推拿配合阻力对抗功能锻炼治疗颈椎病随机对照临床研究

Randomized Controlled Clinical Study of Massage Combined with Resistance Against Functional Exercise in the Treatment of Cervical Spondylosis

[目的]观察推拿配合阻力对抗功能锻炼治疗颈椎病的疗效。[方法]采用随机、对照的方法,将234例患者随机分为两组,治疗组121例采用推拿治疗并进行阻力对抗功能锻炼;对照组113例单纯推拿治疗。两组均以10次为1个疗程,治疗2个疗程进行疗效判定,随访2年观察复发情况。[结果]治疗组总有效率97.50%,对照组总有效率90.30%,治疗组临床疗效优于对照组(P<0.05);随访2年内复发情况,观察组复发17例(14.10%),对照组复发28例(24.70%),治疗组复发率低于对照组(P<0.05)。[结论]推拿配合阻力对抗功能锻炼能提高推拿治疗颈椎病的疗效,阻力对抗功能锻炼对预防颈椎病复发有积极作用。

[ Objective] To observe the resistance against massage and functional exercise for treatment of cervical spondylosis. [ Methods ] Using a randomized, control method, 234 patients were divided into two groups, 121 cases in the treatment group were treated by massage and functional exercise resistance against; the control group of 113 cases simple massage therapy. The two groups were treated with 10 times to 1 courses ,2 courses of treatment are to judge the curative effect observation of recurrence, followed up for 2 years. [ Results ] The total effective rate in the treatment group and 97.50% in control group, the total efficiency of 90.30% , the clinic efficiency of the therapeutic group than in control group （ P 〈 0.05 ） ; follow - up recurrence within 2 years, the observation group 17 cases of recurrence （ 14. 10% ） , the control group28 cases of recurrence （24.70%） , the treatment group than in control group （P 〈0.05）. [ Conclusion] Massage combined with resistance against functional exercise can improve massage in treating cervical spondylopathy. Resistance against the function exercise on the prevention of recurrence of cervical disease has positive effect.