推拿结合保健操治疗颈型、神经根型颈椎病

Massage combined with exercises treatment of neck,cervical spondylosis of nerve root type

目的观察推拿配合颈椎保健操治疗颈型、神经根型颈椎病的临床疗效。方法收集2011年12月—2013年12月程家桥社区卫生服务中心及社区站点门诊患者131例,采用函数RAND产生随机数及相应随机编号将患者随机分为2组,观察组66例采用三部四穴五法推拿结合颈椎保健操锻炼治疗,对照组65例仅用推拿治疗,治疗结束后以及3个月后进行随访比较2组间疗效差异。结果 1)NDI量表总评分比较:组间比较,观察组评分明显优于对照组,P<0.05差异具有统计学意义;组内比较:观察组与对照组治疗前后NDI量表总评分,P<0.05,有统计学意义,治疗后效果明显优于治疗前;治疗后与随访3个月后进行比较:观察组P<0.05,有统计学意义;对照组P>0.05,无统计学意义。2)2组症状体征评分5项目评分比较:观察组各项评分均明显优于对照组,差异均有统计学意义(P<0.05)。3)视觉模拟评分法VAS评分比较:组间比较:观察组VAS评分明显优于对照组,P<0.05差异具有统计学意义;组内比较:观察组与对照组治疗前后,P<0.05,有统计学意义,治疗后VAS评分明显优于治疗前;治疗后与随访3个月后进行比较:观察组P<0.05,有统计学意义;对照组P>0.05,无统计学意义。4)综合疗效比较:观察组总有效率为92.24%,对照组为75.38%,观察组总有效率与对照组比较,差异均有统计学意义,P<0.05。结论推拿配合颈椎保健操治疗颈型、神经根型颈椎病疗效优于单纯推拿治疗。

Objective To observe the clinical effect of massage combined with exercises for treating Neck, nerve root type of cervical spondylosis. Methods 131 cases were collected from Chenjiaqiao Community Health Service Centre and other community eentres during December 2011 to November 2013. The patients were divided into observation group and control group according to the random number of RAND function and the corresponding random number. 66 cases in the observation group were treated by Massage of three positions four acupoints five steps combined with cervical exercise. 65 cases in the control group were only treated with massage. After treatment, the therapeutic effects were compared between the two groups after 3 months. Results 1 ） NDI score comparison： Comparison between groups： the score of observation group is obviously higher than that of control group. P 〈 0.05. The difference has statistical significance; Comparison in the group： NDI score of observation group and control group before and after treatment P 〈 0.05 has statistical significance. The effect is significant after treatment; Comparison between post treatment and follow-up after 3 months： the observation group P 〈 0.05 has statistical significance. The control group P 〉 0.05 has no statistical significance. 2） Comparison of the five items of symptoms and signs between the two groups ： The score of each item in observation group is higher than that of control group. The difference is statistically significant （ P 〈 0.05）. 3） VAS Comparison： Comparison between groups： VAS score of the observation group is higher than that of control group P 〈 0.05. The difference is statistically significant. Comparison in the group： the two groups before and after treatment P 〈 0.05 has statistical significance. VAS score is obviously higher after treatment; Comparison between post treatment and follow-up after 3 months ： the observation group P 〈 0.05 has statistical significance. The control group P 〉 0.05 has no statistical significance. 4）Overall effect comparison：the total efficacy rates are 92.24% （observation group） and 75.38 % （control group）. There were statistical significance of the two group difference （Z = 2. 814） P 〈 0.05. Conclusion The curative effect of massage combined with exercises for treating Neck, nerve root type of cervical spondylosis is better than pure massage therapy.