平脊疗法治疗青少年颈椎曲度异常及其伴随症状临床研究
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R681.5;R244

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河南省中医药科学研究专项项目(2015ZY02009)


Clinical Study Spine- Balancing Therapy for Abnormal Cervical Curvature and its Concomitant Symptoms in Adolescents
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    摘要:

    目的:观察平脊疗法治疗青少年颈椎曲度异常及其伴随症状的临床疗效。方法:选取120 例颈椎曲度异常青少年患者,按住院号单双数随机分为治疗组和对照组,每组60 例。治疗组给予平脊疗法(包括优值牵引、中药熏洗、脊柱整体手法及脊柱功能锻炼) 治疗,对照组给予优值牵引、中药熏洗、传统推拿手法及颈部功能锻炼治疗。评价2 组临床疗效,观察2 组治疗前后及随访1 个月时的Northwick Park 颈痛量表(NPQ) 评分及弓弦值的变化,记录伴随症状的改善情况。结果:治疗组临床疗效优于对照组,差异有统计学意义(P<0.05)。治疗后,2 组NPQ 评分均较治疗前降低(P<0.01),弓弦值均较治疗前增大(P<0.05)。随访1 个月,治疗组NPQ 评分较治疗后降低(P<0.01),弓弦值与治疗后比较,差异无统计学意义(P>0.05);对照组NPQ 评分较治疗后升高(P<0.01),弓弦值较治疗后减小(P<0.05)。治疗组治疗后及随访1 个月NPQ 评分均低于对照组(P<0.05),弓弦值均大于对照组(P<0.05)。治疗后,2 组伴随症状均较治疗前改善(P<0.05),治疗组头痛、头晕改善情况均优于对照组(P<0.05)。2 组恶心呕吐、记忆力下降、耳鸣、视物模糊改善情况比较,差异均无统计学意义(P>0.05)。随访1 个月,治疗组头晕、恶心呕吐症状均较治疗后改善(P<0.05)。结论:平脊疗法治疗青少年颈椎曲度异常及其伴随症状,临床疗效优于传统推拿手法治疗,且不易复发。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the spine-balancing therapy on abnormal cervical curvature and its concomitant symptoms in adolescents. Methods:A total of 120 adolescents with abnormal cervical curvature were selected and randomly divided into the treatment group and the control group according to the hospitalization numbers,60 cases in each group. The treatment group was treated with optimal value traction, Chinese herbal fumigation and spine- balancing therapy. The control group was treated with optimal value traction, Chinese herbal fumigation and traditional tuina manipulation. the late treatment was combined with neck function exercise. the late treatment was combined with neck function exercise. The clinical effect in the two groups was evaluated;the scores of Northwick Park Questionnaire(NPQ) and bowstring values were observed before and after treatment and during the one-month follow-up,and the improvement of concomitant symptoms was recorded. Results:The curative effect in the treatment group was better than that in the control group, the difference being significant(P<0.05). After treatment, NPQ scores in both groups were decreased when compared with those before treatment(P<0.01),and the bowstring values were increased(P<0.05). During the one-month follow- up,the NPQ score in the treatment group was decreased when compared with that after treatment(P<0.01),and there was no significant difference in the comparison of bowstring value(P>0.05);the NPQ score in the control group was increased when compared with that after treatment(P<0.01), and the bowstring value was decreased(P<0.05). The NPQ score in the treatment group was lower than that in the control group after treatment and after one- month follow- up(P< 0.05), and the bowstring value was larger than that in the control group(P<0.05). After treatment, the concomitant symptoms in both groups were improved when compared with those before treatment(P<0.05), and the improvement of headache and dizziness in the treatment group was better than that in the control group(P<0.05). There was no significant difference in the comparison of the improvement of nausea and vomiting, memory decline, tinnitus and blurred vision between the two groups(P > 0.05). After one-month follow-up , the dizziness , nausea and vomiting symptoms in the treatment group were improved when compared with those in the control group(P<0.05). Conclusion: Spine- balancing therapy is better than traditional tuina manipulation in treating abnormal cervical curvature and its concomitant symptoms in adolescents,and it is not easy to relapse.

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刘佳,李志强,滕军燕,鲍铁周.平脊疗法治疗青少年颈椎曲度异常及其伴随症状临床研究[J].新中医,2021,53(2):130-134

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  • 在线发布日期: 2021-01-27
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