针灸联合推拿治疗神经根型颈椎病30例

Acupuncture Combined Massage Therapy to Treat 30 Cases of Radicular Type of Cervical Spondylosis

目的:探讨针灸联合推拿治疗神经根型颈椎病的临床效果。方法:将我院收治的60例神经根型颈椎病患者,随机分为对照组和观察组,对照组采用贺氏三通法针灸治疗,观察组在对照组的基础上加用推拿治疗。分析两组治疗效果、疼痛缓解情况及复发情况。结果:对照组总有效率76.7%,观察组总有效率93.3%。两组总有效率经统计学分析,差异有统计学意义(P<0.05)。对照组与观察组治疗前后眩晕症状及功能评估评分均显著增加,观察组治疗后眩晕症状及功能评估评分较对照组高,差异有统计学意义(P<0.05),观察组颈性眩晕及功能恢复状况优于对照组。观察组与对照组治疗后VAS评分经统计学分析,差异有统计学意义(P<0.05),观察组镇痛效果优于对照组。对照组随访半年后复发率20%;观察组随访半年后复发率6.7%。两组复发率经统计学分析,差异有统计学意义(P<0.05)。结论:采用贺氏三通针灸法联合推拿治疗疗效优于仅用贺氏针灸法治疗。观察组眩晕及功能评估状况优于对照组,镇痛效果优于对照组,随访半年复发率低于对照组,该方法操作方便、疗效确切,值得临床推广应用。

Objective： To study clinical effect of the joint using acupuncture and massage therapy to treat radic- ular type of cervical spondylosis. Methods：60 cases of radicular type of cervical spondylosis patients were ran- domly divided into control group and observation group. The control group are treated by using acupuncture treatment, where the observation group by adding massage therapy. The therapeutic effect, the pain relief situa- tion and recurrence of the two groups are analyzed. Results：The total effectiveness of the control group was 76. 7% , where the observation group was 93.3%. After statistics analysis of the total effectiveness of two groups, the difference has statistically significant （ P 〈 0.05 ）. The dizziness fimctional evaluation score after treatment were significantly increased in all groups, and the observation group was higher than control group, the difference has statistically significant（ P 〈0.05）, the cervical vertigo and restore function condition for the observation group was better than the control group. The VAS rating statistics analysis after treatment observa- tion group and control group, the difference has statistically significant（P 〈0.05）, the analgesic effect for ob- servation group is better than the control group. After half a year follow - up, the recurrence rate of the control group is 20% where the observation group is 6.7%. After statistics analysis of the recurrence rate, the difference has statistically significant （ P 〈 0.05 ）. Conclusion： The combined using of acupuncture and therapeutic massage therapy method is better than the acupuncture. The vertigo, function evaluation and analgesic effect in the observation group are better than the control group. And follow - up half a year, the recutTence rate of the observation group is lower than those of the control group. This method is convenient operation and has definite effect which is worth of clinic application.