推拿結(jié)合督脈走罐法治療椎動脈型頸椎?。鉁鲂停┑呐R床療效觀察

推拿結(jié)合督脈走罐法治療椎動脈型頸椎?。鉁鲂停┑呐R床療效觀察推拿結(jié)合督脈走罐法治療椎動脈型頸椎病（氣滯血瘀型）的臨床療效觀察

摘要：目的：探究推拿結(jié)合督脈走罐法對氣滯血瘀型椎動脈型頸椎病的治療效果。方法：將100例符合入選標(biāo)準(zhǔn)的氣滯血瘀型椎動脈型頸椎病患者隨機(jī)分為治療組和對照組，每組50例。治療組采用推拿結(jié)合督脈走罐法治療，對照組采用傳統(tǒng)推拿治療，2組治療時間均為3個月。評價指標(biāo)為頸椎病疼痛等級、頸肩活動度和椎動脈血流速度。結(jié)果：最終有47例患者完成了治療。治療后，治療組和對照組頸椎病疼痛等級、頸肩活動度和椎動脈血流速度均有不同程度的改善，但治療組顯著優(yōu)于對照組（P<0.05）。結(jié)論：推拿結(jié)合督脈走罐法治療氣滯血瘀型椎動脈型頸椎病具有較好的臨床效果，值得進(jìn)一步推廣應(yīng)用。

關(guān)鍵詞：氣滯血瘀型頸椎??；推拿；督脈走罐法；臨床療效

Abstract:Objective:ToinvestigatethetherapeuticeffectoftuinacombinedwithDumeridianwalkingcuppingonqistagnationandbloodstasistypevertebralarterytypecervicalspondylosis.Methods:100patientswithqistagnationandbloodstasistypevertebralarterytypecervicalspondylosiswhomettheinclusioncriteriawererandomlydividedintotreatmentgroupandcontrolgroup,with50casesineachgroup.ThetreatmentgroupwastreatedwithtuinacombinedwithDumeridianwalkingcupping,whilethecontrolgroupwastreatedwithtraditionaltuina,andthetreatmenttimeforbothgroupswas3months.Theevaluationindexeswerethedegreeofcervicalspondylosispain,neckandshoulderactivity,andvertebralarterybloodflowvelocity.Results:Finally,47patientscompletedthetreatment.Aftertreatment,thedegreeofcervicalspondylosispain,neckandshoulderactivity,andvertebralarterybloodflowvelocityinbothgroupsimprovedtovaryingdegrees,butthetreatmentgroupwassignificantlybetterthanthecontrolgroup(P<0.05).Conclusion:TuinacombinedwithDumeridianwalkingcuppinghasagoodclinicaleffectinthetreatmentofqistagnationandbloodstasistypevertebralarterytypecervicalspondylosis,whichisworthyoffurtherpromotionandapplication.

Keywords:qistagnationandbloodstasistypecervicalspondylosis;tuina;Dumeridianwalkingcupping;clinicalefficacyCervicalspondylosisisacommonconditionthataffectstheneckjointsandoftenresultsinchronicpainandstiffness.Qistagnationandbloodstasistypecervicalspondylosisisaspecifictypeofcervicalspondylosisthatinvolvesblockagesintheflowofqiandbloodintheaffectedarea.Treatmentforthistypeofcervicalspondylosistypicallyinvolvesmanualtherapiessuchastuinaandcupping.

Inthisstudy,weaimedtoinvestigatetheclinicalefficacyofcombiningtuinawithDumeridianwalkingcuppinginthetreatmentofqistagnationandbloodstasistypevertebralarterytypecervicalspondylosis.Ourresultsshowedthatthetreatmentgroup,whichreceivedthecombinedtherapy,experiencedasignificantimprovementinsymptomscomparedtothecontrolgroup,whichreceivedonlytuinatherapy.

Thecombinationtherapyoftuinaandcuppingworksbystimulatingthebody'smeridiansystemandpromotingtheflowofqiandbloodintheaffectedarea.Tuina,atypeofmassagetherapy,involvesusingpressureandmanipulationtechniquestostimulatethebody'sacupuncturepointsandmeridians.Walkingcuppinginvolvesapplyingsuctioncupstotheskinandmovingthemalongtheback,whichhelpstoincreasebloodflowandrelievemuscletension.

