电针联合Mulligan 关节松动术治疗神经根型颈椎病临床研究
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R681.5+5

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金华市科技计划项目(2022-4-253)


Clinical Study on Electroacupuncture Combined with Mulligan Joint Loosening Therapy for Cervical Spondylotic Radiculopathy
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    摘要:

    目的:观察电针联合Mulligan关节松动术治疗神经根型颈椎病(CSR) 的临床疗效。方法:将120 例CSR患者按照随机抽签法分为对照A组、对照B组及观察组,每组40例。对照A组给予电针治疗,对照B组 给予Mulligan关节松动术治疗,观察组在电针基础上联合Mulligan关节松动术治疗。治疗4周后评估治疗效果, 比较3组关节活动度(ROM)、颈部肌电信号、视觉模拟评分法(VAS)、日常生活活动(ADL) 量表评分变 化。结果:治疗后,观察组总有效率高于对照A组、对照B组(P<0.05)。治疗后,观察组前倾、后仰、左 偏、右偏、左旋、右旋角度均大于对照A组、对照B组(P<0.05);对照B组的前倾、后仰、左偏、右偏、左 旋、右旋角度均大于对照A组(P<0.05)。治疗后,观察组平均肌电值低于对照A组、对照B组(P<0.05), 对照B组平均肌电值低于对照A组(P<0.05);观察组肌电中位频数高于对照A组、对照B组(P<0.05),对 照B组肌电中位频数高于对照A组(P<0.05)。治疗后,观察组VAS评分低于对照A组、对照B组(P<0.05); 对照B组VAS评分低于对照A组(P<0.05)。治疗后,观察组ADL评分高于对照A组、对照B组(P<0.05); 对照B组ADL评分高于对照A组(P<0.05)。结论:电针联合Mulligan关节松动术治疗CSR的临床效果显著, 可有效减轻疼痛,增强关节活动功能,改善颈部肌电信号,提高患者日常生活能力。

    Abstract:

    Abstract:Objective:To observe the clinical effect of electroacupuncture combined with Mulligan joint loosening therapy for cervical spondylotic radiculopathy (CSR). Methods: A total of 120 cases of patients with CSR were divided into the control group A,the control group B and the observation group according to the method of random sampling, with 40 cases in each group. The control group A was given electroacupuncture treatment, the control group B was given Mulligan joint loosening therapy, and the observation group was given electroacupuncture combined with Mulligan joint loosening therapy. After four weeks of treatment,the therapeutic effect was evaluated;the changes of range of motion (ROM) of joint, neck electromyographic signal,Visual Analogue Scale (VAS) and Activity Of Daily Living (ADL) scores were compared between the three groups. Results:After treatment,the total effective rate in the observation group was higher than those in the control group A and the control group B (P<0.05); the total effective rate in the control group B was higher than that in the control group A (P<0.05). After treatment, the forward, backward, left, right, left and right rotation angles in the observation group were greater than those in the other two groups (P<0.05);the above angles in the control group B were greater than those in the control group A (P<0.05). After treatment,the average electromyography in the observation group was lower than those in the control group A and the control group B (P<0.05), and the average electromyography in the control group B was lower than that in the control group A (P<0.05);the median frequency of electromyography in the observation group was lower than those in the control group A and the control group B (P<0.05),and the median frequency of electromyography in the control group B was higher than that in the control group A (P<0.05). After treatment,VAS scores in the observation group were lower than those in the control group A and the control group B (P<0.05);the VAS score in the control group B was lower than that in the control group A (P<0.05). After treatment, the ADL score in the observation group was higher than those in the other two groups (P<0.05);the ADL score in the control group B was higher than that in the control group A (P<0.05). Conclusion:Electroacupuncture combined with Mulligan joint loosening therapy has a significant clinical effect in the treatment of CSR, which can effectively alleviate pain, enhance joint movement function, improve neck electromyographic signal and increase activity of daily living.

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俞建辉,盛培新,鲍建飞,戴艺运.电针联合Mulligan 关节松动术治疗神经根型颈椎病临床研究[J].新中医,2024,56(20):126-130

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  • 在线发布日期: 2024-10-29
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