| 引用本文:陈红根1，孙可望1，金宏柱2.温经通络方联合疏经通督推拿对颈椎病患者颈肌力学性能的影响分析[J].世界中医药,2015,10(03):. |
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| 温经通络方联合疏经通督推拿对颈椎病患者颈肌力学性能的影响分析 |
| Impact Analysis of Warming and Activating Meridian Prescription Combined with Meridian Activating Massage on Cervical Muscle Mechanical Properties of Patients with Cervical Spondylosis |
| 投稿时间：2014-09-30 |
| DOI：10.3969/j.issn.1673-7202.2015.03.012 |
| 中文关键词: 温经通络方 输经通督推拿 颈椎病 颈肌力学性能 影响 |
| English Keywords:Warming and activating meridian prescription Meridian activating massage Cervical spondylosis Cervical mechanical properties Influence |
| 基金项目:江苏省中医药局计划项目(编号:LZ13041) |
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| 中文摘要: |
| 目的:探讨温经通络方联合疏经通督推拿对颈椎病患者颈肌力学性能的影响。方法:选取2013年7月到2014年7月我院推拿科门诊的颈椎病患者220例,按照随机数字表法分为治疗组和对照组,每组110例,对照组给予温经通络方联合常规推拿法治疗,治疗组给予温经通络方联合疏经通督推拿法治疗,应用等速肌力测速仪和表面肌电图测量患者治疗前后颈脊旁肌、斜方肌以及胸锁乳突肌的中位频率值(MF)和颈部的前屈和后伸50%的最大主动收缩力量值(MVC)。结果:治疗组治疗后前屈运动和后伸运动50%MVC值均显著增加,与治疗前比较差异具有统计学意义(P<0.05),与对照组比较差异具有统计学意义(P<0.05);治疗组治疗后颈脊旁肌、斜方肌以及胸锁乳突肌的MF值均显著优于治疗前,与治疗前比较差异具有统计学意义(P<0.05),与对照组比较差异具有统计学意义(P<0.05)。结论:温经通络方联合输经通督推拿治疗颈椎病具有较好的临床疗效,能显著改善患者的颈肌力学性能。 |
| English Summary: |
| To investigate the impact of warming and activating meridian prescription combined with meridian activating massage on cervical mechanical properties of patients with cervical spondylosis. Methods: Two hundred and twenty cases with cervical spondylosis were selected from massage outpatient in our hospital during the period from July 2013 to July 2014, and were divided into observation group and control group according to a random number table, 110 cases in each group. Control group were given warming and activating meridian prescription combined with conventional massage, the observation group were given warming and activating meridian prescription combined with meridian activating massage, the median frequency (MF) and maximum value of active contraction force (MVC) with neck flexion and extension 50% of the of cervical paraspinal muscles, trapezius and sternocleidomastoid were measured in isokinetic speedometer and surface electromyography. Results: MVC value with flexion and extension movement exercise 50% after treatment of the observation group significantly increased, the difference was statistically significant compared with before treatment (P<0.05), and the difference was statistically significant compared with the control group (P<0.05); MF values of cervical paraspinal muscles, trapezius and sternocleidomastoid of the observation group after the treatment significantly increased, the difference was statistically significant compared with before treatment (P<0.05), and the difference was statistically significant compared with the control group (P<0.05). Conclusion: Warming and activating meridian prescription combined with meridian activating massage in treatment of cervical spondylosis has better clinical efficacy, can significantly improve the mechanical properties of cervical patients. |
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