腹部推拿治疗痰浊阻络型椎动脉型颈椎病的随机对照试验

发布时间：2018-04-22 01:39

本文选题：腹部推拿 + 传统推拿　；参考：《中华中医药学刊》2017年08期

【摘要】：目的:探讨腹部推拿治疗痰浊阻络型椎动脉型颈椎病的临床疗效。方法:采用单盲、随机对照研究方法,将入组的椎动脉型颈椎病患者随机分为腹部推拿组(试验组)和传统推拿组(对照组),每组40例。采用颈性眩晕症状与功能评估量表(ESCV)、视觉模拟评分法(VAS)、颈椎功能障碍指数(NDI)等量表分别对两组治疗前后症状进行评价。结果:两组间性别、年龄、病程经检验证明组间有可比性;治疗后,两组ESCV积分均治疗前有所升高,且腹部推拿组升高明显,两组间比较P0.05。VAS及NDI积分治疗后两组均下降,且腹部推拿组下降明显,积分进行组间比较P0.05。腹部推拿组愈显率27.5%,有效率97.5%,传统推拿组愈显率7.5%,有效率67.5%。结论:腹部推拿可有效治疗椎动脉型颈椎病,且疗效明显优于传统推拿,但仍需进行大样本量试验,并进行后期随访,以进一步明确治疗效果。
[Abstract]:Objective: to investigate the clinical effect of abdominal massage on cervical spondylosis of vertebral artery type of phlegm turbid blocking collaterals type. Methods: the patients with vertebral artery type cervical spondylosis were randomly divided into abdominal massage group (experimental group) and traditional massage group (control group, 40 cases in each group). Symptom and function assessment scale (ESCV), visual analogue scale (VAS) and cervical spine dysfunction index (NDI) were used to evaluate the symptoms of the two groups before and after treatment. Results: sex, age, course of disease were proved to be comparable between the two groups after treatment, the ESCV scores of the two groups increased before treatment, and the abdominal massage group increased significantly, and the P0.05.VAS and NDI scores between the two groups decreased after treatment. The abdominal massage group decreased obviously, and the score was compared between the groups (P 0.05). The more obvious rate of abdominal massage group was 27.5 and the effective rate was 97.5.The traditional massage group showed more obvious rate of 7.5. the effective rate was 67.5. Conclusion: abdominal massage can effectively treat cervical spondylopathy of vertebral artery type, and the curative effect is obviously superior to that of traditional massage, but it is still necessary to carry out large sample test and follow up later in order to further confirm the therapeutic effect.
【作者单位】：天津中医药大学;天津中医药大学第一附属医院推拿科;国家中医药管理局推拿手法生物效应实验室;
【基金】：国家自然科学基金项目(81473793,81403493,81373762) 天津市高等学校科技发展基金计划项目(20120210,20130209)
【分类号】：R244.1

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