牵引、针刺联合推拿综合治疗颈椎病的效果及对患者颈椎疼痛的影响研究

Study on the Effect of Traction,Acupuncture Combined with Massage on Cervical Spondylosis and Cervical Pain in Patients

目的:研究牵引、针刺联合推拿综合治疗颈椎病的效果及对患者颈椎疼痛的影响.方法:选择2019年3月—2022年11月我院收治的90例颈椎病患者为研究对象,随机分为对照组与观察组,对照组采用推拿治疗,观察组采用牵引、针刺联合推拿综合治疗,评估2组的疗效、疼痛视觉模拟(VAS)评分、颈椎活动度、疼痛分级指数(PRI)、症状评分,且检测血清白细胞介素-6(IL-6)、白细胞介素-1β(IL-1β)和肿瘤坏死因子-α(TNF-α)水平.结果:观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05).治疗前,2组的VAS评分、颈椎活动度和PRI指数比较,组间差异无统计学意义(P>0.05);治疗后,2组的VAS评分和PRI指数均低于治疗前,颈椎活动度大于治疗前,且观察组VAS评分和PRI指数均低于对照组,颈椎活动度大于对照组,差异有统计学意义(P<0.05).治疗前,2组的颈肩部疼痛、眩晕、恶心呕吐和肢体麻木评分比较,组间差异无统计学意义(P>0.05);治疗后,2组的颈肩部疼痛、眩晕、恶心呕吐和肢体麻木评分均低于治疗前,且观察组的颈肩部疼痛、眩晕、恶心呕吐和肢体麻木评分均低于对照组,差异有统计学意义(P<0.05).治疗前,2组的血清IL-6、IL-1β和TNF-α水平比较,组间差异无统计学意义(P>0.05);治疗后,2组的血清IL-6、IL-1β和TNF-α水平均低于治疗前,且观察组的血清IL-6、IL-1β和TNF-α水平均低于对照组,差异有统计学意义(P<0.05).结论:牵引、针刺联合推拿疗法对颈椎病有显著的疗效,能明显减轻颈椎疼痛和各项症状,且能减轻炎性反应.

Objective:To study the effect of traction,acupuncture combined with massage on cervical spondylosis and its influence on cervical pain.Methods:90 patients with cervical spondylosis admitted to our hospital from March 2019 to November 2022 were selected as the research objects and were randomly divided into a control group and an observation group.The control group was treated with tuina,and the observation group was treated with traction,acupuncture and tuina comprehensive treatment.The efficacy,Visual Analogue Scale(VAS)score,cervical range of motion(ROM),Pain Rating Index(PRI),symptom score,and serum interleukin-6(IL-6),interleukin-1β(IL-1β)and tumor necrosis factor-α(TNF-α)levels were evaluated in the two groups.Results:The effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in VAS score,cervical range of motion and PRI index between the two groups(P>0.05).After treatment,the VAS score and PRI index of the two groups were lower than those before treatment,and the cervical spine activity was greater than that before treatment,and the VAS score and PRI index of the observation group were lower than those of the control group,and the cervical spine activity was greater than that of the control group,the differences were statistically significant(P<0.05).Before treatment,there were no statistically significant differences in the scores of neck and shoulder pain,vertigo,nausea and vomiting,and limb numbness between the two groups(P>0.05).After treatment,the scores of neck and shoulder pain,vertigo,nausea and vomiting and limb numbness in the two groups were lower than those before treatement,and the scores of neck and shoulder pain,vertigo,nausea and vomiting and limb numbness in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in serum IL-6,IL-1βand TNF-αlevels between the two groups(P>0.05).After treatment,the serum levels of IL-6,IL-1βand TNF-αin the two groups were lower than those before treatement,and the serum levels of IL-6,IL-1βand TNF-αin the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Traction,acupuncture combined with massage therapy has a significant effect on cervical spondylosis,which can significantly reduce the pain of the cervical spine and the symptoms,and reduce the inflammatory reaction.