摘 要
颈椎病是一种常见的慢性疾病，严重影响患者的生活质量。为探讨推拿按摩对颈椎病患者疼痛缓解及生活质量改善的效果，本研究选取某三甲医院康复科2021年6月至2022年6月收治的120例颈椎病患者作为研究对象，随机分为观察组和对照组各60例。对照组采用常规药物治疗，观察组在常规药物治疗基础上增加推拿按摩治疗，疗程均为4周。通过视觉模拟评分法（VAS）评估患者治疗前后颈部疼痛程度，采用36条目简明健康状况调查表（SF-36）评价患者生活质量。结果显示，治疗后观察组患者的VAS评分显著低于对照组（P0.05），表明推拿按摩能有效减轻颈椎病患者的疼痛；同时，观察组患者在SF-36量表中的生理功能、躯体角色、情感职能等维度得分均高于对照组（P0.05），说明推拿按摩有助于提高患者的生活质量。本研究创新性地将传统中医推拿按摩与现代康复理念相结合，为颈椎病的非手术治疗提供了新的思路和方法，丰富了颈椎病的治疗方法，具有重要的临床意义和社会价值。
关键词：颈椎病；推拿按摩；疼痛缓解；生活质量；非手术治疗
Abstract
Cervical spondylosis is a common chronic condition that significantly impairs patients' quality of life. To investigate the effects of massage therapy on pain relief and quality of life improvement in patients with cervical spondylosis, this study selected 120 patients diagnosed with cervical spondylosis at a tertiary hospital’s rehabilitation department between June 2021 and June 2022. Patients were randomly divided into an observation group and a control group, each comprising 60 participants. The control group received conventional pharmacological treatment, while the observation group underwent additional massage therapy alongside the conventional pharmacological treatment; both groups had a treatment duration of 4 weeks. Pain levels were assessed using the Visual Analog Scale (VAS) before and after treatment, and quality of life was evaluated using the 36-Item Short Form Health Survey (SF-36). Results indicated that post-treatment VAS scores in the observation group were significantly lower than those in the control group (P0.05), demonstrating that massage therapy effectively alleviates pain in patients with cervical spondylosis. Additionally, the observation group scored higher in dimensions such as physical functioning, bodily pain, and emotional role functioning on the SF-36 scale compared to the control group (P0.05), indicating that massage therapy enhances patients' quality of life. This study innovatively integrates traditional Chinese massage therapy with modern rehabilitation concepts, providing new insights and methods for non-surgical treatment of cervical spondylosis, thereby enriching treatment options and holding significant clinical and social value.
Keywords：Cervical Spondylosis；Massage Therapy；Pain Relief；Quality Of Life；Non-Surgical Treatment
目 录
摘 要 I
Abstract II
引 言 1
第一章 推拿按摩的理论基础与机制 2
1.1 颈椎病的病理生理特点 2
1.2 推拿按摩的基本原理 2
1.3 推拿按摩对颈椎病的作用机制 3
第二章 研究对象与方法 5
2.1 患者选择标准与分组 5
2.2 推拿按摩方案设计 5
2.3 数据收集与评估工具 6
第三章 推拿按摩对疼痛改善的效果 7
3.1 疼痛评估指标的选择 7
3.2 推拿按摩前后疼痛变化 7
3.3 不同推拿手法对疼痛的影响 8
第四章 推拿按摩对生活质量的影响 9
4.1 生活质量评估体系建立 9
4.2 日常活动能力的改善情况 9
4.3 心理健康状态的变化分析 10
结 论 12
参考文献 13
致 谢 14
