细银针导热疗法联合推拿治疗颈型颈椎病的疗效观察

Effects of fine silver needle thermoconductive therapy combined with cervical massage on the treatment of patient with cervical spondylosis

目的:探讨细银针导热疗法联合推拿治疗颈型颈椎病的效果。方法:收集2017年11月至2019年11月于甘肃省兰州市西固区中医院疼痛科门诊就诊的颈型颈椎病患者90例,性别不限,年龄20~60岁,病程1个月至6年。采用随机数字表法将其随机分为锻炼推拿组和银针推拿组,每组45例。锻炼推拿组给予患者颈肩部推拿治疗联合颈部功能锻炼,银针推拿组采用细银针导热疗法联合颈肩部推拿治疗,两组均每2日治疗1次,连续4次为1个疗程,疗程间隔3 d,共治疗3个疗程。于治疗前、治疗结束时及治疗结束后3、6、12个月时,观察两组患者视觉模拟评分(VAS)和颈痛量表(NPQ)评分,并于治疗结束时及治疗结束后3、6、12个月对两组患者进行疗效评估。结果:与治疗前比较,治疗结束时两组患者VAS评分、NPQ评分均降低( P均<0.05);与锻炼推拿组比较,银针推拿组VAS评分、NPQ评分均下降更为显著( P均<0.05)。治疗结束后3、6、12个月时对两组患者进行随访,结果2组患者VAS评分和NPQ评分均稳定在治疗结束时的水平( P均>0.05);与锻炼推拿组比较,银针推拿组VAS评分、NPQ评分均下降更为明显( P均<0.05)。两组患者治疗结束时,治疗结束后3、6、12个月时优良率比较,银针推拿组95.6%(43/45例)、93.3%(42/45例)、88.9%(40/45例)、84.4%(38/45例)均高于锻炼推拿组84.4%(38/45例)、73.3%(33/45例)、68.9%(31/45例)、64.4%(29/45例),差异有统计学意义( P均 <0.05)。 结论:细银针联合推拿法和颈部锻炼联合推拿法均能安全、有效地治疗颈型颈椎病,但细银针联合推拿法效果更好。

Objective To explore the effect of fine silver needle thermoconductive therapy combined with cervical massage in the treatment of cervical spondylosis.Methods A total of 90 patients with cervical spondylosis,gender unlimited,age 20-60 years old,disease course 1 month to six years,in the Department of Painology,Xigu District Hospital of Traditional Chinese Medicine from November 2017 to November 2019,were collected and randomly divided into exercise combined massage group and silver needle combined massage group by random number table method,45 cases in each group.All patients were treated with neck and shoulder massage therapy,those combined with neck function exercise in the exercise combined massage group,and those combined with fine silver needle thermoconductive therapy in the silver needle massage group,once every 2 days,4 consecutive times as a course of treatment,for a total of 3 courses of treatment.Before the treatment,at the end of the treatment and 3,6 and 12 months after the treatment,the visual analogue scale(VAS)and neck pain questionnaire(NPQ)scores were observed in the two groups,and the efficacy was also evaluated.Results Compared with pretreatment,the VAS scores and NPQ scores were decreased in the two groups at the end of the treatment(all P<0.05),and decreased significantly in the silver needle combined massage group than in the exercise combined massage group(all P<0.05).The patients were followed up at 12 months,and the VAS score and NPQ score were stable at the level at the end of the treatment in the two groups(all P>0.05).The total effective rate were 95.6%(43/45 cases),93.3%(42/45 cases),88.9%(40/45 cases),and 84.4%(38/45 cases)at the end of the treatment,and 3,6 and 12 months after the treatment respectively[84.4%(38/45 cases),73.3%(33/45 cases),68.9%(31/45 cases),and 64.4%(29/45 cases)]in the silver needle massage group,which were higher than those in the exercise combined massage group(all P<0.05).Conclusion Both the silver needle thermoconductive therapy combined massage and the cervical exercise combined cervical massage can safely and effectively treat cervical spondylosis,but the former is better than later.