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摘要：目的：探讨颈椎病采用针灸推拿治疗的临床护理干预。
方法：选择我院2009年5月至2010年5月收治的颈椎病患者80例，均行针灸推拿治疗，随机分为两组，对照组40例行常规护理，观察组40例在此基础上行针对性护理干预，就两组临床资料进行回顾性分析。
结果：观察组40例中，治愈8例，占20%；显效24例，占60%；有效7例，占17.5%；无效1例，占2.5%，总有效率为97.5%。对照组40例中，治愈4例，占10%；显效12例，占30%；有效10例，占25%；无效14例，占35%，总有效率为65%，观察组显著高于对照组临床有效率，差异有统计学意义（P<0.05）。
结论：临床颈椎病采用针灸推拿治疗的过程中，行针对性的护理干预，可显著提高临床效果，改善患者生存质量。
关键词：针灸 推拿 颈椎病 护理干预
Acupuncture treatment of cervical disease nursing care
Liu Chaoqio
Abstract:Objective:To investigate the clinical nursing intervention of cervical spondylosis with acupuncture and massage therapy.
Methods:80 cases of cervical spondylosis were admitted to hospital May 2009 to May 2010, underwent acupuncture and massage treatment, were randomly divided into two groups, control group of 40 regular routine care group of 40 patients observed in this basis uplink targeted nursing interventions, the two sets of clinical data were retrospectively analyzed.
Result:40 cases, eight cases cured, accounting for 20%;effective in 24 cases, accounting for 60%; effective in 7 cases (17.5%); and one cases, accounting for 2.5% total effective rate was 97.5%.Control group 40 cases, four cases cured, accounting for 10%;effective in 12 cases, accounting for 30%; effective 10 cases, accounting for 25%; ineffective in 14 cases, accounting for 35% of the total effective rate was 65% in the observation group was significantly higher than control group, clinical efficiency, the difference was statistically significant (P<0.05).
Conclusion:The clinical cervical spondylosis in the process of acupuncture and massage treatment, the line of targeted care intervention significantly improved clinical outcomes, improve patient quality of life.
Keywords:Acupuncture Massage Cervical spondylosis Nursing intervention
1008-1879(2012)07-0035-01
颈椎病在临床比较多发和常见，又称颈椎综合症，因颈椎解剖结构相对特殊，手术治疗风险性大，且根治效果不佳，故多行中医综合治疗，其中临床护理干预是关键环节。本次研究选择我院2009年5月至2010年5月收治的颈椎病患者80例，均行针灸推拿治疗，随机分为两组，对照组40例行常规护理，观察组40例在此基础上行针对性护理干预，就两组临床资料进行回顾性分析，现将结果总结报告如下。
1.2 方法。两组均行针灸推拿治疗，对照组实施常规护理，观察组在此基础上行针对性护理干预，具体操作步骤如下。
1.2.1 针灸推拿治疗。①针灸：协助患者取卧位，对颈部夹脊穴、合谷、风池、肩井、风府、曲池等穴位行针刺操作，与电针配合实施，行15-20min的留针，可起到解痉止痛、舒筋活血的作用。②推拿：主要行拔伸、弹拨、按揉、拿捏操作，对软组织粘连行手法拨离，纠正椎小关节错位，对脊椎的稳定性起到修复和维持作用。协助患者取坐位，操作医师位于其后，对风池穴用拇指与中指指腹同时行1min按揉，至颈根部，对颈项两旁的软组驯化用拇指与食、中指指腹自上而下行5min左右的对称用力拿捏。后用攘法使患者上背部、颈肩部及上肢肌肉行约5min的攘法放松。对颈项部行拔伸法操作，操作医师两前臂尺侧于患者两侧肩部放置并向下用力，对风池穴用双手拇指顶按，手掌及其它四指托下颌部，指导患者下沉身体，操作者前臂与手向相反方向同时用力，双手向上用力，对颈行牵开操作，在此过程中使头颈部向左右、后伸、前屈旋转。
方法：选择我院2009年5月至2010年5月收治的颈椎病患者80例，均行针灸推拿治疗，随机分为两组，对照组40例行常规护理，观察组40例在此基础上行针对性护理干预，就两组临床资料进行回顾性分析。
结果：观察组40例中，治愈8例，占20%；显效24例，占60%；有效7例，占17.5%；无效1例，占2.5%，总有效率为97.5%。对照组40例中，治愈4例，占10%；显效12例，占30%；有效10例，占25%；无效14例，占35%，总有效率为65%，观察组显著高于对照组临床有效率，差异有统计学意义（P<0.05）。
结论：临床颈椎病采用针灸推拿治疗的过程中，行针对性的护理干预，可显著提高临床效果，改善患者生存质量。
关键词：针灸 推拿 颈椎病 护理干预
Acupuncture treatment of cervical disease nursing care
Liu Chaoqio
摘自：学年论文www.udooo.com
ngAbstract:Objective:To investigate the clinical nursing intervention of cervical spondylosis with acupuncture and massage therapy.
