范炳华特色推拿法治疗颈型颈椎病的临床疗效观察

Clinical Observation of FAN Binghua’s Characteristic Tuina in the Treatment of Neck Type Cervical Spondylopathy

[目的]观察范炳华五线五区十三穴推拿法(下称范氏特色推拿法)结合颈椎后伸杠杆扳法治疗颈型颈椎病的临床疗效。[方法]选取2018年1月至2019年6月于浙江中医药大学附属第一医院推拿科门诊确诊为颈型颈椎病的患者90例,随机分为观察组和对照组各45例,对照组采用常规推拿法,观察组采用范氏特色推拿法。治疗前及治疗4周后观察比较患者疼痛视觉模拟评分(visual analogue scale,VAS)、颈椎生理曲度、颈椎残障指数(neck disability index,NDI)评分以及临床疗效。[结果]治疗4周后,观察组临床总有效率(95.56%)优于对照组(88.89%)(P<0.05)。两组的VAS评分、NDI评分均较治疗前下降(P<0.05);与对照组比较,观察组的VAS评分、NDI评分下降更明显(P<0.05)。两组的颈椎生理曲度均较治疗前改善(P<0.05);与对照组比较,观察组的颈椎生理曲度改善更明显(P<0.05)。[结论]范氏特色推拿法治疗颈型颈椎病可有效减轻疼痛程度、改善患者颈部功能及颈椎生理曲度,临床疗效优于常规推拿治疗。

[Objective]To observe the clinical effect of Professor FAN Binghua’s five lines,five areas and thirteen points Tuina manipulation(FAN’s characteristic Tuina)combined with cervical vertebra rear extension lever pulling method in the treatment of neck type cervical spondylopathy(NTCS).[Methods]Ninety patients who diagnosed as NTCS in Department of Tuina,the First Affiliated Hospital of Zhejiang Chinese Medical University from January 2018 to June 2019,were randomly divided into 2 groups,i.e.observation group and control group,45 cases for each group.Patients in control group were treated with common Tuina method,and observation group was treated with FAN’s characteristic Tuina method.Visual analogue scale(VAS)score,cervical curvature.neck disability index(NDI)and the clinical efficacy were observed and compared before and 4 weeks after treatment.[Results]After 4 weeks of treatment,the total effective rate in observation group(95.56%)was better than in control group(88.89%),the difference was statistically significant(P<0.05).The VAS and NDI scores of the two groups were lower than those before treatment(P<0.05);compared with control group,the VAS and NDI scores were lower in the observation group(P<0.05).The cervical curvature of the two groups was more improved than those before treatment(P<0.05),the cervical curvature improvement of observation group was better than that of control group(P<0.05).[Conclusion]FAN’s characteristic Tuina can effectively relieve the pain,improve the neck function and correct the cervical curvature,and its clinical effect is better than that of common Tuina method in the treatment of NTCS.