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[1]姚本順,謝遠(yuǎn)軍.改進(jìn)型仰臥整復(fù)法治療頸椎間盤突出癥的療效觀察[J].中醫(yī)正骨,2012,24(03):15-16.
　YAO Ben-shun*,XIE Yuan-jun.*.Observation on the curative effect of the modified manipulative reduction in supine position on cervical disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(03):15-16.
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改進(jìn)型仰臥整復(fù)法治療頸椎間盤突出癥的療效觀察()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期數(shù):
2012年03期
頁碼:
15-16
欄目:
臨床研究
出版日期:
2012-03-01

文章信息/Info

Title:
Observation on the curative effect of the modified manipulative reduction in supine position on cervical disc herniation
作者:
姚本順; 謝遠(yuǎn)軍
浙江中醫(yī)藥大學(xué)附屬第三醫(yī)院,浙江 杭州 310005
Author(s):
YAO Ben-shun*; XIE Yuan-jun.*
The Third Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine,Hangzhou 310005,Zhejiang,China
關(guān)鍵詞:
頸椎病 椎間盤移位 手法; 捏脊 治療; 臨床研究性
Keywords:
Cervical spondylosis;  Intervertebral disk displacement;  Manipulation; chiropractic;  Therapies; investigational
摘要:
目的:觀察改進(jìn)型仰臥整復(fù)法治療頸椎間盤突出癥的臨床療效。方法:采用隨機(jī)數(shù)字表將符合要求的41例患者隨機(jī)分為2組 ,治療組21例,對(duì)照組20例。治療組采用改進(jìn)型仰臥整復(fù)法治療,對(duì)照組采用坐位枕頜帶牽引治療。分別采用JOA脊髓型頸椎病評(píng) 分標(biāo)準(zhǔn)和參照《中醫(yī)病證診斷療效標(biāo)準(zhǔn)》中頸椎病的療效標(biāo)準(zhǔn)所自擬的總體療效標(biāo)準(zhǔn)進(jìn)行療效評(píng)定。結(jié)果:①按JOA評(píng)分進(jìn)行療 效評(píng)定,2組療效比較,差異無統(tǒng)計(jì)學(xué)意義[治療組95%CI為(0.262,0.509),R^-治療組=0.614; 對(duì)照組95%CI為 (0.494,0.747),R^-對(duì)照組=0.380]; ②總體療效比較,兩組間差異無統(tǒng)計(jì)學(xué)意義[治療組95%CI為 (0.281,0.528),R^-治療組=0.593; 對(duì)照組95%CI為(0.474,0.727),R^-對(duì)照組=0.402]。結(jié)論:改進(jìn)型仰 臥整復(fù)法能明顯減輕頸椎間盤突出癥患者的臨床癥狀,其療效與坐位枕頜帶牽引相當(dāng),是治療頸椎間盤突出癥的有效方法,值得臨 床推廣應(yīng)用。
Abstract:
Objective:To observe the clinical curative effect of the modified manipulative reduction in supine position on cervical disc herniation(CDH).Methods:Forty-one patients received by random number table were randomly divided into 2 groups,21 cases in the treatment group,while the others in the control group.Patients in the treatment group were administrated with the modified manipulative reduction in supine position,while the others in the control group were administrated with occipito-mandibular traction in sitting position.The curative effects were evaluated according to JOA scores of cervical spondylotic myelopathy and the self- designed standards of total curative effects for cervical spondylosis referring to the standards specified in Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes respectively.Results:①There was no statistical difference in curative effects between the 2 groups according to JOA scores[treatment group:the 95% confidence interval was(0.262,0.509),R^-=0.614; control group:the 95% confidence interval was(0.494,0.747),R^-=0.380].②There was no statistical difference in total curative effects between the 2 groups[treatment group:the 95% confidence interval was(0.281,0.528),R^-=0.593; control group:the 95% confidence interval was(0.474,0.727),R^-=0.402].Conclusion:Compared with the method of occipito-mandibular traction in sitting position,the modified manipulative reduction in supine position has approximate curative effect on CDH,so it is an effective method on CDH and it is worthy of popularizing in clinic.

參考文獻(xiàn)/References:

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備注/Memo

備注/Memo:
2010-07-17收稿 2010-09-08修回
基金項(xiàng)目:浙江省“重中之重”學(xué)科(針灸推拿學(xué))建設(shè)經(jīng)費(fèi)資助項(xiàng)目(2008GA015)
更新日期/Last Update: 2012-03-30