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| 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 Guidance in the Treatment of Cervical Spondylosis |
| 投稿时间：2022-04-18 修订日期：2022-04-27 |
| DOI： |
| 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; Guidance method; Cervical spondylosis; College student |
| 基金项目:山东省中医药科技发展计划项目（编号：2019-0443）；山东省大学生创新训练计划项目（编号：S202010443052） |
| 作者 | 单位 | 邮编 | | 刘翠* | 济宁医学院中西医结合学院 | 272067 | | 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 | j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 | | | 杨宪章 | 济宁医学院附属医院 | |
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| 中文摘要: |
| 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(Visual Analogue Scale，VAS)评分以及安全性。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更大，治疗前后差值变化更明显，差异有统计学意义（P<0.05）。两组均无无良反应发生。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。值得在社区医院、学校卫生室进行推广应用。 |
| 英文摘要: |
| Abstract : Objective To observe the clinical effect of tendon-regulating manipulation combined with guidance method in the treatment of cervical spondylosis. Methods A total of 60 college students with cervical spondylosis admitted to Jining Medical College from April to December 2021 were randomly divided into treatment group (n=30) and control group (n=30). The control group was treated with guidance, 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 and safety of the two groups 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. The difference before and after treatment was more obvious, and the difference was statistically significant (P<0.05). No adverse reactions occurred in both groups. Conclusion Tendon-regulating manipulation combined with guidance in the treatment of cervical spondylosis can effectively alleviate the clinical symptoms of patients, improve neck function and improve cervical joint activity, which is better than single application of guidance. It is worth popularizing in community hospitals and school clinics. |
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