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银质针结合牵引、整脊调曲法治疗混合型颈椎病的临床效果
Clinical effect of silver needle combined with traction and chiropractic adjustment curve method in the treatment of mixed cervical spondylosis

微创医学 20231805期 页码:560-563+577

作者机构:1 广西骨伤医院,广西南宁市530012;2 广西中医药大学研究生院,广西南宁市530004; 3 南宁市妇幼保健院,广西南宁市530011

基金信息:广西医疗卫生适宜技术开发与推广应用项目(编号:S2019057);广西中医药适宜技术开发与推广项目(编号:GZSY21-07)

DOI:10.11864/j.issn.1673.2023.05.02

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  • 参考文献

目的 探讨银质针结合牵引、整脊调曲法治疗混合型颈椎病的临床效果。方法 将50例混合型颈椎病患者随机分为对照组和治疗组,每组25例。治疗组采用银质针结合牵引、整脊调曲法进行治疗,对照组采用常规疗法(推拿手法、坐位牵引等)治疗,两组均治疗14 d。比较两组患者治疗前后的疼痛视觉模拟评分法(VAS)评分、颈椎功能障碍指数量表(NDI)评分、临床疗效和复发情况。结果 治疗前,两组患者的VAS评分、NDI评分比较,差异均无统计学意义(均P>0.05);治疗后,两组患者的VAS评分、NDI评分均低于治疗前,且治疗组评分低于对照组,差异均有统计学意义(均P<0.05)。治疗组患者的临床疗效优于对照组,差异有统计学意义(P<0.05)。治疗组患者的复发率为4.0%(1/25),对照组的复发率为20.00%(5/25),组间差异无统计学意义(P>0.05)。结论 相较于常规推拿手法及坐位牵引等基本治疗,采用银质针结合牵引、整脊调曲法治疗混合型颈椎病患者的效果更显著,可更好地减轻患者疼痛、改善椎曲,总体临床疗效更佳。

Objective To investigate the clinical effect of silver needle combined with traction and chiropractic adjustment curve method in the treatment of mixed cervical spondylosis. Methods Fifty patients with mixed cervical spondylosis were randomly divided into control group and treatment group, with 25 cases in each group. The treatment group was treated with silver needle combined with traction and chiropractic adjustment curve method, while the control group was treated with conventional therapy (massage, sitting traction, etc.). Both groups were treated for 14 days. The pain visual analogue scale (VAS) score, neck disability index (NDI) score, clinical efficacy and recurrence were compared between the two groups before and after treatment. Results Before treatment, there was no statistically significant difference in VAS score and NDI score between the two groups (all P>0.05). After treatment, the VAS score and NDI score of the two groups were lower than those before treatment, and the score of the treatment group was lower than that of the control group, with statistically significant differences (all P<0.05). The clinical efficacy of the treatment group was better than that of the control group, and the difference was statistically significant (P<0.05). The recurrence rate was 4.0% (1/25) in the treatment group and 20.00% (5/25) in the control group, with no statistically significant difference (P>0.05). Conclusion Compared with conventional massage and sitting traction, the silver needle combined with traction and chiropractic adjustment curve method has a more significant effect in treating patients with mixed cervical spondylosis, which can better relieve patients′ pain and improve vertebral curvature, and the overall clinical effect is better.

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