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[1]王翔,詹紅生,張明才,等.石氏手法治療神經(jīng)根型頸椎病的療效觀察[J].中醫(yī)正骨,2015,27(04):12-14.
　WANG Xiang,ZHAN Hongsheng,ZHANG Mingcai,et al.Observation on the curative effect of Shi's manipulation in the treatment of cervical spondylotic radiculopathy[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(04):12-14.
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石氏手法治療神經(jīng)根型頸椎病的療效觀察()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年04期
頁碼:
12-14
欄目:
臨床研究
出版日期:
2015-04-30

文章信息/Info

Title:
Observation on the curative effect of Shi's manipulation in the treatment of cervical spondylotic radiculopathy
作者:
王翔; 詹紅生; 張明才; 陳元川; 石瑛; 陳東煜; 石印玉
上海中醫(yī)藥研究院骨傷科研究所,上海 201203
Author(s):
WANG Xiang; ZHAN Hongsheng; ZHANG Mingcai; CHEN Yuanchuan; SHI Ying; CHEN Dongyu; SHI Yinyu
The Institute of Traumatology and Orthopedics Affiliated to Shanghai Academy of Traditional Chinese Medicine,Shanghai 201203,China
關(guān)鍵詞:
頸椎病;  手法; 捏脊;  治療; 臨床研究性
Keywords:
cervical spondylosis;  manipulation; chiropractic;  therapies; investigational
摘要:
目的:觀察石氏手法治療神經(jīng)根型頸椎病的臨床療效。方法:將120例符合要求的神經(jīng)根型頸椎病患者隨機分為石氏組和常規(guī)組,每組60例。石氏組采用石氏手法治療,常規(guī)組采用傳統(tǒng)推拿、針灸、理療或藥物等非手術(shù)方法綜合治療,共治療4周。分別于治療前及治療2周、4周后采用視覺模擬評分法(visual analogue score,VAS)評定患者頸肩部疼痛情況,治療結(jié)束后采用按照《中醫(yī)病證診斷療效標(biāo)準(zhǔn)》中頸椎病的療效標(biāo)準(zhǔn)自擬的標(biāo)準(zhǔn)評定療效。結(jié)果:石氏組2例未完成治療,常規(guī)組3例未完成治療。治療前后不同時間頸肩痛VAS評分的差異有統(tǒng)計學(xué)意義,即存在時間效應(yīng)(F=16.011,P=0.000)。2組頸肩痛VAS評分比較總體上有統(tǒng)計學(xué)意義,即存在分組效應(yīng)(F=3.498,P=0.001); 除治療前外,治療2周、4周后石氏組的評分均低于常規(guī)組[(5.733±1.013)分,(5.830±1.046)分,t=0.256,P=0.614;(2.905±1.214)分,(3.790±1.389)分,t=13.265,P=0.000;(1.219±1.107)分,(2.547±1.554)分,t=27.932,P=0.000]。時間因素與分組因素不存在交互效應(yīng)(F=1.089,P=0.299)。治療4周后,石氏組治愈26例、顯效22例、有效9例、無效1例,常規(guī)組治愈19例、顯效17例、有效18例、無效3例,石氏組的療效優(yōu)于常規(guī)組(R^-石氏組=52.13,R^-常規(guī)組=63.97; Z=-2.021,P=0.043)。結(jié)論:石氏手法可有效減輕神經(jīng)根型頸椎病患者的頸肩痛,療效確切。
Abstract:
Objective:To observe the clinical curative effect of Shi's manipulation in the treatment of cervical spondylotic radiculopathy(CSR).Methods:One hundred and twenty patients with CSR enrolled in the study were randomly divided into Shi's group and conventional group,60 cases in each group.Patients in Shi's group were treated with Shi's manipulation for 4 consecutive weeks,while the others in the conventional group were treated with non-operative treatment such as traditional massage,acupuncture,physical therapy or drugs for 4 consecutive weeks.The neck and shoulder pain were evaluated by using visual analogue score(VAS)before treatment and after 2 and 4-week treatment respectively,and the curative effect were evaluated after the treatment according to the self-designed therapeutic effect evaluation standard of cervical spondylosis which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes.Results:The treatment were unfinished in 2 patients(Shi's group)and 3 patients(conventional group)respectively.There was statistical difference in VAS scores of neck and shoulder pain between different time points,in other words,there was time effect(F=16.011,P=0.000).There was statistical difference in VAS scores of neck and shoulder pain between the 2 groups,in other words,there was group effect(F=3.498,P=0.001).The VAS scores were lower in Shi's group compared to conventional group after 2 and 4-week treatment(5.733+/-1.013 vs 5.830+/-1.046 points,t=0.256,P=0.614; 2.905+/-1.214 vs 3.790+/-1.389 points,t=13.265,P=0.000; 1.219+/-1.107 vs 2.547+/-1.554 points,t=27.932,P=0.000).There was no interaction between time factor and grouping factor(F=1.089,P=0.299).Twenty-six patients were cured,22 got a good result,9 fair and 1 poor in the Shi's group; while 19 patients were cured,17 got a good result,18 fair and 3 poor in the conventional group after 4-week treatment.The Shi's group surpassed the conventional group in the curative effect(R^-Shi's group=52.13,R^-conventional group=63.97; Z=-2.021,P=0.043).Conclusion:Shi's manipulation can effectively reduce the neck and shoulder pain in patients with CSR,and its clinical effect is definite.

