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推拿联合针灸疗法在神经根型颈椎病 治疗中的效果分析
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R681.5

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Analysis of the effects of massage combined with acupuncture in the treatment of cervical spondylotic radiculopathy
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    摘要:

    目的 探讨推拿联合针灸疗法在神经根型颈椎病中的应用效果及其对患者颈椎活动度的影响。方法 将 2020 年 1 月至 12 月 东莞市中医院收治的神经根型颈椎病患者 80 例按随机数字表法分为对照组(40 例,施以针灸治疗)和试验组(40 例,在对照组的基础 上联合推拿治疗)。两组患者均接受连续 4 个疗程的治疗。比较两组患者治疗后临床疗效,治疗前后的颈椎功能障碍指数量表(NDI)评 分、视觉模拟疼痛量表(VAS)评分、颈椎间盘高度、颈椎活动度(前屈、后伸、左屈、右屈、左旋、右旋)及颈椎功能恢复时间。结 果 试验组患者临床总有效率高于对照组;治疗后两组患者 NDI、VAS 评分及血清脂质过氧化物(LPO)水平均较治疗前降低,且试验 组低于对照组;两组患者椎间盘高度均较治疗前减小,且试验组小于对照组;两组患者血清超氧化物歧化酶(SOD)水平均较治疗前升 高,且试验组高于对照组;两组患者颈椎前屈、后伸、左屈、右屈、左旋、右旋的活动度均较治疗前增大,且试验组大于对照组;试验 组患者颈椎功能恢复时间短于对照组(均P<0.05)。结论 推拿联合针灸疗法治疗神经根型颈椎病的效果确切,能有效减轻疼痛和机体 氧化应激状态,改善颈椎活动度,促使患者颈椎功能尽快恢复。

    Abstract:

    Objective? To explore the application effects of massage combined with acupuncture in cervical spondylotic radiculopathy and its influence on the cervical spine mobility. Methods? A total of 80 patients with cervical spondylotic radiculopathy admitted to Dongguan Traditional Chinese Medicine Hospital from January to December 2020 were divided into the control group (40 cases, treated with acupuncture) and the experimental group (40 cases, combined with massage therapy on the basis of the control group) according to the random number table method. Patients in the two groups were received 4 consecutive courses of treatment. The clinical efficacy after treatment , and the neck disability index (NDI) score, visual analogue scale (VAS) score, cervical intervertebral disc height, and cervical spine range of motion (forward flexion, backward extension, left flexion, right flexion, left rotation, right rotation) and cervical spine function recovery time was compared between the two groups. Results? The total clinical effective rate of patients in the experimental group was higher than that in the control group; the NDI, VAS scores and serum lipid hydroperoxide (LPO) levels after treatment in the two groups were lower than those before treatment, and the experimental group was lower than the control group; the height of the intervertebral disc in the two groups decreased compared with that before treatment, and the experimental group was smaller than the control group; serum superoxide dismutase (SOD) levels in both groups were higher than those before treatment, and the experimental group was higher than the control group; the cervical spine flexion, extension, left flexion, right flexion, left rotation, and right rotation of the two groups of patients all increased compared with those before treatment, and the experimental group was larger than the control group; the recovery time of cervical spine function in the experimental group was shorter than that in the control group (all P<0.05). Conclusion? Massage combined with acupuncture therapy is effective in the treatment of cervical spondylotic radiculopathy.It can effectively reduce pain and oxidative stress state of the body, improve the mobility of the cervical spine, and promote the recovery of cervical spine function as soon as possible.

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  • 在线发布日期: 2022-09-08
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