刃针微创术配合正骨手法治疗颈型颈椎病的临床研究

Clinical Study of Minimally Invasive Surgery of Knife Needle Combined with Bone-righting Manipulation Treatment of Cervical Spondylosis

目的:探讨刃针微创术配合正骨手法治疗颈型颈椎病的临床疗效。方法:将96例颈型颈椎病患者随机分为治疗组和对照组各48例。治疗组采用刃针微创术配合正骨手法治疗,对照组采用常规推拿手法治疗。对比两组患者的临床疗效和治疗前后的Mc Gill量表评分;对比两组患者治疗过程中的不良反应发生情况。结果:治疗组治愈率为54.17%,总有效率为95.83%,对照组治愈率为25.00%,总有效率为79.17%;治疗组治愈率、总有效率均优于对照组(P<0.05)。两组患者治疗后PRI、VAS、PPI评分均显著低于治疗前(P<0.05),治疗组治疗后的PRI评分、VAS评分、PPI评分均显著低于对照组(P<0.05)。结论:刃针微创术配合正骨手法可显著减轻颈型颈椎病患者的疼痛症状,恢复颈部关节活动度,提高临床治疗效果。

Objective： To investigate the clinical efficacy of minimally invasive surgery of knife needle combined with bone-righting manipulation treatment of cervical spondylosis. Methods： A total of 96 eases of cervical spondylosis patients were randomly divided into treatment group and control group, 48 cases in each group. The treatment group treated with minimally invasive surgery of knife needle combined with bone-righting manipulation, while the control group treated with conventional massage therapy. The clinical efficacy, MeGill scale score results, and adverse reactions of two groups were then compared before and after the treatment. Results： the cure rate of the treatment group was 54.17%, the total effective rate was 95.83%. The cure rate of the control group was 25%, the total effective rate was 79.17%. The cure rate and total effective rate of the treatment group were better than those of the control group（P〈0.05）. The scores of PRI, VAS and PPI in the two groups after treatment were significantly lower than those before treatment （P〈0.05）, and the scores of PRI, VAS and PPI in the treatment group were significantly lower than those in the control group （P〈0.05）. Conclusion： minimally invasive surgery of knife needle combined with bone-righting manipulation treatment can significantly relieve pain symptoms in patients with cervical spondylosis, restore cervical joint activity, and improve the clinical treatment effect.