理疗配合针灸推拿治疗特勤人员颈椎病的临床疗效观察

摘要

目的 探讨物理疗法与针灸推拿疗法联合应用治疗特勤人员颈椎病的临床疗效. 方法 选择2012年1月至2014年6月我院康复中医疼痛科收治的120例罹患颈椎病的特勤人员,治疗方案均得到患者本人知情同意. 根据随机数字表法将患者分为3组,每组40例. 第1组进行常规治疗,即药物治疗,为对照组;第2组除常规治疗外结合针灸推拿疗法,为治疗组A;第3组在治疗组A的基础上配合物理疗法,为治疗组B. 治疗以7 d为1个疗程,3个疗程后观察3组VAS评分、SAS评分及临床治疗效果,进行分析比较. 结果 治疗前3组视觉模拟疼痛( VAS)、焦虑自评量表( SAS)评分比较差异无统计学意义(P>0.05),3组治疗前后VAS、SAS评分比较差异均有统计学意义(P<0.05),治疗后治疗组B VAS、SAS评分显著低于对照组和治疗组A,差异有统计学意义(P<0.05). 3 组总有效例数分别为33例、38例、40例,总有效率分别为82.5%,95%和100%,治疗组A与对照组相比差异无统计学意义(P>0.05);治疗组B与对照组相比差异有统计学意义(P<0.05). 说明治疗组B在临床疗效上显著好于对照组. 3组人员在治疗过程中无明显不适症状. 结论 采用物理疗法联合针灸、推拿治疗特勤人员颈椎病有较好的疗效,可缓解疼痛不适症状,改善人体机能.%Objective To investigate clinical efficacy of physiotherapy combined with massage and acupuncture in the treat-ment of special service personnel with cervical spondylopathy.Methods One hundred and twenty special service personnel with cervi-cal spondylopathy admitted into our hospital for treatment from January, 2012 to June, 2014 were recruited for our study and were ran-domly divided into 3 groups:the routine drug treatment group or the control group, the routine drug treatment +massage and acupunc-ture group ( or group A) , and the routine drug treatment +massage and acupuncture +physiotherapy group ( or group B) , each con-sisting of 40 patients.Treatment was performed one session a day, seven sessions a treatment course.VAS and SAS scores as well as clinical efficacy were assessed following treatment for 3 consecutive courses, and comparisons were made between the 3 groups.Results There were no statistical significance in the scores of VAS and SAS before treatment, when comparisons were made between the 3 groups (P>0.05).However, there were statistical significance in the scores of VAS and SAS both before and after treatment, when comparisons were made between the 3 groups (P>0.05).Following treatment, the scores of VAS and SAS for group B were signifi-cantly higher than those of the control group and group A, with statistical significance (P>0.05).Total effective cases were respec-tively 33, 38 and 40 for the control group, group A and group B, with total effective rates of 82.5%, 95% and 100% respectively. There was no statistical significance, when comparisons were made between group A and the control group (P>0.05), but statistical significance could be noted when comparisons were made between group B and the control group ( P>0.05) , indicating that the thera-peutic efficacy of group B was significantly superior to that of the control group．No obvious discomfort in the patients of the 3 groups was noticed during the course of treatment．Conclusion Physiotherapy combined with massage and acupuncture could produce better thera-peutic effects， alleviate pain and improve physiological functions of the special service personnel.