穴位精准注射、杜氏正骨大手法配合杵针疗法在颈椎病急性期(气滞血瘀型)康复护理中的应用研究

Application Research on Rehabilitation Nursing of Precise Injection,DU's Large Bonesetting Manipulation Combined with Pestle Needle Therapy in Acute Phase of Qi-stagnation and Blood-stasis Type Cervical Spondylosis

目的:研究精准注射、杜氏正骨大手法配合杵针疗法在颈椎病急性期(气滞血瘀型)康复护理中的运用。方法:采用多中心大样本随机、对照、单盲的研究方法,将符合纳入标准的150患者按照随机数字法分为对照组及治疗组,每组75例,对照组采用骨科常规护理方案,治疗组在此基础上加精准注射、杜氏正骨大手法及杵针疗法。每隔三日治疗一次,一次治疗时间为120分钟,每周治疗两次,连续治疗3周后。并在治疗结束后1、3、6月进行随访观察疗效。结果:两组患者颈、肩背疼痛,头痛头晕,上肢麻木等症状均有改善且存在显著性差异(P<0. 01),观察组优于对照组。结论:通过精准注射、杜氏正骨大手法配合杵针疗法治疗达到通督活血、通经活络、缓解肌肉痉挛、松解粘连的作用,将"力"、"能"、"信息"有机结合从而缓解颈椎病急性期(气滞血瘀型)的症状,其具有操作方便、患者依从性高的特点,且疗效稳定持久值得推广。

Objective: To study the application on rehabilitation nursing of precise injection,DU’s large bonesetting manipulation combined with pestle needle therapy in acute phase of Qi-stagnation and blood-stasis type cervical spondylosis. Methods: A multicenter large sample randomized,controlled and single blind research method,would meet the inclusion criteria of 150 patients were randomly divided into controlled group and treatment group,75 cases in each group,the controlled group received routine nursing care in department of orthopedics,the treatment group based on the precise injection techniques and DU’s large bonesetting manipulation combined with pestle needle therapy. Treatment once every three days,one time for 120 minutes,two times a week and 3 weeks after continuous treatment. The curative effect was observed in 1,3,and 6 months after the end of the treatment. Results: The two groups of patients with neck and shoulder pain,headache and dizziness,upper limb numbness and other symptoms were improved and there was significant difference( P < 0. 01),the observation group was better than the controlled group. Conclusion: Through precise injection,DU’s large bonesetting manipulation combined with pestle needle therapy can afford blood circulation,activate collaterals and unblocking relieve muscle spasm,loosen adhesions,will "force","energy","information"combination so as to relieve the acute phase of Qi-stagnation and blood-stasis type cervical spondylosis,it is easy to operate and high compliance features,and the curative effect is stable and lasting,worthy of promotion.