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[1]郭浩山,關(guān)濤.項痹膏穴位貼敷配合頸椎保健操治療神經(jīng)根型頸椎病[J].中醫(yī)正骨,2013,25(10):14-16.
　Guo Haoshan*,Guan Tao.*.Effect of acupoint sticking therapy combined with cervical vertebra exercises on cervicalspondylotic radiculopathy[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(10):14-16.
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項痹膏穴位貼敷配合頸椎保健操治療神經(jīng)根型頸椎病()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年10期
頁碼:
14-16
欄目:
臨床研究
出版日期:
2013-10-30

文章信息/Info

Title:
Effect of acupoint sticking therapy combined with cervical vertebra exercises on cervicalspondylotic radiculopathy
作者:
郭浩山; 關(guān)濤
山東省聊城市中醫(yī)醫(yī)院,山東 聊城 252000
Author(s):
Guo Haoshan*; Guan Tao.*
Traditional Chinese Medical Hospital of Liaocheng,Liaocheng 252000,Shandong,China
關(guān)鍵詞:
頸椎病 穴位貼敷法 運動療法 項痹膏
Keywords:
Cervical spondylosis;  Acupoint sticking therapy;  Exercise therapy;  XIANGBI UNGUENTUM
摘要:
目的:觀察項痹膏穴位貼敷配合頸椎保健操治療神經(jīng)根型頸椎病的臨床療效。方法:神經(jīng)根型頸椎病患者120例,男74例,女46例; 年齡31～73歲,中位數(shù)46.5歲; 病程1～72個月,中位數(shù)20.5個月; 隨機分為2組,觀察組60例,采用項痹膏穴位貼敷配合頸椎保健操治療; 對照組60例,采用立式特定電磁波譜治療儀理療配合藥物內(nèi)服治療; 7 d為1個療程,共治療2個療程。采用疼痛視覺模擬評分法于治療前后對患者疼痛情況進行評分; 參照《中醫(yī)病證診斷療效標準》中頸椎病療效評定標準評定療效; 并對2組的疼痛視覺模擬評分及療效進行組間比較。結(jié)果:治療前2組患者疼痛視覺模擬評分比較,差異無統(tǒng)計學意義[(4.60±1.06)分,(4.53±0.93)分; t=0.366,P=0.225]; 治療后觀察組患者疼痛視覺模擬評分低于對照組,差異有統(tǒng)計學意義[(1.30±1.59)分,(1.90±2.17)分; t=1.730,P=0.013]。觀察組治愈31例、好轉(zhuǎn)26例、未愈3例; 對照組治愈27例、好轉(zhuǎn)22例、未愈11例。觀察組療效優(yōu)于對照組(R^-觀察組=0.448,R^-對照組=0.552; u=2.185,P=0.031)。結(jié)論:項痹膏穴位貼敷配合頸椎保健操治療神經(jīng)根型頸椎病,可有效緩解疼痛,有利于頸、肢體的功能恢復及患者日常工作、生活能力的恢復,療效優(yōu)于立式特定電磁波譜治療儀理療配合藥物內(nèi)服。
Abstract:
Objective:To observe the therapeutic effect of XIANGBI unguentum applied to acupoint combined with cervical vertebra exercises on cervicalspondylotic radiculopathy.Methods:One hundred and twenty patients(74 males and 46 females)with cervicalspondylotic radiculopathy,with a median age of 46.5 years(31-73)and a median disease courses of 20.5 months(1-72),were randomly divided into 2 groups,60 cases in each group.Patients in observation group were treated with application of XIANGBI unguentum to acupoint and cervical vertebra exercises,while patients in control group were treated with specific electromagnetic wave physiotherapy and oral drugs administration.The total disease course was 14 days,7 days for each course.Pain before and after treatment was measured by using visual analogue scale(VAS)and the therapeutic effects were evaluated according to therapeutic effect evaluation standard of cervical spondylosis which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes.VAS scores and therapeutic effect were compared between the 2 groups.Results:There was no statistical difference in VAS scores between the 2 groups before the treatment(4.60+/-1.06 vs 4.53+/-0.93 points,t=0.366,P=0.225),The VAS scores of observation group was lower than that of control group after the treatment(1.30+/-1.59 vs 1.90+/-2.17 points,t=1.730,P=0.013).Thirty-one patients were cured,26 improved and 3 poor in observation group; while 27 patients were cured,22 improved and 11 poor in control group.The observation group surpassed the control group in the therapeutic effect(R^-observation group=0.448,R^-control group=0.552; u=2.185,P=0.031).Conclusion:The therapy of XIANGBI unguentum applied to acupoint combined with cervical vertebra exercises can effectively relieve the pain in the treatment of cervicalspondylotic radiculopathy,and it is helpful to the restoration of neck and limbs function and the recovery of ability of routine work and daily living,and its therapeutic effect is better than that of specific electromagnetic wave physiotherapy combined with oral drugs administration.

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備注/Memo

備注/Memo:
2012-09-26收稿 2012-12-22修回
基金項目:國家中醫(yī)臨床研究基地業(yè)務建設科研專項(2012K02)
更新日期/Last Update: 2013-10-30