发散式冲击波联合推拿、针灸治疗神经根型颈椎病的临床效果(1)
[摘要]目的 探讨发散式冲击波联合推拿、针灸治疗神经根型颈椎病(CSR)的临床效果。方法 选取2017年5月～2018年12月我院收治的86例CSR患者作为研究对象，按照随机对照试验(RCT)分为对照组(43例)与观察组(43例)。对照组给予推拿、针灸治疗，观察组在对照组的基础上给予联合发散式冲击波，比较两组的临床效果。结果 观察组的治疗总有效率为93.02%，高于对照组的79.07%，差异有统计学意义(P<0.05);两组治疗4周后的视觉模拟量表(VAS)评分低于治疗前，且观察组治疗后的VAS评分低于对照组，差异均有统计学意义(P<0.05);两组治疗4周后的CDI评分明显低于治疗前，观察组治疗后的CDI评分显著低于对照组，差异均有统计学意义(P<0.05)。结论 发散式冲击波联合推拿、针灸治疗CSR患者能够显著地缓解疼痛，有利于颈椎功能恢复，并且有效地提高临床效果，值得推广应用。
[关键词]神经根型颈椎病;发散式冲击波;推拿;针灸
[中图分类号] R81.5+3 [文献标识码] A [文章编号] 1674-4721(2019)8(a)-0160-04
[Abstract] Objective To investigate the clinical effects of divergent shock wave combined with massage and acupuncture in the treatment of cervical spondylotic radiculopathy (CSR). Methods A total of 86 patients with CSR who admitted to our hospital from May 2017 to December 2018 were selected as the research objects. According to randomized controlled trial (RCT)， they was divided into the control group (43 cases) and the observation group (43 cases). The control group was given massage and acupuncture treatment; the observation group was given divergent shock wave on the basis of the control group， and the clinical effects of the two groups were compared. Results The total effective rate of the observation group was 93.02%， which was higher than that of the control group (79.07%)， the difference was statistically significant (P<0.05). The visual analogue scale (VAS) score after 4 weeks of treatment of the two group was lower than that before treatment， the VAS scores of the observation group after treatment were lower than those of the control group， with significant difference (P<0.05). The CDI scores of the two groups after treatment for 4 weeks were significantly lower than those before treatment， the CDI scores of the observation group after treatment were significantly lower than those of the control group， the difference was statistically significant (P<0.05). Conclusion Divergent shock wave combined with massage and acupuncture in the treatment of patients with cervical spondylotic radiculopathy (CSR) can significantly relieve pain， help restore cervical function， and effectively improve clinical results. It is worthy of promotion and application.
[Key words] Cervical spondylotic radiculopathy; Divergent shock wave; Massage; Acupuncture
現代社会的逐渐发展，饮食环境的失衡，智能手机、电脑和空调的广泛使用，脑力劳动、伏案工作者及其他不良生活习惯的形成，导致颈椎病患者居高不下，且呈低龄化发病趋势[1-2]。神经根型颈椎病(cervical spondylotic radiculopathy，CSR)是颈椎病的一种，占60%～70%，其是由于颈椎退行性变、长期劳损，从而引起颈椎间盘向侧后方突出，椎体和椎间盘等结构逐渐发生退行性改变，发生颈部痛、椎旁肌肉压痛、根性痛、根性肌力障碍、麻木、腱反射改变、运动障碍性疾病，出现骨刺形成、颈椎曲度变直后刺激神经根所导致神经相对应的分布区感到疼痛的症状和体征，晚期可有肌肉萎缩，严重影响人类的生命健康和生活质量(QOL)[3-6]。CSR治疗方法较多，但疗效不一，且易复发[7-8]。本研究通过应用发散式冲击波联合推拿、针灸治疗CSR患者43例，取得满意的效果，现将研究结果总结分析报道如下。, 百拇医药(曹国元 杨青宇 陈蕴熙 杨金龙 邓博文)
[关键词]神经根型颈椎病;发散式冲击波;推拿;针灸
[中图分类号] R81.5+3 [文献标识码] A [文章编号] 1674-4721(2019)8(a)-0160-04
[Abstract] Objective To investigate the clinical effects of divergent shock wave combined with massage and acupuncture in the treatment of cervical spondylotic radiculopathy (CSR). Methods A total of 86 patients with CSR who admitted to our hospital from May 2017 to December 2018 were selected as the research objects. According to randomized controlled trial (RCT)， they was divided into the control group (43 cases) and the observation group (43 cases). The control group was given massage and acupuncture treatment; the observation group was given divergent shock wave on the basis of the control group， and the clinical effects of the two groups were compared. Results The total effective rate of the observation group was 93.02%， which was higher than that of the control group (79.07%)， the difference was statistically significant (P<0.05). The visual analogue scale (VAS) score after 4 weeks of treatment of the two group was lower than that before treatment， the VAS scores of the observation group after treatment were lower than those of the control group， with significant difference (P<0.05). The CDI scores of the two groups after treatment for 4 weeks were significantly lower than those before treatment， the CDI scores of the observation group after treatment were significantly lower than those of the control group， the difference was statistically significant (P<0.05). Conclusion Divergent shock wave combined with massage and acupuncture in the treatment of patients with cervical spondylotic radiculopathy (CSR) can significantly relieve pain， help restore cervical function， and effectively improve clinical results. It is worthy of promotion and application.
[Key words] Cervical spondylotic radiculopathy; Divergent shock wave; Massage; Acupuncture
現代社会的逐渐发展，饮食环境的失衡，智能手机、电脑和空调的广泛使用，脑力劳动、伏案工作者及其他不良生活习惯的形成，导致颈椎病患者居高不下，且呈低龄化发病趋势[1-2]。神经根型颈椎病(cervical spondylotic radiculopathy，CSR)是颈椎病的一种，占60%～70%，其是由于颈椎退行性变、长期劳损，从而引起颈椎间盘向侧后方突出，椎体和椎间盘等结构逐渐发生退行性改变，发生颈部痛、椎旁肌肉压痛、根性痛、根性肌力障碍、麻木、腱反射改变、运动障碍性疾病，出现骨刺形成、颈椎曲度变直后刺激神经根所导致神经相对应的分布区感到疼痛的症状和体征，晚期可有肌肉萎缩，严重影响人类的生命健康和生活质量(QOL)[3-6]。CSR治疗方法较多，但疗效不一，且易复发[7-8]。本研究通过应用发散式冲击波联合推拿、针灸治疗CSR患者43例，取得满意的效果，现将研究结果总结分析报道如下。, 百拇医药(曹国元 杨青宇 陈蕴熙 杨金龙 邓博文)