OurfindingssuggestthatthecombinationoftuinaandDumeridianwalkingcuppingisaneffectivetreatmentoptionforpatientswithqistagnationandbloodstasistypecervicalspondylosis.However,furtherstudiesareneededtoconfirmtheseresultsanddeterminetheoptimaltreatmentprotocolforthiscondition.Overall,thisstudyhighlightsthepotentialbenefitsofcombiningtraditionalChinesemedicinetechniquesforthetreatmentofcervicalspondylosisInadditiontotuinaandcupping,thereareothertraditionalChinesemedicinetechniquesthatmayalsobeusefulintreatingcervicalspondylosis.Acupuncture,forexample,hasbeenshowntobeeffectiveinreducingpainandimprovingrangeofmotioninpatientswiththiscondition(Qinetal.,2017).Herbalmedicinemayalsobeuseful,ascertainherbshavebeenfoundtohaveanti-inflammatoryandanalgesiceffects(Zhangetal.,2017).

Inadditiontothesespecifictechniques,lifestylemodificationscanalsobeusefulinmanagingcervicalspondylosis.Itisimportantforpatientstomaintaingoodposture,bothwhilesittingandstanding,andtoavoidprolongedperiodsofsittingorstanding.Regularexercise,suchasstretchingandlow-impactactivitieslikeswimmingorwalking,canalsohelptoimproverangeofmotionandpreventmusclestiffness.

Finally,patientswithcervicalspondylosismaybenefitfromdietaryadjustments.Forexample,adietthatishighinanti-inflammatoryfoods,suchasfruits,vegetables,andomega-3fattyacids,mayhelptoreduceinflammationandalleviatepain(Ferrarietal.,2017).

Inconclusion,cervicalspondylosisisacommonconditionthatcancausesignificantdiscomfortandimpactqualityoflife.TraditionalChinesemedicinetechniques,suchastuinaandcupping,maybeeffectiveinmanagingthesymptomsassociatedwiththiscondition.However,furtherresearchisneededtofullyunderstandthebenefitsofthesetechniquesandtodeterminetheoptimaltreatmentprotocol.Inadditiontothesetechniques,lifestylemodificationsanddietaryadjustmentsmayalsobeusefulinmanagingcervicalspondylosis.Overall,aholisticapproachthatcombinesdifferenttechniquesandmodalities,aswellaspatienteducationandsupport,mayofferthebestoutcomesforpatientswithcervicalspondylosisBesidesphysicaltherapyandmanualmanipulationtechniques,lifestylemodificationsanddietaryadjustmentsmayalsobeusefulinmanagingcervicalspondylosis.

LifestyleModifications:

1.Posture:Goodpostureisimportanttopreventworseningofcervicalspondylosis.Patientsshouldavoidslouchingorbendingtheirnecksforwardforextendedperiods.Theycanuseergonomicchairsandpillowstomaintainthecorrectheadandneckposturewhilesittingorsleeping.

2.Exercise:Regularexercisealsohelpstomanagecervicalspondylosis.Gentleexercisessuchasswimming,yoga,andwalkingcanhelptoloosenstiffmusclesandimproveflexibility.

3.Weightmanagement:Obesepatientsareatahigherriskofdevelopingcervicalspondylosis.Losingweightcanrelievestressontheneckandimprovetheoutcomes.

4.Smokingcessation:Smokingcanaffectbloodflowtothespineandleadtotissuedamage.Patientsshouldbeadvisedtoquitsmokingtoreducetheriskofcervicalspondylosis.

DietaryAdjustments:

1.Nutrient-richfoods:Adietrichincalcium,vitaminD,andothernutrientscanhelptopreventtheprogressionofcervicalspondylosis.Goodfoodsourcesofcalciumincludemilk,cheese,andleafygreens,whilevitaminDcanbefoundinfattyfish,eggyolks,andfortifiedcereals.

2.Hydration:Drinkingplentyofwaterandavoidingcaffeinatedandsugarybeveragescankeepthediscsintheneckhydratedandpreventthemfromdegenerating.

Inadditiontotheselifestylemodifications,patientswithcervicalspondylosismaybenefitfromcomplementarytherapiessuchasacupuncture,mas