【摘要】 目的:观察推拿结合下颈段抗阻运动治疗颈型颈椎病的有效性与可靠性。方法:黑龙江中医药大学附属第一医院推拿科门诊选择60名颈型颈椎病患者,随机平均分为治疗组与对照组。治疗组进行颈部推拿结合下颈段抗阻运动训练治疗,对照组采用常规推拿法。应用视觉模拟量表(VAS评分)、颈椎功能障碍指数(NDI)和颅颈角(Craniovertebral Angle,CV angle)对两组治疗前、治疗后以及随访时的相关症状和体征评分。此外选择颈椎健康组30名,测量CV angle作比较。结果:1治疗后两组VAS评分、NDI指数均有改善(P<0.05),但治疗组更显著,优于对照组(P<0.05)。2两组患者在治疗后CV angle有显著差异(P<0.05),治疗组优于对照组;但两组患者与健康组均有统计学差异(P<0.05)。3全部病例获得2个月随访,治疗组无明显进展病例,对照组2例进展为神经根型颈椎病;两组间VAS评分与NDI指数均有统计学差异,治疗组优于对照组(P<0.05)。结论:推拿结合下颈段抗阻运动治疗颈型颈椎病不仅能明显改善症状,而且有较好的远期效果。更多还原

【Abstract】 Objective: To observe the reliability and validity of lower cervical resistive exercise combined with massage for cervical spondylosis with neck type. Methods: 60 patients of cervical spondylosis with neck type from The First Affiliated Hospital of Heilongjiang University of Chinese Medicine were divided into a treatment group and a control group by the randomized table,with 30 patients in the treatment group treated by the lower cervical resistive exercise combined with massage and 30 patients in the control group treated by conventional massage. Observe and record two groups before and after the treatment by Visual Analogue Scale( VAS),Neck Disability Index( NDI) and Craniovertebral angle( CV angle). Then two- month follow- up was performed for all the patients. In addition,30 normal people’s CV angles were measured in comparison with the patients’. Results: 1The scores of VAS and NDI of patients in two groups had an obviously statistical significance after treatment( P < 0. 05). The treatment group had a more significant improvement( P < 0. 05). 2After treatment,the treatment group was improved better than the control group according to the CV angle( P < 0. 05). Compared with the normal group,there were significant differences in both groups( P < 0. 05). 3For the follow- up of two months,the control group had a high morbidity( P < 0. 05). Two patients in the control group aggravated to cervical spondylosis radiculopathy. Conclusion: Lower cervical resistive exercise combined with massage for the cervical spondylosis with neck type can significantly meliorate the sympotom of pain and this therapy has a long- term therapeutic effect as well.更多还原