摘要
目的探讨中医针灸联合推拿手法在椎动脉型颈椎病(cervical spondylosis of vertebal artery type,CSA)患者中的应用效果.方法选取2019年1月—2020年12月该院收治的94例CSA患者为研究对象,按随机数字表法分为两组,每组47例.对照组采用常规康复训练,试验组在对照组基础上采用中医针灸联合推拿手法干预,均持续4周.对比两组的颈椎功能、血流动力学指标及血清一氧化氮(nitric oxide,NO)与神经元特异性烯醇化酶(neuron-specific enolase,NSE)水平.结果干预后,两组的颈椎功能障碍指数(neck disability index,NDI)量表评分低于干预前,且试验组的NDI评分低于对照组,差异有统计学意义(P<0.05).干预后,两组左侧及右侧椎动脉-基底动脉的收缩期峰值血流速度及平均血流速度均快于干预前,且试验组的上述指标均快于对照组,组间差异有统计学意义(P<0.05).干预后,两组的NO、NSE水平均优于干预前,且试验组的血清NO水平高于对照组,血清NSE水平低于对照组,组间差异有统计学意义(P<0.05).结论中医针灸联合推拿手法可有效改善CSA患者的颈椎功能与血流动力学水平,降低血清NO、NSE水平,促进颈椎功能恢复.
Objective To explore the effect of Chinese medicine acupuncture combined with massage manipulation in patients with cervical spondylosis of vertebal artery type(CSA).Methods 94 patients with CSA admitted to the hospital from January 2019 to December 2020 were selected for the study and were divided into two groups of 47 cases each according to the random number table method.The control group used conventional rehabilitation training,and the test group used traditional Chinese medicine acupuncture combined with massage intervention on the basis of the control group,both lasted for 4 weeks.The cervical spine function,hemodynamic indexes,serum nitric oxide(NO)and neuron-specific enolase(NSE)levels were compared between the two groups.Results After the intervention,the neck disability index(NDI)scores of the two groups were lower than before the intervention,and the NDI score of the test group was lower than that of the control group,the differences were statistically significant(P<0.05).After the intervention,the levels of peak systolic velocity and Time-mean flow velocity of the left and right vertebral artery-basilar artery in both groups were faster than before the intervention,and these indexes in the test group were faster than those in the control group,and the differences between the groups were statistically significant(P<0.05).After the intervention,the NO and NSE levels in both groups were better than those before the intervention,and the serum NO level in the test group was higher than was in the control group,and the serum NSE level was lower than that in the control group,with statistically significant differences between the groups(P<0.05).Conclusion Chinese medicine acupuncture combined with massage manipulation can effectively improve the cervical spine function and hemodynamic level of CSA patients,reduce serum NO and NSE levels,and promote the recovery of cervical spine function.
作者
颜凡生
YAN Fansheng(Department of Accupuncture and Moxibustion,Linyi Hospital of Traditional Chinese Medicine,Shandong Province,Linyi Shandong,276002,China)
出处
《反射疗法与康复医学》
2021年第11期7-9,共3页
Reflexology And Rehabilitation Medicine
关键词
椎动脉型颈椎病
中医针灸
推拿手法
颈椎功能
血流动力学指标
Cervical spondylosis of vertebal artery type
TCM acupuncture
Massage manipulation
Cervical spine function
Hemodynamic index
作者简介
颜凡生(1977-),男,山东临沂人,本科,主治医师,研究方向:推拿治疗临床常见病。
