抑强扶弱推按手法在颈部肌肉疼痛中的干预效果分析

Analysis of the intervention effect on neck muscle pain

目的研究抑强扶弱推按手法对颈部肌肉疼痛的干预效果。方法选取2019年1月至2021年1月商丘市第一人民医院收治的80例颈部肌肉疼痛患者作为研究对象,随机数字表分为对照组和观察组,每组各40例。对照组采用常规推拿手法治疗,观察组采用抑强扶弱推按手法治疗,比较两组治疗的临床效果、疼痛情况、颈椎功能、症状体征量化评分情况等。结果治疗后,两组临床疗效比较差异有统计学意义(P<0.05),观察组治疗总有效率(95.00%)高于对照组(77.50%),P<0.05;治疗后,两组患者McGill疼痛问卷各项评分[疼痛评级指数(PRI)、视觉模拟量表(VAS)及现有疼痛强度(PPI)]均降低,且观察组明显低于对照组(P<0.05);治疗后,两组患者颈椎病临床评价量表(CASCS)评分均升高,且观察组明显高于对照组(P<0.05),两组患者颈椎功能障碍指数(NDI)均降低,且观察组明显低于对照组(P<0.05);治疗后,两组患者田中靖久颈椎病症状量表20分法中各维度评分均升高,且观察组明显高于对照组(P<0.05)。结论抑强扶弱推按手法治疗颈部肌肉疼痛临床疗效显著,患者疼痛情况有明显缓解,颈椎功能改善,临床症状与体征减轻。

Objective To study the intervention effect of anti-strong,pro-weak and push-based manipulation on neck muscle pain.Methods A total of 80 patients with neck muscle pain admitted to the First People's Hospital of Shangqiu City from January 2019 to January 2021 were selected as the research objects,and randomly divided into control group and observation group,with 40 cases in each group.The control group was treated by conventional massage manipulation,and the observation group was treated by anti-strong,pro-weak and push-based manipulation.The clinical effect,pain,cervical function,quantitative score of symptoms and signs of the two groups were compared.Results After treatment,there was a statistically significant difference in clinical efficacy between the two groups(P<0.05).The total effective rate of the observation group(95.00%)was higher than that of the control group(77.50%),P<0.05.After treatment,the scores of McGill pain questionnaire[pain rating index(PRI),visual Analogue scale(VAS)and present pain intensity(PPI)]in both groups were decreased,and the observation group was significantly lower than the control group(P<0.05).After treatment,the clinical assessment scale for cervical spondylosis(CASCS)was increased in both groups,and the observation group was significantly higher than the control group(P<0.05),the neck disability index(NDI)was decreased in both groups,and the observation group was significantly lower than the control group(P<0.05).After treatment,scores of all dimensions in the 20-point scale of cervical spondylosis symptom scale of Tanaka were increased in both groups,and the observation group was significantly higher than the control group(P<0.05).Conclusion The treatment of neck muscle pain by anti-strong,pro-weak and push-based manipulation has significant clinical effect,the pain of the patient has been significantly relieved,the function of the cervical spine has been improved,and the clinical symptoms and signs have been alleviated.