Methods:80 cases of cervical spondylosis were admitted to hospital May 2009 to May 2010, underwent acupuncture and massage treatment, were randomly divided into two groups, control group of 40 regular routine care group of 40 patients observed in this basis uplink targeted nursing interventions, the two sets of clinical data were retrospectively analyzed.
Result:40 cases, eight cases cured, accounting for 20%;effective in 24 cases, accounting for 60%; effective in 7 cases (17.5%); and one cases, accounting for 2.5% total effective rate was 97.5%.Control group 40 cases, four cases cured, accounting for 10%;effective in 12 cases, accounting for 30%; effective 10 cases, accounting for 25%; ineffective in 14 cases, accounting for 35% of the total effective rate was 65% in the observation group was significantly higher than control group, clinical efficiency, the difference was statistically significant (P<0.05).
Conclusion:The clinical cervical spondylosis in the process of acupuncture and massage treatment, the line of targeted care intervention significantly improved clinical outcomes, improve patient quality of life.
Keywords:Acupuncture Massage Cervical spondylosis Nursing intervention
1008-1879(2012)07-0035-01
颈椎病在临床比较多发和常见，又称颈椎综合症，因颈椎解剖结构相对特殊，手术治疗风险性大，且根治效果不佳，故多行中医综合治疗，其中临床护理干预是关键环节。本次研究选择我院2009年5月至2010年5月收治的颈椎病患者80例，均行针灸推拿治疗，随机分为两组，对照组40例行常规护理，观察组40例在此基础上行针对性护理干预，就两组临床资料进行回顾性分析，现将结果总结报告如下。
1 资料与方法
1.1 一般资料。本组患者80例，男45例，女35例，年龄22-64岁，平均年龄（43.5±4.5）岁。病程2d-3年。均符合椎动脉型颈椎病诊断标准（第二届颈椎病专题座谈会于1992年制定）：有猝倒史，有椎-基底动脉缺血症，以颈性眩晕为主要表现，椎体间关节X线显示为失稳状态或钩椎关节骨质有增生征象，通常交感神经有明显症状；排除耳源性眩晕和外眼源性眩晕，排除外椎动脉Ⅰ段，排除颅内肿瘤与外神经官能症，并依据MRI、TCD、DSA等检查协助确诊。随机分为观察组和对照组各40例，两组在性别、年龄、病情等一般资料上比较差异无统计学意义（P>0.05），具有可比性。1.2 方法。两组均行针灸推拿治疗，对照组实施常规护理，观察组在此基础上行针对性护理干预，具体操作步骤如下。
1.2.1 针灸推拿治疗。①针灸：协助患者取卧位，对颈部夹脊穴、合谷、风池、肩井、风府、曲池等穴位行针刺操作，与电针配合实施，行15-20min的留针，可起到解痉止痛、舒筋活血的作用。②推拿：主要行拔伸、弹拨、按揉、拿捏操作，对软组织粘连行手法拨离，纠正椎小关节错位，对脊椎的稳定性起到修复和维持作用。协助患者取坐位，操作医师位于其后，对风池穴用拇指与中指指腹同时行1min按揉，至颈根部，对颈项两旁的软组驯化用拇指与食、中指指腹自上而下行5min左右的对称用力拿捏。后用攘法使患者上背部、颈肩部及上肢肌肉行约5min的攘法放松。对颈项部行拔伸法操作，操作医师两前臂尺侧于患者两侧肩部放置并向下用力，对风池穴用双手拇指顶按，手掌及其它四指托下颌部，指导患者下沉身体，操作者前臂与手向相反方向同时用力，双手向上用力，对颈行牵开操作，在此过程中使头颈部向左右、后伸、前屈旋转。