小角度矢状位扳法结合针灸治疗颈椎小关节紊乱疗效观察
|
摘要
目的:观察小角度矢状位扳法结合针灸治疗颈椎小关节紊乱的临床疗效。方法:选取2016年10月—2017年10月在广西中医药大学第一附属医院康复痛镇室治疗的的颈椎小关节紊乱患者72例,随机分为治疗组和对照组,其中治疗组42例运用小角度矢状位扳法结合针灸治疗,对照组30例运用理筋手法配合牵引治疗。结果:治疗组治愈率47. 6%,对照组治愈率13. 3%,治疗组治愈率比对照组治愈率高34. 3%;治疗组总有效率92. 9%,观察组总有效率70%,两组总有效率相比,治疗组比观察组高22. 9%;两组疗效相比,差异明显(χ2=6. 853,P=0. 01 <0. 05)存在统计学意义。结论:小角度矢状位扳法配合针灸治疗颈椎小关节紊乱临床疗效好,疗效巩固,安全可靠,值得临床推广。
Objective: To observe the clinical effect of pulling method of small angle sagittal position combined with acupuncture on cervical minor joint disorder. Methods: The study population consisted of 72 patients with cervical minor joint disorder treated in the Rehabilitation Analgesic Unit of The First Affiliated Hospital of Guangxi University of Chinese Medicine from October2016 to October 2017. the patients were randomly divided into treatment group and control group. Among them,42 patients in the treatment group were treated with pulling method of small angle sagittal position combining with acupuncture,while 30 patients in the control group were treated with tendons and traction. Results: The cure rate was 47. 6% in the treatment group and 13. 3% in the control group. The cure rate in the treatment group was 34. 3%,higher than that in the control group. The total effective rate was 92. 9% in the treatment group and 70% in the observation group. The total effective rate in the treatment group was 22. 9%,higher than the control group. There was significant difference between the two groups( χ2= 6. 853,P = 0. 01 < 0. 05). Conclusion: The pulling method of small angle sagittal position combined with acupuncture on cervical minor joint disorder showed higher efficiency,consolidation,safety and reliability in healing cervical minor joint disorder. It is worth of clinical promotion.
Objective: To observe the clinical effect of pulling method of small angle sagittal position combined with acupuncture on cervical minor joint disorder. Methods: The study population consisted of 72 patients with cervical minor joint disorder treated in the Rehabilitation Analgesic Unit of The First Affiliated Hospital of Guangxi University of Chinese Medicine from October2016 to October 2017. the patients were randomly divided into treatment group and control group. Among them,42 patients in the treatment group were treated with pulling method of small angle sagittal position combining with acupuncture,while 30 patients in the control group were treated with tendons and traction. Results: The cure rate was 47. 6% in the treatment group and 13. 3% in the control group. The cure rate in the treatment group was 34. 3%,higher than that in the control group. The total effective rate was 92. 9% in the treatment group and 70% in the observation group. The total effective rate in the treatment group was 22. 9%,higher than the control group. There was significant difference between the two groups( χ2= 6. 853,P = 0. 01 < 0. 05). Conclusion: The pulling method of small angle sagittal position combined with acupuncture on cervical minor joint disorder showed higher efficiency,consolidation,safety and reliability in healing cervical minor joint disorder. It is worth of clinical promotion.
引文
[1]王之虹,于天源.推拿学[M].北京:中国中医药出版社,2012:183-186.
[2]周宾宾,韦坚,韦贵康.侧旋提推手法治疗神经根型颈椎病疗效观察[J].中医正骨,2008(10):91-92.
[3]范宏元,曹俊岩,向开维,等.颈椎病的量化牵引治疗[J].中国组织工程研究,2012,16(48):9079-9082.
[4]国家中医药管理局.中医病症诊断疗效标准[M].南京:南京大学出版社,1994:171-176.
[5]陈威烨,王辉昊,梁飞凡,等.牵引治疗颈椎病的研究进展[J].中国康复医学杂志,2016,31(5):599-601.
[6]张雪锋.运用整体观念和生物力学原理治疗颈椎小关节紊乱的临床研究[J].北方药学,2013,10(10):71.
[7]王琦,翟佳滨.推拿手法治疗颈椎小关节紊乱48例临床观察[J].中国中医急症,2012,21(11):1866.
[8]翁文水.“筋出槽”——中医对软组织错位的认识[J].中国中医骨伤科杂志,2017,25(9):71-72.
[9]叶田,薛宏伟,王宇,等.电针结合手法整复治疗胸椎小关节紊乱疗效对照观察[J].中国针灸,2013,33(12):1077-1080.
[10]李江山,赵鹏.整复手法结合针刺落枕穴治疗急性期颈椎小关节紊乱症54例[J].河南中医,2015,35(6):1415-1417.
[11]张子谦,陈建雄,童娟,等.电针加手法复位治疗颈椎小关节紊乱症36例[J].中国中医急症,2011,20(7):1167-1168.
[12]何育风,吴双,王翔,等.经筋手法结合小角度矢状位扳法治疗神经根型颈椎病的临床疗效观察[J].世界科学技术-中医药现代化,2013,15(6):1375-1378.
[13]王安桥.针刺结合旋转手法治疗神经根型颈椎病的临床研究[D].广州:广州中医药大学,2016.
[2]周宾宾,韦坚,韦贵康.侧旋提推手法治疗神经根型颈椎病疗效观察[J].中医正骨,2008(10):91-92.
[3]范宏元,曹俊岩,向开维,等.颈椎病的量化牵引治疗[J].中国组织工程研究,2012,16(48):9079-9082.
[4]国家中医药管理局.中医病症诊断疗效标准[M].南京:南京大学出版社,1994:171-176.
[5]陈威烨,王辉昊,梁飞凡,等.牵引治疗颈椎病的研究进展[J].中国康复医学杂志,2016,31(5):599-601.
[6]张雪锋.运用整体观念和生物力学原理治疗颈椎小关节紊乱的临床研究[J].北方药学,2013,10(10):71.
[7]王琦,翟佳滨.推拿手法治疗颈椎小关节紊乱48例临床观察[J].中国中医急症,2012,21(11):1866.
[8]翁文水.“筋出槽”——中医对软组织错位的认识[J].中国中医骨伤科杂志,2017,25(9):71-72.
[9]叶田,薛宏伟,王宇,等.电针结合手法整复治疗胸椎小关节紊乱疗效对照观察[J].中国针灸,2013,33(12):1077-1080.
[10]李江山,赵鹏.整复手法结合针刺落枕穴治疗急性期颈椎小关节紊乱症54例[J].河南中医,2015,35(6):1415-1417.
[11]张子谦,陈建雄,童娟,等.电针加手法复位治疗颈椎小关节紊乱症36例[J].中国中医急症,2011,20(7):1167-1168.
[12]何育风,吴双,王翔,等.经筋手法结合小角度矢状位扳法治疗神经根型颈椎病的临床疗效观察[J].世界科学技术-中医药现代化,2013,15(6):1375-1378.
[13]王安桥.针刺结合旋转手法治疗神经根型颈椎病的临床研究[D].广州:广州中医药大学,2016.