參考文獻/References:

[1] 楊大瑋.神經(jīng)根型頸椎病的手法治療進展[J].亞太傳統(tǒng)醫(yī)藥,2010,6(6):154-155.
[2] 江建春,邱德華,王敖明,等.石氏方藥內(nèi)服外敷治療神經(jīng)根型頸椎病120例[J].中醫(yī)正骨,2013,25(11):53-55.
[3] 白玉,鄧素玲,孫樹椿.跟隨孫樹椿教授治療神經(jīng)根型頸椎病的臨床體會[J].中醫(yī)正骨,2013,25(11):64-66.
[4] Lo YL,Cheong PW,George JM,et al.Pregabalin and radicular pain study(PARPS)for cervical spondylosis in a multiracial Asian population[J].J Clin Med Res,2014,6(1):66-71.
[5] 劉敏娟,穆敬平,曾靜,等.三聯(lián)療法治療神經(jīng)根型頸椎病療效觀察[J].現(xiàn)代中西醫(yī)結(jié)合雜志,2013,22(4):353-355.
[6] 余祖年,李丹毅,吳煒翰,等.點按微調(diào)手法治療神經(jīng)根型頸椎病[J].針灸臨床雜志,2013,29(3):49-51.
[7] 孫青,喬瓊,張曉燕,等.仰臥位拔伸手法配合頸椎保健操治療神經(jīng)根型頸椎病療效觀察[J].上海中醫(yī)藥雜志,2012,46(11):59-60.
[8] Que Q,Ye X,Su Q,Weng Y,et al.Effectiveness of acupuncture intervention for neck pain caused by cervical spondylosis:study protocol for a randomized controlled trial[J].Trials,2013,14:186.
[9] 李增春,陳德玉,吳德升,等.第三屆全國頸椎病專題座談會紀(jì)要[J].中華外科雜志,2008,46(23):1796-1799.
[10] 陳立,張明月,蘭秀芳,等.仰臥拔伸手法結(jié)合頸肌等長收縮鍛煉治療頸型頸椎病的臨床研究[J].中醫(yī)正骨,2013,25(10):17-20.
[11] 國家中醫(yī)藥管理局.中醫(yī)病證診斷療效標(biāo)準(zhǔn)[S].南京:南京大學(xué)出版社,1994:186.
[12] 陳博,詹紅生,石印玉,等.“骨錯縫、筋出槽”病機學(xué)說及其動物模型的建立[J].上海中醫(yī)藥大學(xué)學(xué)報,2010,24(5):68-72.
[13] 詹紅生,石印玉,張明才,等.基于“骨錯縫、筋出槽”病機認(rèn)識的椎間盤病癥診治新觀點[J].上海中醫(yī)藥雜志,2007,41(9):4-6.
[14] 詹紅生,牛守國,吳健康,等.仰臥位拔伸整復(fù)手法治療神經(jīng)根型頸椎病的隨機、對照、多中心臨床研究[J].中國骨傷,2006,19(5):257-260.
[15] 吳健康,李天順,詹紅生,等.中藥配合手法治療神經(jīng)根型頸椎病[J].中醫(yī)正骨,2008,20(6):59.
[16] Bono CM,Ghiselli G,Gilbert TJ,et al.An evidence-based clinical guideline for the diagnosis and treatment of cervical radiculopathy from degenerative disorders[J].Spine J,2011,11(1):64-72.

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備注/Memo

備注/Memo:
2014-12-03收稿 2015-02-03修回
基金項目:國家自然科學(xué)基金項目(81073114、81001528、81202707); “海派中醫(yī)流派傳承研究基地”項目(ZYSNXD-CC-HPGC-JD-001); “中醫(yī)骨傷科學(xué)”國家重點學(xué)科項目(100508); 上海市中醫(yī)藥領(lǐng)軍人才建設(shè)項目(2012-63-15); 上海領(lǐng)軍人才項目(041); 上海市中醫(yī)藥事業(yè)發(fā)展三年行動計劃項目(ZYSNXD-CC-ZDYJ047); 上海市科學(xué)技術(shù)委員會科研計劃醫(yī)學(xué)重點項目(12411951400)
更新日期/Last Update: 2015-04-30