正脊调曲疗法治疗颈肩综合征的临床疗效观察

Clinical Effect of Therapy for Chiropractic and Adjusting Curvature of Spine on Neck-shoulder Syndrome

【目的】观察正脊调曲疗法治疗颈肩综合征的临床疗效。【方法】将100例颈肩综合征患者随机分为治疗组和对照组,每组各50例。对照组患者给予常规推拿治疗,治疗组患者在常规推拿基础上施予正脊调曲疗法治疗,其中正脊调曲法包括正脊骨法(采用牵颈折顶法)和牵引调曲法(采用颈椎布兜牵引法),每周3次,1周为1个疗程,共治疗2个疗程。观察2组患者治疗前后疼痛视觉模拟量表(VAS)评分的变化情况,评价2组患者的临床疗效和安全性。【结果】(1)治疗2周后,治疗组的总有效率为92.0%(46/50),对照组为74.0%(37/50),组间比较,治疗组的临床疗效明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗1周和2周后,2组患者的疼痛VAS评分均较治疗前明显降低(P<0.05),但2组治疗后组间比较,差异无统计学意义(P>0.05)。(3)安全性评价:治疗过程中,2组患者均无明显不良反应发生。【结论】采用正脊调曲法治疗颈肩综合征患者疗效确切,能有效缓解患者临床症状,具有操作简单、奏效快、效果佳的优点。

Objective To investigate the clinical effect of therapy for chiropractic and adjusting curvature of spine for the treatment of neck-shoulder syndrome.Methods One hundred patients with neck-shoulder syndrome were randomly divided into treatment group and control group,and each group had 50 cases.The control group was treated with conventional massage,and the treatment group was treated with the manipulations for chiropractic and adjusting curvature of spine combined with the conventional massage.The chiropractic therapy was achieved by cervical traction and lateral bending,and the therapy for adjusting curvature of spine was achieved by cervical tape traction.The treatment was performed 3 times per week,one week constituted a course of treatment,and the treatment lasted for 2 courses.The pain visual analogue scale(VAS)scores in the patients of the two groups were observed before and after treatment,and the clinical efficacy and safety were evaluated after treatment.Results(1)After treatment for 2 weeks,the total effective rate in the treatment group was 92.0%(46/50),and that in the control group was 74.0%(37/50).The intergroup comparison showed that the clinical efficacy in the treatment group was superior to that in the control group,and the difference was statistically significant(P<0.05).(2)After treatment for one and 2 weeks,pain VAS scores in the two groups were obviously decreased in comparison with those before treatment(P<0.05),but the difference of pain VAS scores between the two groups after treatment was not statistically significant(P>0.05).(3)No obvious adverse reaction was found in the two groups during the treatment.Conclusion Therapy for chiropractic and adjusting curvature of spine is effective for the treatment of neck-shoulder syndrome by effectively alleviating the clinical symptoms of the patients.And the method is practical,rapid in starting an effect and effective.