文章摘要
刘翠,张儒奇,荆立娜,阎李倩,孙国强,杨宪章.理筋手法联合导引术治疗颈型颈椎病疗效观察[J].济宁医学院学报,2022,45(3):204-207
理筋手法联合导引术治疗颈型颈椎病疗效观察
Observation on the efficacy of tendon-regulating manipulation combined with guiding techniquein the treatment of cervical spondylosis
投稿时间:2022-03-30  
DOI:10.3969/j.issn.1000-9760.2022.03.012
中文关键词: 理筋手法;导引术;颈型颈椎病;大学生
英文关键词: Tendon-regulating manipulation;Guiding technique;Cervical spondylosis;College student
基金项目:山东省中医药科技发展计划项目(2019-0443);山东省大学生创新训练计划项目(S202010443052)
作者单位
刘翠 济宁医学院中西医结合学院 
张儒奇 济宁医学院中西医结合学院 
荆立娜 济宁医学院中西医结合学院 
阎李倩 济宁医学院中西医结合学院 
孙国强 济宁医学院基础医学院, 济宁 272067 
杨宪章 济宁医学院附属医院, 济宁 272029 
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中文摘要:
      目的 观察理筋手法联合导引术治疗颈型颈椎病的临床效果。方法 选取济宁医学院2021年4月-12月期间纳入的颈型颈椎病大学生60例,随机分为治疗组(n=30)与对照组(n=30)。对照组采用导引术,治疗组在对照组的基础上联合使用理筋手法。观察两组临床疗效、Northwick Park颈痛量表(NPQ)评分、疼痛视觉模拟量表(VAS)评分。结果 治疗组显效、有效、无效的例数分别为6例、22例、2例,总有效率为93.33%(28/30),对照组分别为4例、15例、11例,总有效率为63.33%(19/30),两组疗效差异有统计学意义(P<0.05)。治疗后两组NPQ评分、VAS评分均较治疗前降低,且治疗组评分变化较对照组,治疗前后差值变化更明显,差异有统计学意义(P<0.05)。结论 理筋手法联合导引术治疗颈型颈椎病,可有效缓解患者临床症状,改善颈部功能,提高颈椎关节活动度,优于单独应用导引法,值得临床推广应用。
英文摘要:
      Objective To observe the clinical effect of tendon-regulating manipulation combined with guidingtechniquein the treatment of cervical spondylosis.Methods A total of 60 college students with cervical spondylosis admitted to Jining Medical University from April to December 2021 were randomly divided into treatment group (n=30) and control group (n=30).The control group was treated with guiding technique,and the treatment group was treated with tendon-regulating manipulation on the basis of the control group.The clinical efficacy,Northwick Park Neck Pain Questionnaire (NPQ),Visual Analogue Scale (VAS) score were observed.Results In the treatment group,6 cases were markedly effective,22 cases were effective and 2 cases were ineffective,and the total effective rate was 93.33%(28/30).In the control group,4 cases were markedly effective,15 cases were effective and 11 cases were ineffective,and the total effective rate was 63.33%(19/30).The difference between the two groups was statistically significant (P<0.05).After treatment,the NPQ score and VAS score of the two groups were lower than those before treatment,and the score change of the treatment group was larger than that of the control group(P<0.05).Conclusion Tendon-regulating manipulation combined with guiding techniquecan effectively alleviate the clinical symptoms of college students with cervical spondylosis,improve neck function and improve cervical joint activity,which is better than single application of guiding technique.It is worth popularizing in community hospitals and school clinics.
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