综合治疗对颈椎术后轴性症状及软组织张力的影响

Influence of Combined Treatment on Axial Symptom and Soft Tissue Tension of the Patients after Cervical Vertebra Surgery

目的:观察推拿手法、中药热敷、针灸联合鲁南贝特治疗对颈椎术后轴性症状及软组织张力的影响。方法:将64例患者随机分为观察组和对照组,每组各32例。对照组采用复方氯唑沙宗片(鲁南贝特)治疗,2片/次,4次/d;观察组在对照组治疗的基础上给予中药热敷、推拿、针灸联合治疗,上述治疗每日1次。中医理疗2组均以连续治疗5次为1个疗程,疗程间休息2天,共治疗2个疗程。2组分别于治疗前,治疗后第14、40天时测定视觉模拟(VAS)评分、颈椎轴性症状评分和软组织张力位移。结果:VAS评分治疗后第40天与治疗前2组组内比较,差异有统计学意义(P<0.05);治疗后同时间点2组组间比较,差异有统计学意义(P<0.05)。轴性症状评分治疗前后2组组内比较,差异有统计学意义(P<0.05);治疗后同时间点2组组间比较,差异有统计学意义(P<0.05);对照组治疗后第40天与治疗后第14天比较,差异也有统计学意义(P<0.05)。软组织张力位移值治疗前后2组组内比较,差异有统计学意义(P<0.05);治疗后同时间点2组组间比较,差异有统计学意义(P<0.05)。软组织张力改善量2组比较,差异有统计学意义(P<0.05)。结论:中药热敷、推拿、针灸联合治疗轴性症状,可减轻患者疼痛,改善轴性症状评分和软组织张力。

Objective：To observe the influence of manipulation maneuver, herbal compressing, acupuncture and compound chlorzoxazone dispersible tablets on axial symptom and soft tissue tension of the patients after cervical vertebra surgery. Methods：All 64 patients were randomized into the observation group and the control group, 32 cases each group. The control group were treated by compound chlorzoxazone dispersible tablets, two tablets each time, four times each day; the observation group by herbal compressing, acupuncture and manipulation maneuver based on the therapy the control group accepted, the therapy all above once each day. Five times of TCM physiotherapy were one course, the interval was two days, they were treated for two courses. Visual analog scale（VAS）,the scales of cervical axial symptoms and soft tissue tension displacement were measured before treating, at the 14 th and 40 th day after treating respectively. Results：The difference had statistical meaning when VAS scales at the 40 th day after treating and before treating were compared within two groups（P〈0.05）; the difference was statistically significant in the comparisons of VAS scales at the same time after treating（P〈0.05）. The difference was statistically significant in the comparisons of axial symptoms scales within two groups between before and after treating（P〈0.05）; the difference had statistical meaning in the comparisons between both groups at the same point after treating（P〈0.05）; the difference was statistically significant in the comparisons of VAS at the 40 th day and the 14 th day after treating within the control group（P〈0.05）. There was a significant difference when the tension and displacement of soft tissue within two groups between before and after treating（P〈0.05）; the difference had statistical meaning in the comparisons at the same time after treating between both groups（P〈0.05）. There was a significant difference in the comparisons of the improvement of soft tissue tension（P〈0.05）. Conclusion：Manipulation maneuver,herbal compressing, acupuncture in treating axial symptom could alleviate the pain of the patients, improve the scales of axial symptom and soft tissue tension.