穴位点揉推拿对颈型颈椎病疼痛改善近期效应的临床评价

Short-Term Effect of Acupoints Tipping and Kneading Massage on Improving Pain of Cervical Spondylopathy

目的:观察穴位点揉推拿对颈型颈椎病患者的疼痛改善效果。方法:将98例颈型颈椎病患者随机分为治疗组(48例)和对照组(50例),治疗组采用常规颈部推拿手法(约15min)后,在风池、颈根、肩井、天宗等穴行穴位点揉,每穴约2min,对照组仅采用常规推拿法,观察两组临床疗效及疼痛改善情况。结果:两组总有效率差异无统计学意义(P>0.05),但治疗组治愈率显著高于对照组(P<0.05);1个疗程后,两组VAS评分差异无统计学意义(P>0.05);2个疗程后,治疗组VAS评分改善程度显著优于对照组(P<0.05)。结论:结合穴位点揉法可以更有效减轻颈型颈椎病患者的疼痛,优于单纯常规推拿手法。

Objective： To observe the effect of acupoints tipping and kneading massage on improving pain of cervical spondylopathy. Methods：Methods：98 cases of patients with cervical spondylopathy were randomly divided into treatment group（48 cases） and control group（50 cases）, the treatment group treated with tipping and kneading on acupoints of Fengchi, Jinggen, Jianjing, Tianzong after conventional cerivcal manipulations（15 min）, while control group only with conventional massage therapy, observed the efficacy and improvement of pain. Results： There was no statistical difference between the overall response rate of two groups（P〈0.05）, while the cured rate of treatment group was significantly higher than that of control group（P〈0.05）; after 1 course of treatment, there was no statistical difference between VAS score of two groups（P〈0.05）; after 2 courses of treatment, the improvement of VAS score of treatment group was significantly better than that of control group（P〈0.05）. Conclusion： The combination of acupoints tipping and kneading can more effectively reduce the pain of patients with cervical spondylopathy, of which is better than conventional massage therapy.