中医针灸联合推拿手法治疗椎动脉型颈椎病疗效及对患者生活质量的影响

Effect of Chinese Acupuncture and Moxibustion Combined with Massage on Cervical Spondylosis of Vertebral Artery Type and Its Effect on Quality of Life of Patients

目的 :研究中医针灸联合推拿手法治疗椎动脉型颈椎病疗效及对患者生活质量的影响。方法 :选取2016年3月~2017年3月期间在我科接受诊治的200例椎动脉型颈椎病患者作为研究对象,根据随机数表法分为对照组、研究组,各100例。对照组患者接受中医针灸治疗,研究组患者接受中医针灸联合推拿手法治疗。比较两组患者治疗前后临床症状、生活质量改善效果及临床疗效。结果 :治疗前,两组临床症状评分差异无统计学意义;治疗后,两组患者的肩颈痛、眩晕、头痛评分均高于治疗前,且研究组高于对照组,差异有统计学意义;治疗前,两组生活质量QLQC30评分差异无统计学意义;治疗后两组患者的生活质量QLQC30评分均高于治疗前,且研究组高于对照组,差异有统计学意义;研究组治疗总有效率95.0%(95/100)高于对照组的86.0%(86/100),差异有统计学意义。结论 :中医针灸联合推拿手法治疗椎动脉型颈椎病疗效显著,能有效缓解临床症状,改善患者生活质量,值得推广。

Objective To study the effect of Chinese acupuncture and moxibustion combined with massage therapy on cervical spondylosis of vertebral artery and its effect on the quality of life of patients. Methods 200 cases of patients with vertebral artery type cervical spondylosis who were treated in our hospital from March 2017 to March 2017 were selected as the subjects. All the patients were divided into control group and study group according to the random number table method, each group of 100 cases. The patients in the control group were received traditional Chinese medicine acupuncture treatment, and the patients in the study group were given traditional Chinese medicine acupuncture combined with massage therapy. The clinical symptom scores, quality of life improvement and clinical efficacy were compared between the two groups before and after treatment. Results There was no significant difference in the clinical symptom scores between the two groups before treatment. After treatment, the shoulder and neck pain, dizziness and headache scores of the two groups were higher than those before treatment, and the study group was higher than the control group, the difference was statistically significant; There was no significant difference in QLQC30 score between the two groups before treatment. The QLQC30 scores of the two groups were higher than those before treatment, and the study group was higher than the control group, the difference was statistically significant; The total effective rate was 95.0%(95/100) in the study group and 86.0%(86/100) in the control group, the difference was statistically significant. Conclusion Chinese Acupuncture and moxibustion combined with Massage on Cervical Spondylosis of Vertebral Artery Type effect is significant, can effectively relieve clinical symptoms, improve the quality of life of patients, it is worth promoting.