中医推拿联合运动康复治疗神经根型颈椎病的临床效果

Clinical effect on the treatment of cervical spondylotic radiculopathy by traditional Chinese medicine massage combined with exercise rehabilitation

目的 探讨中医推拿联合运动康复治疗神经根型颈椎病(cervical spondylotic radiculopathy, CSR)的临床疗效。方法 选择2022年6月至2022年12月九江学院附属医院康复医学科诊治的18~70岁符合CSR诊断标准的80例患者为研究对象,将其随机分为试验组和对照组,治疗过程中8例脱落,最终参与本研究的有72例患者,每组36例患者。试验组患者采用中医推拿联合运动康复疗法,每周治疗5次,每次60分钟,共治疗2周10次;对照组患者采用中医推拿疗法,每周治疗5次,每次30分钟,共治疗2周10次。比较两组患者治疗前后田中靖久颈椎病症状量表20分法、视觉模拟评分法(visual analogue scale, VAS)、颈椎活动度(range of motion, ROM)评价结果和临床疗效变化情况。结果 与治疗前比较,试验组患者田中靖久量表评分,颈椎后伸、左旋和右旋ROM显著增加,VAS评分显著降低,其差异均具有统计学意义(均P<0.01);对照组患者田中靖久量表评分,颈椎前屈、左旋和右旋ROM显著增加,VAS评分显著减低,其差异均具有统计学意义(均P<0.05)。治疗后,试验组患者田中靖久量表评分,颈椎左旋和右旋ROM显著高于对照组患者,VAS评分显著低于对照组患者,其差异均具有统计学意义(均P<0.01)。结论 中医推拿联合运动康复治疗CSR,能够显著改善患者临床症状,减轻疼痛,改善颈椎ROM,具有较好的临床应用价值。

Objective To investigate the clinical effect of traditional Chinese medicine massage combined with exercise rehabilitation in the treatment of cervical spondylotic radiculopathy(CSR).Methods A total of 80 patients aged 18 to 70 years who met the diagnostic criteria of CSR were included and randomly divided into experimental group and control group.During the trial,there were 36 patients in each group with 8 patients drop-out.The experimental group was treated with traditional Chinese medicine massage combined with exercise rehabilitation therapy,60 minutes each time,5 times a week for 2 weeks,a total of 10 treatments;the control group was treated with traditional Chinese medicine massage therapy for 30 minutes each time,5 times a week for 2 weeks,a total of 10 treatments.The score of 20-point symptom scale of Yasuhisa Tanaka and visual analog scale(VAS),cervical range of motion(ROM)before and after treatment and clinical effect were compared.Results Compared with before treatment,the cervical spine posterior extension,left and right rotatory ROM in the experimental group were significantly increased(all P<0.01),and the VAS score was significantly decreased(P<0.01),while the cervical spine anterior flexion,left and right rotatory ROM in the control group was significantly increased(all P<0.05),and the VAS score was significantly decreased(P<0.05);after treatment,the Tanaka Yasushisa scale,left and right cervical spine ROM in the experimental group were significantly higher than those in the control group(all P<0.01),and the VAS score was significantly lower than that in the control group(P<0.01).Conclusions Traditional Chinese medicine massage combined with exercise rehabilitation treatment of CSR can significantly improve the clinical symptoms of patients,relieve pain,improve cervical ROM,has good clinical practice value.