郑氏经穴按摩联合定点旋转复位手法治疗神经根型颈椎病的疗效

Efficacy of Zheng’s acupoint massage combined with fixed-point rotation reduction manipulation in the treatment of cervical spondylotic radiculopathy

目的:探讨郑氏经穴按摩联合定点旋转复位手法治疗神经根型颈椎病(气滞血瘀证)的疗效。方法:选取151例神经根型颈椎病(气滞血瘀证)患者为研究对象,根据治疗方法不同分为观察组(n=75)和对照组(n=76)。对照组患者采用常规药物治疗;观察组患者在对照组基础上给予郑氏经穴按摩联合定点旋转复位手法进行治疗,疗程均为1个月。比较两组患者治疗前及治疗1个月后中医证候积分、疼痛情况[视觉模拟(VAS)评分]、颈椎活动功能(前屈、后伸、左侧屈、右侧屈、左转、右转)、颈椎神经情况(臂丛神经牵拉试验)及生活质量[日常生活能力表(ADL)评分]。结果:治疗1个月后,两组患者中医证候积分、臂丛神经牵拉试验阳性率、VAS及ADL评分均降低(P<0.05),且观察组低于对照组(P<0.05);颈椎前屈、后伸、左侧屈、右侧屈、左转、右转活动能力均升高(P<0.05),且观察组高于对照组(P<0.05)。结论:在常规药物治疗基础上,施以郑氏经穴按摩联合定点旋转复位手法能有效缓解神经根型颈椎病患者临床症状,改善患者颈椎活动能力,提高患者生活质量。

Objective:To explore the efficacy of Zheng’s acupoint massage combined with fixed-point rotation reduction manipulation in treating cervical spondylotic radiculopathy(qi stagnation and blood stasis syndrome).Methods:151 patients with cervical spondylotic radiculopathy(qi stagnation and blood stasis syndrome)were selected as the research subjects,and they were divided into observation group(n=75)and control group(n=76)according to the different treatment methods.The control group was treated with conventional medication,and the observation group was treated with Zheng’s acupoint massage combined with fixed-point rotation reduction manipulation.Both groups were continuously treated for 1 month.The scores of TCM syndromes,pain status[Visual Analogue Scale(VAS)],cervical spine activity function(anterior flexion,posterior extension,left flexion,right flexion,left turn,right turn),cervical nerve condition(brachial plexus traction test)and quality of life[Activity of Daily Living Scale(ADL)]were compared between the two groups before treatment and after 1 month of treatment.Results:After 1 month of treatment,the scores of TCM syndromes,positive rate of brachial plexus traction test,VAS score and ADL score in the two groups were decreased(P<0.05),and the above indicators in observation group were lower than those in control group(P<0.05).The anterior flexion,posterior extension,left flexion,right flexion,left turn and right turn activities of cervical spine in the two groups were increased after 1 month of treatment(P<0.05),and the activities were higher in observation group compared to control group(P<0.05).Conclusion:On the basis of conventional drug treatment,applying Zheng s acupoint massage combined with fixed-point rotation reduction can effectively relieve the clinical symptoms of patients with cervical spondylotic radiculopathy,improve the cervical activity of patients,and improve their quality of life.