“三联序贯”疗法治疗颈型颈椎病的临床研究

Clinical Efficacy of Triple Sequential Treatment of Cervical Spondylosis Based on the Theory of Muscle and Bone Balance

目的观察“三联序贯”疗法治疗颈型颈椎病的临床疗效。方法将120例颈型颈椎病患者采用随机数字表法分为观察组与对照组各60例,对照组予以常规推拿治疗,观察组予以“三联序贯——拉筋、正骨、强筋”疗法治疗,每周均治疗6次,疗程为2周。在治疗前及治疗2周后,采用简化McGill疼痛问卷(SF-MPQ)、颈椎功能障碍指数量表(NDI)及表面肌电信号(sEMG)评价两组患者的临床疗效。结果治疗后,两组患者的SFMPQ及NDI评分均较治疗前降低(P<0.05),且治疗后观察组的SF-MPQ及NDI评分降低程度明显优于对照组(P<0.05);治疗后,两组患者颈竖脊肌和斜方肌表面肌电的平均肌电值和中位频率斜率值均较治疗前改善(P<0.05),且观察组改善程度优于对照组(P<0.05)。结论“三联序贯”疗法治疗颈型颈椎病患者可明显缓解疼痛、改善颈椎功能、恢复颈部肌肉力量。

Objective:To observe the clinical efficacy of triple sequential therapy in the treatment of cervical spondylosis.Methods:A total of 120 patients with cervical spondylosis were randomly divided into the observation group and the control group,with 60 cases in each group.The control group was treated with conventional massage,while the observation group was treated with triple sequential therapy of stretching,bone-setting and strengthening tendons,6 times a week,and the course of treatment was 2 weeks.Before treatment and 2 weeks after treatment,the simplified McGill Pain Questionnaire(SF-MPQ),Cervical dysfunction Index(NDI)and surface electromyography(sEMG)were used to evaluate the clinical efficacy of the two groups.Results:After treatment,the SF-MPQ and NDI scores of the two groups were decreased compared with those before treatment,and the differences were statistically significant(P<0.05).After treatment,the SF-MPQ and NDI scores of the observation group were significantly decreased than those of the control group(P<0.05).After treatment,the average electromyography(AEMG)and median frequency slope(MF slope)of cervical erector spinae and trapezius muscles of the two groups were improved compared with those before treatment(P<0.05),and the improvement degree of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Triple sequential therapy for patients with cervical spondylosis can significantly relieve pain,improve cervical spine function and restore neck muscle strength.