津沽伤科推拿捏穴手法不同操作时间治疗神经根型颈椎病量效研究初探

A preliminary study on the effectiveness of the treatment of radiculocarpic cervical spondylosis at different operating times of the Jingu injury department

关键词:  津沽伤科推拿  捏穴手法  不同时间  神经根型颈椎病  手法量化

Key words:  Jingu department of traumatology massage  acupoint manipulation  different time  cervical spondylotic radiculopathy  manipulation quantification

摘要:

[目的] 在确保作用力度与作用方向相同的前提下，选择不同点按时间（30、60、90s）持续点按，分析对比不同点按时间对同组治疗前后和不同组之间症状、体征等的缓解情况，探求不同点按时间与即刻疗效和持续疗效的关系，寻找治疗神经根型颈椎病的有效时间。[方法] 将2021年3—12月天津中医药大学第一附属医院推拿科90例神经根型颈椎病的住院患者，采用随机数字表法将患者分为人数相同的3组。3组西医基础治疗据病情予消炎、营养神经及其他对症治疗。另用津沽伤科推拿捏穴手法，3组单穴点按时间分别为30、60、90s。治疗1周6次为1个疗程，共2个疗程。在首次治疗后及2周治疗后分别进行田中靖久颈椎病症状量表、视觉模拟评分（VAS）的评估，分别观察组间及组内评分变化。[结果] 1）3组首次治疗后、2周治疗后总分及症状、体征评分较治疗前升高、VAS评分较治疗前下降，经统计学分析，3组首次治疗后、2周治疗后诸项评分与治疗前相比有统计学意义（P＜0.05）。2）3组首次治疗后、2周治疗后组间比较表明，30、60、90s组总分及症状、体征评分逐渐升高，VAS评分均逐渐下降，统计学表明30s组分别与60、90s组相比，组间具有统计学意义（P＜0.05），60s组与90s组组间不具有统计学意义（P＞0.05）。[结论] 津沽伤科推拿捏穴手法点按60s和90s为最佳时间点，两者临床即刻疗效和持续疗效差别不大。

Abstract:

[Objective] On the premise of ensuring that the intensity and direction of action are the same,select different points and press time,that is,30,60,90 s,to analyze and compare the relief of symptoms and signs before and after treatment in the same group and between different groups,to explore the relationship between different points and immediate effect and lasting effect,and to find the effective time for the treatment of cervical Spondylotic radiculopathy. [Methods] A total of 90 inpatients with cervical spondylotic radiculopathy in the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine from March to December 2021 were divided into three groups with the same number of patients by random number table method. All three groups basic treatment of Western medicine,ant-inflammatory,nutritional nerve and other symptomatic treatment according to their conditions. In addition,the Jingu injury department pushed the pinch technique,three groups of single point according to the time were 30 s,60 s,90 s. Treatment 6 times a week was a course of 2 courses. Tanaka Yasuhisa cervical spondylosis symptom scale and VAS score were evaluated after the first treatment and 2 weeks after treatment,and the changes of scores between and within groups were observed. [Results] 1)The total scores and symptoms and signs scores after the first treatment and 2 weeks of treatment in the three groups were higher than before treatment,and the VAS scores decreased compared with before treatment,and the scores after the first treatment and 2 weeks of treatment in the three groups were statistically significant compared with before treatment (P<0.05). 2)After the first treatment of the three groups,the comparison between the three groups after 2 weeks of treatment showed that the total scores and symptoms and signs scores of the 30s group,60s group and 90s group gradually increased,and the VAS scores gradually decreased,and statistically showed that the 30s group had statistical significance compared with the 60s group and 90s group (P<0.05),while the 60s group and 90s group had no statistical significance (P>0.05). [Conclusion] The 60s and 90s are the best time points for massage and massage in the department of traumatology in jingu,and there is no significant difference in immediate and lasting clinical efficacy between the two groups.