目的:观察经络推拿治疗神经根型颈椎病的临床疗效。
方法:将2020年3月至2023年6月收治的神经根型颈椎病患者64例分为观察组和治疗组,每组32例。观察组接受常规治疗,男14例,女18例,平均年龄(41.34±7.23)岁,年龄32~55岁;病程9~17个月,平均(14.23±3.56)个月;C5、C6神经根受压12例,17例发生C7神经根压迫,3例发生C8神经根压迫。治疗组在常规治疗的基础上给予推拿治疗,男17例,女15例,平均年龄(40.86±6.97)岁,年龄30~54岁;病程8~18个月,平均(15.43±3.48)个月;C5、C6神经根受压14例,16例发生C7神经根压迫,2例发生C8神经根压迫。采用视觉模拟评分法(VAS)评价临床疗效,颈残疾指数(NDI)和颈椎病临床评定量表(CASCS)治疗前后2周,比较治疗前后颈椎活动度。
结果:治疗2周后,治疗组和观察组的VAS和NDI评分降低,CASCS评分升高(P<0.001)。治疗2周后,治疗组VAS、NDI评分低于观察组,CASCS评分高于观察组(P<0.001)。与治疗前相比,屈曲的运动范围,扩展,左屈曲,右屈曲,两组治疗2周后左旋转和右旋转均增加(P<0.05)。与观察组相比,屈曲的运动范围,扩展,左屈曲,右屈曲,治疗组左旋转和右旋转增加更显著(P<0.05)。
结论:经络推拿治疗神经根型颈椎病有效,可以有效缓解颈部疼痛,改善临床症状,提高患者满意度。
OBJECTIVE: To observe the clinical efficacy of meridian massage in the treatment of cervical spondylotic radiculopathy.
METHODS: Sixty-four patients with cervical radiculopathy treated from March 2020 to June 2023 were divided into the observation group and the treatment group, with 32 cases in each group. The observation group received conventional treatment, including 14 males and 18 females with an average age of (41.34±7.23) years old ranging from 32 to 55 years old;the disease duration ranged from 9 to 17 months with an average of (14.23±3.56) months;C5 and C6 nerve root compression occurred in 12 cases, C7 nerve root compression occurred in 17 cases, C8 nerve root compression occurred in 3 cases. The treatment group received massage therapy on the basis of conventional treatment, including 17 males and 15 females with an average age of (40.86±6.97) years old ranging from 30 to 54 years old;the disease duration ranged from 8 to 18 months with an average of (15.43±3.48) months;C5 and C6 nerve root compression occurred in 14 cases, C7 nerve root compression occurred in 16 cases, C8 nerve root compression occurred in 2 cases. The clinical efficacy was evaluated by visual analogue scale(VAS), neck disability index(NDI) and clinical assessment scale for cervical spondylosis(CASCS) before and after 2-week treatment, and the range of motion of cervical spine was compared before and after treatment.
RESULTS: After 2-week treatment, the VAS and NDI scores of the treatment group and the observation group decreased, while the CASCS scores increased(P<0.001). After 2-week treatment, the VAS and NDI scores were lower and the CASCS scores were higher in the treatment group than those of the observation group(P<0.001). Comparing with those before treatment, the range of motion of flexion, extension, left flexion, right flexion, left rotation and right rotation after 2-week treatment increased in two groups(P<0.05). Comparing with the observation group, the range of motion of flexion, extension, left flexion, right flexion, left rotation and right rotation increased more significantly in the treatment group(P<0.05).
CONCLUSIONS: Meridian massage is effective in the treatment of cervical Spondylotic radiculopathy, which can effectively relieve neck pain, improve clinical symptoms and improve patient satisfaction.