针灸联合推拿治疗颈椎病的临床效果(1)
[摘要]目的 探讨颈椎病患者康复治疗中采取针灸联合推拿的临床效果。方法 选取2015年9月～2017年9月在本院接受治疗50例颈椎病患者作为研究对象，采用随机数字表法将患者分为两组，每组各25例。实验组予以针灸联合推拿治疗，对照组使用针灸治疗。比较两组患者的总有效率、康复时间、治疗总满意度、血液流动力学指标。结果 实验组的总有效率、治疗总满意度均明显高于对照组，差异有统计学意义(P<0.05)。实验组的康复时间短于对照组，差异有统计学意义(P<0.01)。治疗后，实验组患者的时间平均流速(TMFV)、收缩期峰值流速(PSV)均高于对照组，阻力指数(RI)、搏动指数(PI)均低于对照组，差异有统计学意义(P<0.05)。结论 颈椎病患者采用针灸联合推拿治疗能够提高治疗效果，显著提高患者的满意度，缩短其康复时间，减轻其痛苦，值得临床推广应用。
[关键词]针灸;推拿;颈椎病;康复治疗;临床观察
[中图分类号] R681.5+3 [文献标识码] A [文章编号] 1674-4721(2019)7(c)-0237-04
[Abstract] Objective To explore the clinical effect of acupuncture combined with manipulation in the rehabilitation treatment of cervical spondylopathy patients. Methods All of 50 cervical spondylopathy patients who were treated in our hospital from September 2015 to September 2017 were selected as study subjects， and they were divided into the two groups by random number table method， with 25 cases in each group. The experimental group was given acupuncture combined with manipulation， while the control group was given acupuncture. The total effective rate， rehabilitation time， the total satisfaction of treatment and hemodynamic indexes were compared in patients between the two groups. Results The total effective rate and the total satisfaction of treatment in the experimental group were obviously higher than those in the control group， and the differences were statistically significant (P<0.05). The rehabilitation time of the experimental group was shorter than that of the control group， and the difference was statistically significant (P<0.01). After treatment， the time mean flow velocity (TMFV) and peak systolic flow velocity (PSV) of the experimental group were higher than those of the control group， the resistance index (RI) and pulsation index (PI) were lower than those of the control group， and the differences were statistically significant (P<0.05). Conclusion Acupuncture combined with manipulation in the treatment of cervical spondylopathy patients can improve the therapeutic effect， significantly improve the satisfaction of patients， shorten the recovery time， reduce their pain， and it is worthy of clinical promotion and application.
[Key words] Acupuncture; Manipulation; Cervical spondylosis; Rehabilitation treatment; Clinical observation
頸椎病是临床常见的退行性病变，好发于长期坐姿不良、伏案工作、中老年人群[1]。因长期颈椎劳损、颈椎椎间盘脱出、骨质增生等原因导致颈椎椎动脉、神经根、脊髓受压，出现四肢乏力、颈背疼痛、视物模糊、头晕、手指发麻等症状，严重影响患者的正常工作、学习、生活[2]。近年来，颈椎病发病人数呈持续上升趋势，寻找安全有效的治疗方案是临床医师研究的重要课题。临床治疗颈椎病的常用方法包括镇痛药物、牵引疗法、运动疗法、理疗、手术、中医疗法等。由于颈椎病恢复时间较长，单一治疗方法往往难以达到预期治疗效果，常常采用多种方法综合治疗，旨在提高临床治疗效果[3]。本研究为了进一步探讨颈椎病患者的预后水平，为临床的治疗提供参考，探讨了针灸联合推拿在颈椎病患者康复治疗中的效果，现报道如下。, 百拇医药(王娟 程冲)
[关键词]针灸;推拿;颈椎病;康复治疗;临床观察
[中图分类号] R681.5+3 [文献标识码] A [文章编号] 1674-4721(2019)7(c)-0237-04
[Abstract] Objective To explore the clinical effect of acupuncture combined with manipulation in the rehabilitation treatment of cervical spondylopathy patients. Methods All of 50 cervical spondylopathy patients who were treated in our hospital from September 2015 to September 2017 were selected as study subjects， and they were divided into the two groups by random number table method， with 25 cases in each group. The experimental group was given acupuncture combined with manipulation， while the control group was given acupuncture. The total effective rate， rehabilitation time， the total satisfaction of treatment and hemodynamic indexes were compared in patients between the two groups. Results The total effective rate and the total satisfaction of treatment in the experimental group were obviously higher than those in the control group， and the differences were statistically significant (P<0.05). The rehabilitation time of the experimental group was shorter than that of the control group， and the difference was statistically significant (P<0.01). After treatment， the time mean flow velocity (TMFV) and peak systolic flow velocity (PSV) of the experimental group were higher than those of the control group， the resistance index (RI) and pulsation index (PI) were lower than those of the control group， and the differences were statistically significant (P<0.05). Conclusion Acupuncture combined with manipulation in the treatment of cervical spondylopathy patients can improve the therapeutic effect， significantly improve the satisfaction of patients， shorten the recovery time， reduce their pain， and it is worthy of clinical promotion and application.
[Key words] Acupuncture; Manipulation; Cervical spondylosis; Rehabilitation treatment; Clinical observation
頸椎病是临床常见的退行性病变，好发于长期坐姿不良、伏案工作、中老年人群[1]。因长期颈椎劳损、颈椎椎间盘脱出、骨质增生等原因导致颈椎椎动脉、神经根、脊髓受压，出现四肢乏力、颈背疼痛、视物模糊、头晕、手指发麻等症状，严重影响患者的正常工作、学习、生活[2]。近年来，颈椎病发病人数呈持续上升趋势，寻找安全有效的治疗方案是临床医师研究的重要课题。临床治疗颈椎病的常用方法包括镇痛药物、牵引疗法、运动疗法、理疗、手术、中医疗法等。由于颈椎病恢复时间较长，单一治疗方法往往难以达到预期治疗效果，常常采用多种方法综合治疗，旨在提高临床治疗效果[3]。本研究为了进一步探讨颈椎病患者的预后水平，为临床的治疗提供参考，探讨了针灸联合推拿在颈椎病患者康复治疗中的效果，现报道如下。, 百拇医药(王娟 程冲)