推拿手法治疗颈椎病临床观察

目的　观察推拿手法治疗颈椎病的作用、疗效及其机理。方法　将 2 34例颈椎病患者分为推拿手法治疗组 189例和西医保守对照组 4 5例 ,对各组治疗前后的临床症状、体征进行观察 ,同时对推拿手法治疗本病的疗效及其与本病的病理分型、病程之间的关系做了比较研究。结果　①推拿手法在改善颈痛、颈痛伴上肢痛、头痛以及头晕等方面有着显著性作用 (P <0 0 0 5 ) ;对因压迫神经血管引起的肌肉萎缩的作用极为有限 ,与治疗前相比 ,没有显著性差异。②推拿手法治疗本病的作用与对照组相比有着显著性差异 ,优于对照组 (P <0 0 5 ;P <0 0 1)。③推拿治疗颈椎病的疗效 ,主要与分型、病程有关。结论　推拿手法治疗颈椎病疗效可靠 ,应根据临床分型配合不同手法治疗以获得最佳疗效。

Clinical Observation on Treatment of Cervical Spondylosis with Massage Manipulations

Objective To observe the function, curative effect and mechanism of massage manipulations on treating cervical spondylosis. Methods Two Hundred and thirty-four cases of cervical spondylosis were divided into the treatment group (189 cases) treated with massage manipulations and the control group (45 cases) treated with conservative therapy of Western medicine. The clinical symptoms, signs of two groups before and after treatment were observed. At the same time the curative effect of massage manipulations, and its relation to the pathological types and course of cervical spondylosis were studied comparatively. Results 1. Massage manipulation had significant effect on improving neck pain, neck and arms pain, headache and dizziness(P<0.05), but on muscular dystrophy caused by constriction in nerves and blood vessels massage manipulations had limited effect and there was no significant difference. 2. There was significant difference between two groups as to the function of massage manipulation. The result of the treatment group was better than that of the control group(P<0.05, P<0.01). 3.The curative effect of massage manipulation was mainly related to types and causes of the disease. Conclusion The treatment of cervical spondylosis with massage manipulation has reliable curative effect. Different manipulations of massage should be taken according to different pathological types for the best curative effect.