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| 探讨三维整脊法结合微针刀治疗交感型颈椎病的优势及临床效果 |
| To explore the advantages and clinical effects of three-dimensional chiropractic combined with microneedle knife in the treatment of sympathetic cervical spondylosis. |
| 投稿时间：2024-10-22 修订日期：2024-10-22 |
| DOI： |
| 中文关键词: 三维整脊法、微针刀、交感型颈椎病、临床效果 |
| 英文关键词: Three-dimensional chiropractic method, micro-needle knife, sympathetic cervical spondylosis, clinical effect |
| 基金项目:浙江省基础公益研究计划项目(LGF22H270015)；杭州市医学重点学科建设项目资助(2020SJZDXK05)； |
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| 中文摘要: |
| 目的:基于椎动脉血流变化探讨三维整脊法治疗交感型颈椎病的优势及临床效果。方法:将符合要求的60例交感型颈椎病患者随机分为 2 组,每组 30 例。对照组为微针刀组,观察组三维整脊法结合微针刀组,每周治疗2次,共治疗8周。分别于治疗前及治疗结束时记录并比较 2 组患者的客观指标基底动脉、左椎动脉及右椎动脉平均血流速度变化,主观指标采用视觉模拟评分(VAS)、生命质量量表(SF-36)、颈交感神经症状评分(SSS)、广泛性焦虑量表(GAD-7)、颈椎功能障碍指数量表(NDI)、颈椎总活动度(ROM)共6个多维度的量表评分。结果:2组治疗结束后,观察组基底动脉、左椎动脉及右椎动脉平均血流提升速度均优于对照组(P＜0.05), VAS、SSS、GAD-7及 NDI评分观察组均较对照组明显降低(P＜0.05),SF-36 和ROM 评分提高观察组则较对照组明显提高(P＜0.05)。结论:通过三维整脊法结合微针刀不两者之间补短取长更有效提高椎动脉血流速度,降低疼痛感和焦虑感、提高颈椎活动度和生活质量。 |
| 英文摘要: |
| Objective: To explore the advantages and clinical effects of three-dimensional chiropractic therapy for sympathetic cervical spondylosis based on the changes of vertebral artery blood flow. Methods: 60 patients with sympathetic cervical spondylosis were randomly divided into two groups, 30 cases in each group. The control group was treated with micro-needleknife, and the observation group was treated with three-dimensional ridge smoothing combined with micro-needleknife twice a week for a total of 8 weeks. The mean blood flow velocity changes of basilar artery, left vertebral artery and right vertebral artery were recorded and compared between the two groups before and at the end of treatment. The subjective indexes were evaluated by visual analogue scale (VAS), quality of life scale (SF-36), cervical sympathetic symptom score (SSS), generalized anxiety Disorder Scale (GAD-7), cervical disability index (NDI) and total range of motion (ROM). Results: After treatment, the average blood flow elevation speed of basilar artery, left vertebral artery and right vertebral artery in the observation group was better than that in the control group(P＜0.05), and the VAS, SSS, GAD-7 and NDI scores in the observation group were significantly lower than those in the control group(P＜0.05). The scores of SF-36 and ROM in the observation group were significantly higher than those in the control group(P＜0.05). Conclusion: The three-dimensional chiropractic method combined with micro-needleknife can effectively improve the blood flow velocity of vertebral artery, reduce pain and anxiety, and improve the range of motion of cervical spine and quality of life. |
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