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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10期

頁(yè)碼:

16-19

欄目:

軟組織疼痛

出版日期:

2012-10-20

文章信息/Info

Title:

Clinical study on the effect of chiropractic manipulation combined with physical and breathing exercises on cervical spondylotic radiculopathy

作者:

井夫杰¹; 張靜²; 周勝紅³; 井夫士⁴

1.山東中醫(yī)藥大學(xué)附屬醫(yī)院,山東 濟(jì)南 250011;
2.山東中醫(yī)藥大學(xué),山東 濟(jì)南 250014;
3.山東省中醫(yī)藥研究院,山東 濟(jì)南 250014;
4.山東省莒縣人民醫(yī)院,山東 莒縣 276500

Author(s):

JING Fu-jie^*; ZHANG Jing; ZHOU Sheng-hong; JING Fu-shi.

^*Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Ji'nan 250011,Shandong,China

關(guān)鍵詞:

頸椎病 推拿; 脊柱 導(dǎo)引 治療; 臨床研究性

Keywords:

Cervical Spondylosis;  Manipulation; spinal;  Physical&; breathing exercises;  Therapies; investigational

摘要:

目的:觀察整脊推拿配合導(dǎo)引治療神經(jīng)根型頸椎病的臨床療效。方法:將120例神經(jīng)根型頸椎病患者隨機(jī)分為2組,每組60例。其中男68例,女52例。年齡35～60歲,中位數(shù)47.5歲。病程2～49周,中位數(shù)14.5周。治療組采用整脊推拿配合導(dǎo)引治療,對(duì)照組單純采用整脊推拿治療。治療結(jié)束后分別采用《中醫(yī)病證診斷療效標(biāo)準(zhǔn)》、神經(jīng)根型頸椎病療效評(píng)分方法及Bobor's法比較2組患者的總體療效、療效評(píng)分及頸椎生理曲度。結(jié)果:①總體療效。治療組治愈47例,好轉(zhuǎn)13例; 對(duì)照組治愈31例,好轉(zhuǎn)29例; 治療組患者總體療效優(yōu)于對(duì)照組(U=3.050,P=0.002)。②療效評(píng)分。治療前治療組療效評(píng)分(13.93±2.14)分,對(duì)照組療效評(píng)分(14.07±2.19)分; 治療后治療組療效評(píng)分(28.44±1.52)分,對(duì)照組療效評(píng)分(24.34±2.20)分; 治療前2組患者療效評(píng)分比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(t=0.354,P=0.723); 治療后2組患者的療效評(píng)分均增加(t=42.819,P=0.000; t=25.627,P=0.000),治療組增加更明顯(t=15.898,P=0.000)。③頸椎生理曲度。治療前治療組頸椎生理曲度(2.72±1.60)mm,對(duì)照組頸椎生理曲度(2.64±1.34)mm; 治療后治療組頸椎生理曲度(4.30±1.23)mm,對(duì)照組頸椎生理曲度(3.55±1.82)mm; 治療前2組患者頸椎生理曲度比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(t=0.297,P=0.767); 治療后2組患者頸椎生理曲度均改善(t=6.064,P=0.000; t=3.119,P=0.002),治療組改善更明顯(t=15.041,P=0.000)。結(jié)論:整脊推拿配合導(dǎo)引能有效改善神經(jīng)根型頸椎病患者的臨床癥狀和頸椎生理曲度,是治療該病的有效方法,值得臨床推廣應(yīng)用。

Abstract:

Objective:To observe the clinical curative effect of chiropractic manipulation combined with physical and breathing exercises on cervical spondylotic radiculopathy.Methods:One hundred and twenty patients with cervical spondylotic radiculopathy were randomly divided into 2 groups,60 cases in each group; male 68 cases,while female 52 cases; ranging in age from 35 to 60 years with a median of 47.5 years; ranging in courses of disease from 2 to 49 weeks with a median of 14.5 weeks.Patients in the treatment group were administrated with chiropractic manipulation combined with physical and breathing exercises,while the others in the control group were administrated with chiropractic manipulation only.The total curative effect,curative effect scores and cervical curvature of the patients were compared between the 2 groups under the adoption of Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes,scoring method of curative effect of cervical spondylotic radiculopathy and Bobor's method respectively after the treatment.Results:Forty-seven patients had excellent outcomes and 13 cases had good outcomes in the treatment group,while 31 cases had excellent outcomes and 29 cases had good outcomes in the control group.The total curative effect was better in the treatment group than in the control group(U=3.050,P=0.002).The curative effect scores of treatment group and control group were(13.93±2.14)points and(14.07±2.19)points respectively before the treatment.The curative effect scores of treatment group and control group were(28.44±1.52)points and(24.34±2.20)points respectively after the treatment.There was no statistical difference in curative effect scores between the 2 groups before the treatment(t=0.354,P=0.723).The curative effect scores of all of the 2 groups increased after the treatment(t=42.819,P=0.000; t=25.627,P=0.000),and scores of treatment group increased much more significantly(t=15.898,P=0.000).The cervical curvature of patients in the treatment group and in the control group were(2.72±1.60)mm and(2.64±1.34)mm respectively before the treatment.The cervical curvature of patients in the treatment group and in the control group were(4.30±1.23)mm and(3.55±1.82)mm respectively after the treatment.There were no statistical differences in cervical curvature between the 2 groups before the treatment(t=0.297,P=0.767).The cervical curvature of patients in the 2 groups were all improved after the treatment(t=6.064,P=0.000; t=3.119,P=0.002),and patients in the treatment group got much more improvement(t=15.041,P=0.000).Conclusion:The therapy of chiropractic manipulation combined with physical and breathing exercises can effectively improve the clinical symptoms and cervical curvature for the patients with cervical spondylotic radiculopathy,therefore it is an effective method in the treatment of this disease and it is worthy of popularizing in clinic.

備注/Memo

備注/Memo:

基金項(xiàng)目:山東省高等學(xué)校科技計(jì)劃資助項(xiàng)目(520327)

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更新日期/Last Update: 2012-10-20