基于“颈胸同治”理论推拿治疗颈型颈椎病的疗效观察

The clinical effect observation of massage based on the cervical-thoracic related theory for cervical spondylopathy

关键词:  颈型颈椎病  颈胸相关  推拿  疗效观察

Key words:  cervical Spondylopathy  cervical-thoracic Related  massage  clinical effect observation

摘要:

[目的]探索颈胸结合推拿手法治疗颈型颈椎病的疗效。[方法]将60例颈型颈椎病患者随机分为传统推拿组和颈胸同治组，传统推拿组采用㨰法、拿法、一指禅法、弹拨法、牵引法选择性的分别作用于颈后部两侧肌肉、肩胛部肌肉及颈部不适部位。除传统推拿手法，颈胸同治组另行胸椎小关节整复手法。两组治疗均每周两次，共3周。治疗结束后评定疗效，并于治疗前、治疗后及1个月后随访记录视觉模拟评分法评分（VAS）。[结果]颈胸同治组有效率明显高于传统推拿组（P<0.05）；与治疗前相比，治疗后及1个月后随访时，两组VAS评分均有改善，且组间差异明显（P<0.05）。[结论]颈胸结合推拿治疗颈型颈椎病疗效显著，值得临床推广。

Abstract:

[Objective] To observe the clinical effect of massage based on the cervical-thoracic related theory for cervical spondylopathy. [Methods] Sixty cases of cervical spondylopathy were randomly divided into conventional massage group (30 cases) and cervical-thoracic massage group (30 cases). Rolling manipulation, grasping manipulation, one-thumb massage, poking channels manipulation and traction were adopted upon the neck muscles. Besides the above-mentioned manipulation, Cervical-thoracic massage group also used thoracic reduction manipulation. Both groups were treated for twice a week, total three weeks. Effective rate was evaluated after treatment, and VAS score was evaluated before and after treatment. One month later, VAS score was tested too. [Results] Effective rate in cervical-thoracic massage group was higher than in conventional massage group (P<0.05). After treatment and one month later, the difference of VAS score between cervical-thoracic massage group and conventional massage group was both significant (P<0.05). [Conclusion] Massage based on the cervical-thoracic related theory can improve cervical spondylopathy observably, and has the good curative effect. It is worth worthy of widespread clinic application.