超声可视化针刀技术治疗颈型颈椎病的临床效果

摘要
图/表
参考文献(21)
相关文章 (15)

全文: PDF (739 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的观察超声引导下针刀技术治疗颈型颈椎病的临床效果。方法选取2017年10月—2020年6月福建中医药大学附属人民医院颈型颈椎病患者200例，按随机数字表法将其分为治疗组和对照组，每组各100例。治疗组采用超声引导下针刀治疗，对照组采用传统针刀治疗。两组疗程均为2周。观察两组治疗前及治疗2周后视觉模拟评分（VAS）、日本骨科学会量表评分（JOA）变化。观察两组治疗前及治疗后3个月颈椎曲度和斜方肌及胸锁乳突肌的表面肌电信号（sEMG）变化。结果治疗前，两组VAS、JOA评分、颈椎曲度、斜方肌及胸锁乳突肌的sEMG比较，差异无统计学意义（P ＞ 0.05）。两组治疗2周后VAS低于治疗前，JOA评分高于治疗前，且治疗组VAS低于对照组，JOA评分高于对照组，差异均有统计学意义（均P ＜ 0.05）。两组治疗3个月后颈椎曲度、斜方肌及胸锁乳突肌的sEMG均高于治疗前，且治疗组高于对照组，差异均有统计学意义（均P ＜ 0.05）。结论超声可视化针刀技术可显著改善颈型颈椎病患者的颈部功能，减轻颈部疼痛，提高其肌肉的抗疲劳能力，恢复颈椎生理曲度，其疗效优于传统针刀疗法。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	刘洪1
	2 张泽升1
	2 张良志1
	2 张任攀3 季子谦3 刘晶1
	2 修忠标1
	2
	4

关键词 ：超声, 针刀, 颈型颈椎病, 疗效

Abstract：Objective To observe the clinical efficacy of ultrasound-guided akupotomye technique in the treatment of cervical spondylosis. Methods A total of 200 patients with cervical spondylosis admitted to Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine from October 2017 to June 2020 were selected. According to random number table method, they were divided into treatment group and control group, with 100 cases in each group. Ultrasound-guided akupotomye was used in the treatment group and traditional akupotomye was used in the control group. The treatment course of both groups was two weeks. The changes of visual analogue score (VAS) and Japanese Orthopaedic Association (JOA) scale score before and two weeks after treatment were observed. The changes of cervical curvature and surface electromyography (sEMG) of trapezius and sternocleidomastoid before and three months after treatment were observed in the two groups. Results Before treatment, there were no significant differences in VAS, JOA score, cervical curvature, trapezius and sternocleidomastoid sEMG between the two groups (P ＞ 0.05). After two weeks of treatment, the VAS of the two groups was lower than that before treatment, and the JOA score of the two groups was higher than that before treatment, and the VAS of the treatment group was lower than that in the control group, and the JOA score of the treatment group was higher than that in the control group, with statistical significance (all P ＜ 0.05). Three months after the treatment, the cervical curvature and the sEMG of trapezius and sternocleidomastoid in both groups were higher than those before treatment, and the treatment group were higher than the control group, with statistical significance (all P ＜ 0.05). Conclusion Ultrasound-guided akupotomye technique can significantly improve the neck function of patients with cervical spondylosis, reduce neck pain, improve the anti-fatigue ability of their muscles, and restore the physiological curvature of cervical spondylosis, and its curative effect is better than that of traditional akupotomye therapy.

Key words： Ultrasound Akupotomye Cervical spondylosis Curative effect

基金资助:福建省卫生健康委员会中医处科研项目（2017F JZYLC302）；
国家自然科学基金面上项目（81873315）；
福建省教育厅福建省中青年教师教育科研项目（JAT190253）。

通讯作者: ▲通讯作者

引用本文:

刘洪1,2 张泽升1,2 张良志1,2 张任攀3 季子谦3 刘晶1,2 修忠标1,2,4. 超声可视化针刀技术治疗颈型颈椎病的临床效果[J]. 中国医药导报, 2021, 18(15): 180-183,196.
LIU Hong1,2 ZHANG Zesheng1,2 ZHANG Liangzhi1,2 ZHANG Renpan3 JI Ziqian3 LIU Jing1,2 XIU Zhongbiao1,2,4▲. Effect on the ultrasound-guided akupotomye technique in the treatment of cervical spondylosis. 中国医药导报, 2021, 18(15): 180-183,196.

链接本文:

https://www.yiyaodaobao.com.cn/CN/ 或 https://www.yiyaodaobao.com.cn/CN/Y2021/V18/I15/180