循经取穴联合整脊手法治疗神经根型颈椎病的临床效果观察

Observation on the clinical efficacy of corresponding channel point selection combined with spinal manipulation in the treatment of nerve root cervical spondylosis

目的观察循经取穴联合整脊手法治疗神经根型颈椎病疗效的影响。方法选取2019年5月~2020年5月在我院进行治疗的神经根型颈椎病患者100例为观察对象,随机将其分为对照组和研究组。对照组采用整脊手法治疗,研究组在对照组治疗的基础上联合循经取穴进行治疗。记录并比较两组患者治疗前后简化McGill量表评分、颈椎功能障碍指数评分量表(NDI)、日本田中靖久颈椎病症状量表20分法评分以及汉密尔顿焦虑量表(HAMA)评分。结果两组患者治疗后简化McGill量表评分、NDI评分及HAMA评分均较治疗前降低,且研究组降低幅度更为显著;而田中靖久颈椎病症状量表20分法评分较治疗前升高,且研究组升高幅度更为显著,差异均有统计学意义(P <0.05)。结论循经取穴与整脊手法联合治疗神经根型颈椎病效果显著,值得临床推广使用。

Objective To observe the efficacy of corresponding channel point selection combined with spinal manipulation in the treatment of nerve root cervical spondylosis. Methods A total of 100 patients with nerve root cervical spondylosis admitted to our hospital from May 2019 to May 2020 were selected as the observation objects and randomly divided into the control group and the study group. The control group was treated with spinal manipulation, while the study group was treated with corresponding channel point selection combined with spinal manipulation. The scores of Simplified McGill Pain Questionnaire(SF-MPQ), Neck Disability Index(NDI), Tanaka Yasuhisa’s Cervical Spondylosis Symptom Scale and Hamilton Anxiety Scale(HAMA) were recorded and compared between the two groups before and after treatment. Results After treatment, SF-MPQ, NDI and HAMA scores of the two groups were lower than those before treatment, and the decrease in the study group was more significant;while scores of Tanaka Yasuhisa’s Cervical Spondylosis Symptom Scale were higher than those before treatment, and the increase in the study group was more significant, and the differences were statistically significant(P < 0.05). Conclusion The efficacy of corresponding channel point selection combined with spinal manipulation in the treatment of nerve root cervical spondylosis is significant, which is worthy of clinical promotion.