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[经络按摩治疗神经根型颈椎病]

[Meridian massage in the treatment of cervical spondylotic radiculopathy].

作者信息

He Sheng-Hua, Tan Huang-Sheng, Huang Yong, Lai Ju-Yi

机构信息

Shenzhen Traditonal Chinese Medicine Hospital, Shenzhen 518000, Guangdong, China.

Shenzhen Traditonal Chinese Medicine Hospital, Shenzhen 518000, Guangdong, China; The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen 518000, Guangdong, China.

出版信息

Zhongguo Gu Shang. 2024 Aug 25;37(8):818-23. doi: 10.12200/j.issn.1003-0034.20230986.

Abstract

OBJECTIVE

To observe the clinical efficacy of meridian massage in the treatment of cervical spondylotic radiculopathy.

METHODS

Sixty-four patients with cervical radiculopathy treated from March 2020 to June 2023 were divided into the observation group and the treatment group, with 32 cases in each group. The observation group received conventional treatment, including 14 males and 18 females with an average age of (41.34±7.23) years old ranging from 32 to 55 years old;the disease duration ranged from 9 to 17 months with an average of (14.23±3.56) months;C and C nerve root compression occurred in 12 cases, C nerve root compression occurred in 17 cases, C nerve root compression occurred in 3 cases. The treatment group received massage therapy on the basis of conventional treatment, including 17 males and 15 females with an average age of (40.86±6.97) years old ranging from 30 to 54 years old;the disease duration ranged from 8 to 18 months with an average of (15.43±3.48) months;C and C nerve root compression occurred in 14 cases, C nerve root compression occurred in 16 cases, C nerve root compression occurred in 2 cases. The clinical efficacy was evaluated by visual analogue scale(VAS), neck disability index(NDI) and clinical assessment scale for cervical spondylosis(CASCS) before and after 2-week treatment, and the range of motion of cervical spine was compared before and after treatment.

RESULTS

After 2-week treatment, the VAS and NDI scores of the treatment group and the observation group decreased, while the CASCS scores increased(<0.001). After 2-week treatment, the VAS and NDI scores were lower and the CASCS scores were higher in the treatment group than those of the observation group(<0.001). Comparing with those before treatment, the range of motion of flexion, extension, left flexion, right flexion, left rotation and right rotation after 2-week treatment increased in two groups(<0.05). Comparing with the observation group, the range of motion of flexion, extension, left flexion, right flexion, left rotation and right rotation increased more significantly in the treatment group(<0.05).

CONCLUSION

Meridian massage is effective in the treatment of cervical Spondylotic radiculopathy, which can effectively relieve neck pain, improve clinical symptoms and improve patient satisfaction.

摘要

目的

观察经络推拿治疗神经根型颈椎病的临床疗效。

方法

选取2020年3月至2023年6月收治的64例神经根型颈椎病患者,分为观察组和治疗组,每组32例。观察组接受常规治疗,其中男性14例,女性18例,平均年龄(41.34±7.23)岁,年龄范围32至55岁;病程9至17个月,平均(14.23±3.56)个月;C₅和C₆神经根受压12例,C₆神经根受压17例,C₇神经根受压3例。治疗组在常规治疗基础上接受推拿治疗,其中男性17例,女性15例,平均年龄(40.86±6.97)岁,年龄范围30至54岁;病程8至18个月,平均(15.43±3.48)个月;C₅和C₆神经根受压14例,C₆神经根受压16例,C₇神经根受压2例。治疗2周前后采用视觉模拟评分法(VAS)、颈部功能障碍指数(NDI)和颈椎病临床评价量表(CASCS)评估临床疗效,并比较治疗前后颈椎活动度。

结果

治疗2周后,治疗组和观察组的VAS和NDI评分降低,而CASCS评分升高(P<0.001)。治疗2周后,治疗组的VAS和NDI评分低于观察组,CASCS评分高于观察组(P<0.001)。与治疗前比较,两组治疗2周后的前屈、后伸、左侧屈、右侧屈、左旋和右旋活动度均增加(P<0.05)。与观察组比较,治疗组的前屈、后伸、左侧屈、右侧屈、左旋和右旋活动度增加更显著(P<0.05)。

结论

经络推拿治疗神经根型颈椎病疗效显著,能有效缓解颈部疼痛,改善临床症状,提高患者满意度。

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