棍点理筋手法配合练功治疗颈型颈椎病的研究

Study on the treatment of cervical spondylosis by stick point tendon manipulation combined with exercise

目的探讨颈型颈椎病患者选用棍点理筋手法配合练功治疗的价值。方法遴选东莞市中医院2020年10月至2021年4月60例颈型颈椎病患者,按随机数字表法分为对照组(30例,其中男/女=18/12,年龄50~62岁,选用常规推拿治疗)、观察组(30例,其中男/女=17/13,年龄50~63岁,选用棍点理筋手法+练功治疗),统计两组临床疗效、临床指标、颈椎活动度、复发率。结果(1)临床疗效:观察组总有效率[96.67%(29/30)]高于对照组[76.67%(23/30)],组间对比差异有统计学意义(P<0.05)。(2)临床指标:观察组治疗4周、8周后疼痛程度[(2.06±0.45)分、(1.51±0.42)分]、功能障碍指数[(30.74±7.56)分、(22.94±5.62)分]低于对照组,组间对比差异均有统计学意义(均P<0.05)。(3)观察组治疗4周、8周后颈椎活动度高于对照组,组间对比差异均有统计学意义(均P<0.05)。(4)观察组复发率[3.33%(1/30)]低于对照组[20.00%(6/30)],组间对比差异有统计学意义(P<0.05)。结论棍点理筋手法配合练功在颈型颈椎病治疗中效果确切,可改善其颈椎活动度及临床症状,亦可降低疼痛程度,值得借鉴。

Objective To explore the value of stick point tendon manipulation combined with exercise in the treatment of cervical spondylosis.Methods From October 2020 to April 2021,60 patients with cervical spondylosis in Dongguan Hospital of Traditional Chinese Medicine were divided into a control group(n=30,male/female=18/12,aged 50-62,treated with conventional massage)and an observation group(n=30,male/female=17/13,aged 50-63,treated with stick point tendon manipulation+exercise)with the random number table method.The clinical efficacies,clinical indicators,cervical ranges of motion,and recurrence rates of the two groups were analyzed.Results(1)Clinical efficacy:the total effective rate of the observation group[96.67%(29/30)]was higher than that of the control group[76.67%(23/30)],with a statistically significant difference between the two groups(P<0.05).(2)Clinical indicators:after 4 and 8 weeks of treatment,the pain degree[(2.06±0.45)points and(1.51±0.42)points]and the dysfunction index[(30.74±7.56)points and(22.94±5.62)points]in the observation group were lower than those in the control group,with statistically significant differences(all P<0.05).(3)The cervical range of motion of the observation group was higher than that of the control group after 4 and 8 weeks of treatment(all P<0.05).(4)The recurrence rate of the observation group[3.33%(1/30)]was lower than that of the control group[20.00%(6/30)],with a statistically significant difference between the two groups(P<0.05).Conclusion Stick point tendon manipulation combined with exercise has definite effects in the treatment of cervical spondylosis,which can improve the cervical range of motion and clinical symptoms,and reduce the degree of pain,which is worthy of reference.