刃针闭合松解联合手法复位治疗颈心综合征临床研究幻灯片.PDFVIP

国际中医中药杂志2017年6月第39卷第6期 Int J Trad Chin Med, June 2017, Vol. 39, No.6 ·505 · ·论著 · 刃针闭合松解联合手法复位治疗 颈心综合征临床研究 刘志 李丹丹 高尚明 赵晓峰 【摘要】 目的 评价刃针闭合松解联合手法复位治疗颈心综合征的疗效。方法 将符合入选标准 的 60 例颈心综合征患者采用简单随机分组法分为 2 组，每组 30 例。治疗组采用刃针闭合松解联合手法 复位配合颈椎康复锻炼，对照组采用颈椎牵引配合颈椎康复锻炼。2 组均 7 d 治疗 1 次，根据疾病严重程 度进行 2 (或)3 次治疗。比较患者治疗前后症状、体征变化，评价临床疗效。结果 治疗后，治疗组颈肩 部疼痛[(0.7 ±0.6)分比(0.9 ±0.7)分，t ＝2.904]、心前区疼痛[(0.5 ±0.5)分比(1.0±0.7)分，t ＝4.210]、 胸闷[(0.5 ±0.6)分比(0.8 ±0.7)分，t ＝2.093]、心悸[(0.7 ±0.5)分比(1.0±0.8)分，t ＝3.915]、自汗[(0.7 ± 0.5)分比(0.8 ±0.9)分，t ＝2.837]、眩晕[(1.0±0.6)分比(1.6±0.8)分， t ＝2.760]评分低于对照组(P ＜0.05 或P ＜0.01)。治疗组总有效率为 93.3% (28/30)、对照组为 66.7% (20/30)，2 组比较差异有统计学意义(χ2 ＝ 4.547 ，P ＝0.02)。结论 刃针闭合松解联合手法复位可有效改善颈心综合征患者颈部和心前区症状，疗 效优于颈椎牵引配合颈椎康复锻炼。 【关键词】 刃针闭合松解；牵引术；颈心综合征；临床观察 Clinical observation of blade needle closed release and massage for the cervical-heart syndrome Liu Zhi, Li Dandan, Gao Shangming, Zhao Xiaofeng. The Huaian First Peoples Hospital, Huaian 223300, China Corresponding author: Liu Zhi, Email: 6zhi@ 【Abstract 】 Objective To observe the clinical effect of Blade needle closed release and massage for the patients with cervical heart syndrome. Methods A total of 60 patientswith cervical-heart syndrome were randomly divided into the control group and the treatment groups, 30 patients in each group. Both groups were treated with rehabilitation exercises, and the treatment group were added with Blade needle closed release and massage, while the control group were added with traction. The treatments were operated once to 3 times based on the patients condition with an interval of seven days. The symptoms, signs and effective rates were observed and co