循经指针推拿联合常规推拿治疗神经根型颈椎病随机平行对照研究
Journal of Practical Traditional Chinese Internal Medicine(2013)
Abstract
[目的]观察循经指针推拿联合常规推拿治疗神经根型颈椎病疗效.[方法]使用随机平行对照方法,将208例门诊患者按随机数字表分为两组,对照组104例常规推拿,1次/d,30min/次.治疗组104例循经指针推拿:①足太阳膀胱经:一指禅法弹拨风门穴(多可触及痛性结节)、昆仑3~5min.②手阳明大肠经:用拇指指腹之前部按压巨骨、肩髃、曲池、温溜、阳溪、合谷诸穴3~5min;按压片刻后放松,然后再按压,反复按压时可配合局部揉压动作,肩部捋筋同时偏向外展位牵拉2次,沿手阳明大肠经循行线施以滚法3~5min,拔伸食指、中指.③手太阳小肠经:拇指指腹之前部按压肩外俞、肩贞、小海、支正、养老、阳谷、腕骨、后溪等3~5min,肩部捋筋同时向患者前方牵拉2次,沿手太阳经循行线施以滚法3~5min,拔伸无名指、小指.1次/d,30min/次;常规推拿同对照组.连续治疗2周为1疗程.观测临床症状、脊柱颈段活动度、不良反应.治疗1疗程,判定疗效.[结果]治疗组显效36例,有效66例,无效2例,总有效率98.08%;对照组显效24例,有效71例,无效9例,总有效率91.39%.治疗组疗效优于对照组(P<0.05).[结论]循经指针推拿联合常规推拿治疗神经根型颈椎病,疗效满意,无副作用,值得推广.
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cervical spondylosis
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