刮痧治疗颈椎病随机平行对照研究

Scrapping the Treatment of Cervical Disease Randomized Parallel Group Study

[目的]观察刮痧治疗颈椎病疗效。[方法]使用随机平行对照方法,将130例门诊及住院患者按病志号抽签法简单随机分为两组。两组均隔日治疗,连续治疗10次为1疗程。对照组65例推拿,坐位,头颈部位放松,取穴阿是穴、肩井、后溪、落枕,按揉25min/次,后头部转动至最大角度,手肘将下颌向上牵引4s,在放松肌肉后立即上提,若有弹响,则成。治疗组65例刮痧,选风府、大椎、凤池,刮痧板与刮痧面45°角,朝同一方向、适宜力度刮痧,力度大小由耐受度为限,反复多次刮痧,由轻到重,直至出现痧点;根据情况泻法、单角刮法和点按法;每穴刮痧30次。观测临床症状、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组痊愈47例,显效12例,有效6例,无效0例,总有效率100.00%。对照组痊愈25例,显效15例,有效3例,无效12例,总有效率84.13%。治疗组疗效优于对照组(P<0.01)。SF-36量表评分治疗组改善优于对照组(P<0.01)。[结论]刮痧治疗颈椎病疗效满意,无严重不良反应,值得推广。

[Objective] To observe Scrapping the treatment of cervical spondylosis. [Methods] randomized parallel-group method using the 130 cases of outpatient and inpatient disease blog by simple random number lottery law into two groups. Both groups were every other day treatment, continuous treatment 10 times for a course of treatment. 65 cases in the control group massage, sitting, head and neck relaxed, acupoints Ashi, shoulders well, after the river, stiff neck, rubbing 25min/times, after the head is turned to the maximum angle, elbow to the jaw upward traction 4s, relax Immediately after the muscles mention if snapping, then into. Scrapping the treatment group of 65 patients, the election wind House, Ojo, Fung Chi, scraping plates scraping the surface with a 45 °angle in the same direction, suitable scraping intensity, the intensity of the size of the tolerance limit, repeatedly scraping, from light to heavy until the fever point; reducing method depending on the circumstances, a single angle scraping method and point by law; scraping 30 times per hole. Observation of clinical symptoms, adverse reactions. 2 courses of continuous treatment, to determine efficacy. [Results] The cure 47 cases, 12 cases markedly effective in 6 cases, 0 cases, the total efficiency of 100.00%. Cured 25 cases in the control group, 15 cases markedly effective in 3 cases, 12 cases, the total efficiency of 84.13%. Treatment group than in the control group（P〈0.01）. SF-36 scale score improvement in the treatment group than the control group（P〈0.01）. [Conclusion] Scrapping the treatment of cervical spondylosis satisfaction, no side effects, it is worth promoting.