推拿结合下颈段抗阻运动治疗颈型颈椎病的临床观察

发布时间：2018-07-04 19:15

本文选题：推拿 + 下颈段抗阻运动　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:探索推拿结合下颈段抗阻运动治疗颈型颈椎病的临床疗效以及远期效果。阐明在颈型颈椎病的治疗以及疗效的维持方面,推拿结合下颈段抗阻运动具有显著的意义,为颈型颈椎病的预防及治疗方面提供新颖的策略和操作方法。方法:本研究以黑龙江中医药大学附属第一医院推拿科门诊所选择60名颈型颈椎病患者为实验研究对象,随机数字表法平均分为治疗组与对照组。治疗组进行颈部推拿结合下颈段抗阻运动训练治疗,对照组采用常规推拿法。应用视觉模拟量表、颈椎功能障碍指数和颅颈角测量对两组治疗前、治疗后以及随访时的相关症状和体征进行评分并作比较。结果:1.接受治疗后,治疗组与对照组的视觉模拟量表评分、颈椎功能障碍指数均有改善(P0.05),但治疗组改变更显著,结果优于对照组(P0.05)。2.两组患者在治疗后CV angle有显著差异(P0.05),治疗组优于对照组。3.全部病例获得2个月随访,治疗组无明显进展病例,对照组2例进展为神经根型颈椎病;两组间VAS评分与NDI指数均有统计学差异,治疗组均优于对照组(P0.05)。结论:1.推拿结合下颈段抗阻运动治疗颈型颈椎病能够较好的改善患者的临床症状、客观体征;缓解患者的疼痛和颈部功能障碍。应用该方法所得效果明显优于传统推拿治疗组。2.推拿结合下颈段抗阻运动治疗颈型颈椎病能更明显的纠正患者的错误体态;与传统推拿组对比,前者更趋于正常。3.推拿结合下颈段抗阻运动治疗颈型颈椎病拥有更显著的远期疗效;与传统推拿组对比,该方法治疗的患者于1个月、2个月的随访时颈部疼痛程度较轻、功能障碍较少。
[Abstract]:Objective: to explore the clinical effect and long-term effect of massage combined with lower cervical resistance movement in the treatment of cervical spondylosis. In the treatment of cervical spondylopathy and the maintenance of curative effect, massage combined with lower cervical resistance movement has significant significance, which provides novel strategies and operational methods for the prevention and treatment of cervical spondylosis. Methods: 60 patients with cervical spondylosis were randomly divided into treatment group and control group. The treatment group was treated with cervical massage combined with lower cervical resistance exercise training, while the control group was treated with conventional massage. Visual analogue scale, cervical vertebrae dysfunction index and craniocervical angle were used to evaluate and compare the symptoms and signs before, after and after treatment in the two groups. The result is 1: 1. After treatment, the visual analogue scale score and cervical spine dysfunction index of the treatment group and the control group were improved (P0.05), but the change of the treatment group was more significant, the result was better than that of the control group (P0.05). 2. There was significant difference in CV angle between the two groups after treatment (P0.05), the treatment group was better than the control group. 3. 3. All cases were followed up for 2 months. There was no significant progress in the treatment group and 2 cases in the control group. There were significant differences in VAS score and NDI index between the two groups and the treatment group was superior to the control group (P0.05). Conclusion 1. The treatment of cervical spondylosis with massage combined with lower cervical resistance can improve the clinical symptoms, objective signs and relieve the pain and cervical dysfunction. The effect of this method is obviously better than that of the traditional massage treatment group. 2. 2. The treatment of cervical spondylopathy with massage combined with lower cervical segment resistance movement can significantly correct the wrong posture of the patients, and compared with the traditional massage group, the former tends to be normal. 3. The treatment of cervical spondylopathy with massage combined with lower cervical segment resistance exercise has a more significant long-term effect, compared with the traditional massage group, the patients treated by this method at 1 month, 2 months follow-up, the degree of neck pain is less, and the dysfunction is less.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R244.1

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