点穴运动疗法治疗颈型颈椎病的临床研究

Therapeutic Effect Observation on the Treatment of Cervical Spondylosis Using the Pressing Acupuncture Points and Exercises

目的:观察点穴运动疗法治疗颈型颈椎病的临床疗效。方法:选取颈型颈椎病患者84例,采用随机数字表法随机分为2组,对照组和观察组各42例。对照组采用常规推拿手法治疗,观察组采用点穴运动疗法治疗,经治疗4周后采用视觉模拟量表(VAS)评分、压痛阈值、软组织张力值、颈椎活动度、颈椎功能障碍指数(NDI)等综合评定患者的临床疗效。结果:最终对照组和观察组各42例完成观察。组内比较,经4周治疗后,两组VAS评分、压痛阈值、软组织张力值、颈椎活动度、NDI均较治疗前改善,差异有统计学意义(P<0.001);两组组间比较,VAS评分、压痛阈值、软组织张力值、颈椎活动度、NDI、疗效比较存在差异,观察组优于对照组,差异有统计学意义(P<0.05)。结论:点穴运动疗法能够减轻颈型颈椎病的疼痛,同时改善软组织张力及弹力,增大颈部活动度,有利于颈型颈椎病的恢复。

Objective:To observe the clinical efficacy of pressing acupuncture points and exercises therapy on the treatment of cervical spondylosis.Methods:84 patients with ccervical spondylosis were selected and randomly divided into 2 groups using random number table method,42 cases in the control group and 42 cases in the observation group.The control group was treated with routine massage,and the observation group was treated with pressing acupuncture points and exercises therapy.After 4 weeks of treatment,the clinical efficacy of the patients was comprehensively evaluated by the scores of visual analogue scale(VAS),pressure-pain threshold,soft-tissue tension value,cervical spine mobility,neck disability index(NDI),and so on.Results:Finally,42 cases in the control group and 42 cases in the observation group completed the observation.Compared with the same group,after 4 weeks of treatment,the scores of VAS,pressure pain threshold,soft tissue tension,cervical spine mobility,NDI of both groups improved compared with the former(P<0.oo1),meanwhile,compared between the two groups,there were differences in scores of VAS,pressure pain threshold,soft tissue tension,cervical spine mobility,NDI,and therapeutic efficacy,and the observation group was better than the control group(P<0.05).Conclusion:Pressing acupuncture points and exercises therapy can reduce the pain of cervical spondylosis,meanwhile improve the soft tissue tension and elasticity,increase the neck mobility,which is favorable to the recovery of cervical spondylosis.