杵针结合推拿手法防治大学生颈型颈椎病的临床疗效观察

Clinical Effect Observation of Combination of Pestle Needle and Massage Techniques in Prevention and Treatment of College Students with Cervical Spondylopathy

目的 观察杵针结合推拿手法防治大学生颈型颈椎病的临床疗效。方法 对于2021年3月-2022年3月对初步诊断为颈型颈椎病的四川护理职业学院在校大学生进行干预。随机将受试者分为对照组(30例)和干预组(31例)。对照组进行健康宣教,每日进行颈椎保健操锻炼2遍,约15min,每周5d。干预组在对照组的基础上加杵针与推拿手法操作,杵针操作选取风府八阵、大椎八阵进行点叩、开阖、运转操作,河车路脑椎段进行升降、分理操作,肩井开阖、分理,推拿手法选取点按风池、拿揉项部、拿肩井、点按颈百劳、手三里、后溪,每次30min,每周3次。持续干预3个疗程,每个疗程2周,分别在第1疗程后,第3疗程后依据《中医病证诊断疗效标准》,采用疼痛视觉模拟法(VAS)评分、颈椎功能障碍指数(NDI)评分对两组疗效进行评估。结果 较干预前,2组在第1疗程,第3疗程结束后VAS评分、NDI评分均明显下降,结果具有统计学意义(P<0.05)。1个疗程后横向对比VAS评分、NDI评分,组间比较差异结果无统计学意义(P>0.05)。3个疗程结束后横向对比,干预组VAS评分、NDI评分、总有效率均优于对照组,具有明显差异,结果具有统计学意义(P<0.05)。结论 杵针结合推拿手法干预大学生颈型颈椎病可有效缓解疼痛,改善颈椎功能障碍,且远期疗效较好。

Objective To observe clinical effect of pestle needle combined with massage in prevention and treatment of college students with cervical spondylosis.Methods The paper carried on intervention on college students at Sichuan Nursing Vocational College initially diagnosed with cervical spondylosis from March 2021 to March 2022,and divided them into control group(30 cases)and intervention group(31 cases)randomly.Control group was treated with health education and cervical spine health exercises twice a day for about 15 minutes,5 days a week.intervention group was added with pestle needles and massage techniques on the basis of control group.Pestle needles from the Fengfu Eighth Formation and Dazhui Eighth Formation for tapping,opening and closing and running operations.Cerebral vertebral segment of Heche Road was lifted and sorted and shoulder well was opened,closed and sorted.Massage techniques were applied for wind pool,with massage of neck,shoulder well,tapping of Jingbailao,Shousanli,Houxi,each time for 30 minutes,three times a week.With continuous intervention for 3 courses of treatment,each course lasting for 2 weeks,curative effect between two groups were evaluated with Pain Visual Simulation(VAS)scores and Cervical Dysfunction Index(NDI)scores according to"Traditional Chinese Medicine Diagnosis and Curative Effect Standards"after the first and third courses of treatment.Results VAS scores and NDI scores of both groups were lower significantly in the first and third treatment courses than before intervention,with statistical significance(P<0.05).After 1 course of treatment,there was no statistically significant difference in VAS scores and NDI scores by horizontal comparison(P>0.05).After three courses of treatment,there was significant difference in VAS scores,NDI scores and total effective rate among intervention groups and results were statistically significant by horizontal comparison(P<0.05).Conclusion Combination of pestle acupuncture and massage techniques can alleviate pain and improve cervical dysfunction of college students with cervical spondylosis effectively,with good long-term effect.