“三部五法”推拿治疗青少年上交叉综合征的临床研究

Clinical Research on"Three Parts and Five Methods"Massage in the Treatment of Juvenile Upper Cross Syndrome

目的探讨常规运动疗法基础上联合“三部五法”推拿治疗对青少年上交叉综合征(adolescent upper chiasma syndrome,AUCS)颈部疼痛、颈椎功能、颈部活动度及疗效的影响。方法选取2021年7-12月期间就诊于梅河口市中医院及长春中医药大学附属第三临床医院的72例AUCS患者为研究对象,采用随机数表法分为运动疗法组和运动疗法联合推拿组,各36例。运动疗法组采用常规运动训练,运动疗法联合推拿组在常规运动训练基础上采用“三部五法”推拿治疗。分别于治疗前、治疗2个疗程时对颈部疼痛与废用量表(NPAD)评分、颈椎功能障碍指数(NDI)评分进行评定,并对治疗后1个月疗效进行评价。结果治疗2个疗程时,运动疗法联合推拿组NPAD量表评分(60.47±11.64)分、NDI评分(10.33±4.89)分均明显低于运动疗法组(68.06±12.59)分、(14.72±5.54)分,差异有统计学意义(t=2.656、3.565,P<0.05);治疗后1个月随访发现,运动疗法联合推拿组整体疗效优于运动疗法组,差异有统计学意义(Z=2.262,P<0.05),且基本痊愈率(52.78%)也明显高于运动疗法组(27.78%),差异有统计学意义(χ^(2)=4.677,P<0.05)。结论在运动疗法基础上联合“三部五法”推拿治疗不仅能在短期内更好地改善AUCS的疼痛症状、颈椎功能及活动度,且疗效持续稳定,短期不易复发。

Objective To investigate the effect of conventional exercise therapy combined with"three parts and five methods"massage therapy on neck pain,cervical spine function,neck mobility and curative effect in adolescents with upper cross syndrome(adolescent upper chiasma syndrome,AUCS).Methods A total of 72 AUCS patients who were treated in Meihekou Traditional Chinese Medicine Hospital and the Third Affiliated Clinical Hospital of Changchun University of Traditional Chinese Medicine from July to December 2021 were selected as the re⁃search objects.They were divided into exercise therapy group and exercise therapy combined with massage group by random number table method,36 cases in each group.The exercise therapy group was given routine exercise training,and the exercise therapy combined with mas⁃sage group was given"Three Parts and Five Methods"massage therapy on the basis of routine exercise training.The neck pain and disuse scale(NPAD)score and cervical spine dysfunction index(NDI)score were evaluated before treatment and during 2 courses of treatment,re⁃spectively.The curative effect was evaluated 1 month after treatment.Results After two courses of treatment,the NPAD scale score(60.47±11.64)points and NDI score(10.33±4.89)points in the exercise therapy combined with massage group were significantly lower than those in the exercise therapy group(68.06±12.59)points,(14.72±5.54)points,the difference was statistically significant(t=2.656,3.565,P<0.05).One-month follow-up after treatment showed that the overall curative effect of the exercise therapy combined with massage group was better than that of the exercise therapy group,the difference was statistically significant(Z=2.262,P<0.05).And the basic recovery rate(52.78%)was also significantly higher than the exercise therapy group(27.78%),the difference was statistically significant(χ^(2)=4.677,P<0.05).Conclu⁃sion On the basis of exercise therapy combined with"three parts and five methods"massage therapy can not only better improve the pain symptoms,cervical function and range of motion of AUCS in the short term,but also the curative effect is sustained and stable,and it is not easy to recur in the short term.