关节松动术Mulligan技术治疗神经根型颈椎病的临床疗效观察[J].广西医学,2015,37(11)1663-1664.
[23]张春文.三步推拿结合正脊技术治疗椎动脉型颈椎病临床研究[J].中医学报,2015,30(11):1685-1686.
[24]刘亚梅,徐振奇,刘岩,等.青少年颈椎病的预防及康复治疗[J].临床荟萃,2011,26(11):1001-1002.
[25]张明才,牛阿凤,石印玉等.上海市青少年颈椎亚健康状况调查及影响因素分析[J].上海中医药杂志,2014,48(3)7-9,11.