经筋手法配合火针治疗神经根型颈椎病的临床价值研究

Clinical study on treating nerve root cervical spondylosis by the Jingjin massage plus caloripuncture

目的:探析神经根型颈椎病治疗中经筋手法配合火针的临床治疗效果。方法:选取2017年1月-2018年12月在我院接受治疗的65例神经根型颈椎病患者作为主要研究对象,所有患者均经影像学检查确诊。采用随机表达法将其分为两组,对照组和观察组分别为32例、33例。其中对照组采用牵引治疗,观察组采用经筋手法配合火针治疗,比较两组的临床疗效、症状改善情况、疼痛视觉模拟评分量表(Visual Analogue Scale,VAS)评分及治疗后复发率。结果:比较两组的临床疗效,观察组的治疗有效率明显高于对照组,差异有统计学意义,可见观察组的总体治疗优势更显著;治疗后,两组患者的各项体征和症状积分均明显低于治疗前,且观察组明显低于对照组,差异有统计学意义;治疗后两组患者的VAS评分明显低于治疗前,且观察组明显低于对照组,组间和组内比较差异有统计学意义;随访6个月,观察组的复发率与对照组相比相对较低,两组比较差异有统计学意义。结论:在神经根型颈椎病的临床治疗上,采用经筋手法配合火针的综合疗法进行治疗可获得理想效果,可以改善临床症状和体征,缓解疼痛。同时,采用经筋手法配合火针可降低,可见此种治疗方法的远期疗效更显著,值得在临床上进一步推广和应用。

Objective: To investigate clinical efficacy of the Jingjin (经筋) massage plus caloripuncture on nerve root cervical spondylosis. Methods: From January 2017 to December 2018, 65 cases of nerve root cervical spondylosis in our hospital were diagnosed by imaging examination;and they were divided into two groups. 32 cases in the control group were given traction therapy;33 cases in the observation group were given the Jingjin massage plus caloripuncture. Results: Efficiency in the observation group was significantly higher than that in the control group, and the difference was statistically significant. After treatment, the scores and symptoms in two groups were significantly lower than before treatment, and those in the observation group was significantly lower than the control group, the difference was statistically significant. After treatment, the VAS scores in two groups were significantly lower than before the treatment, and those in the observation group was significantly lower than the control group, the difference was statistically significant. Followed up for 6 month, the recurrence rate in the observation group was lower than the control group, and the difference was statistically significant. Conclusion: The Jingjin massage plus caloripuncture on nerve root cervical spondylosis shows good effects, can improve clinical symptoms, relieve pain, reduce recurrence rate, and is worthy of clinical application.