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[1]吳忌,李越,楚福明,等.二黃新傷止痛軟膏走罐聯(lián)合頸椎旋提手法治療神經(jīng)根型頸椎病[J].中醫(yī)正骨,2017,29(04):8-12.
　WU Ji,LI Yue,CHU Fuming,et al.Moving cupping therapy with Erhuang Xinshang Zhitong Ruangao(二黃新傷止痛軟膏)combined with cervical vertebra rotation-traction manipulation for treatment of cervical spondylotic radiculopathy[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(04):8-12.
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二黃新傷止痛軟膏走罐聯(lián)合頸椎旋提手法治療神經(jīng)根型頸椎病()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年04期
頁碼:
8-12
欄目:
臨床研究
出版日期:
2017-04-20

文章信息/Info

Title:
Moving cupping therapy with Erhuang Xinshang Zhitong Ruangao(二黃新傷止痛軟膏)combined with cervical vertebra rotation-traction manipulation for treatment of cervical spondylotic radiculopathy
作者:
吳忌; 李越; 楚福明; 黃莉; 唐小松; 王艷杰; 王雯; 蘇洪
四川省骨科醫(yī)院,四川 成都 610041
Author(s):
WU Ji; LI Yue; CHU Fuming; HUANG Li; TANG Xiaosong; WANG Yanjie; WANG Wen; SU Hong
Sichuan Orthopaedic Hospital,Chengdu 610041,sichuan,China
關(guān)鍵詞:
頸椎病;  推罐;  肌肉骨骼手法;  二黃新傷止痛軟膏
Keywords:
Key words cervical spondylosis;  moving cupping therapy;  musculoskeletal manipulations;  Erhuang Xinshang Zhitong Ruangao
摘要:
目的:探討二黃新傷止痛軟膏走罐聯(lián)合頸椎旋提手法治療神經(jīng)根型頸椎病的臨床療效。方法:2015年1月至2016年1月,選擇神經(jīng)根型頸椎病患者90例,隨機(jī)分為2組,試驗(yàn)組48例、對照組42例。試驗(yàn)組采用二黃新傷止痛軟膏走罐聯(lián)合頸椎旋提手法治療,對照組采用頸部放松手法聯(lián)合頸椎牽引治療。隔日治療1次,每周3次,共治療2周。分別于治療前、治療1周后及治療2周后采用疼痛視覺模擬量表(visual analogue scale,VAS)對患者頸肩部疼痛情況進(jìn)行評價(jià),并采用田中靖久等制定的神經(jīng)根型頸椎病療效判定標(biāo)準(zhǔn)對臨床療效進(jìn)行綜合評價(jià)。結(jié)果:治療前后不同時(shí)間點(diǎn)間患者頸肩部疼痛VAS評分的差異有統(tǒng)計(jì)學(xué)意義(F=1 031.863,P=0.000),即存在時(shí)間效應(yīng),VAS評分逐漸降低。2組患者頸肩部疼痛VAS評分總體比較,組間差異有統(tǒng)計(jì)學(xué)意義(t=30.214,P=0.000),即存在分組效應(yīng)。治療前,2組患者頸肩部疼痛VAS評分的組間差異無統(tǒng)計(jì)學(xué)意義[(7.156±0.839)分,(7.345±0.873)分,t=1.095,P=0.298]; 治療1周后和治療2周后,試驗(yàn)組頸肩部疼痛VAS評分均低于對照組[(4.260±0.928)分,(5.012±0.815)分,t=16.434,P=0.000;(1.927±0.744)分,(3.012±0.676)分; t=51.852,P=0.000)。時(shí)間因素與分組因素存在交互效應(yīng)(F=9.226,P=0.000)。治療前后不同時(shí)間點(diǎn)間患者臨床療效綜合評分的差異有統(tǒng)計(jì)學(xué)意義(F=383.412,P=0.000),即存在時(shí)間效應(yīng),臨床療效綜合評分逐漸增高。2組患者臨床療效綜合評分總體比較,差異有統(tǒng)計(jì)學(xué)意義(F=23.405,P=0.000),即存在分組效應(yīng)。治療前,2組患者臨床療效綜合評分的差異無統(tǒng)計(jì)學(xué)意義(10.100±2.116)分,(10.210±2.055)分,t=0.062,P=0.803]; 治療1周后和治療2周后,試驗(yàn)組臨床療效綜合評分均高于對照組[(13.980±1.422)分,(13.020±1.538)分,t=9.373,P=0.003;(17.710±0.874)分,(15.310±1.554)分,t=84.088,P=0.000]; 時(shí)間因素與分組因素存在交互效應(yīng)(F=15.064,P=0.000)。結(jié)論:二黃新傷止痛軟膏走罐聯(lián)合頸椎旋提手法治療神經(jīng)根型頸椎病,可有效緩解患者頸肩部疼痛,綜合臨床療效優(yōu)于頸部放松手法聯(lián)合頸椎牽引。
Abstract:
ABSTRACT Objective:To explore the clinical curative effects of moving cupping therapy with Erhuang Xinshang Zhitong Ruangao(二黃新傷止痛軟膏,EHXSZTRG)combined with cervical vertebra rotation-traction manipulation for treatment of cervical spondylotic radiculopathy.Methods:From January 2015 to January 2016,ninety patients with cervical spondylotic radiculopathy were selected and randomly divided into experimental group(48 cases)and control group(42 cases).The patients in experimental group were treated with EHXSZTRG moving cupping therapy combined with cervical vertebra rotation-traction manipulation,while the patients in control group were treated with cervical relaxation manipulation combined with cervical traction,three times a week for 2 weeks.The neck and shoulder pain were evaluated by using visual analogue scale(VAS)and the clinical comprehensive curative effects were evaluated by using therapeutic effect criterion of cervical spondylotic radiculopathy made by YASUJI TANAKA before treatment and at 1 and 2 weeks after the treatment respectively.Results:There was statistical difference in the neck and shoulder pain VAS scores between different timepoints before and after the treatment(F=1 031.863,P=0.000),in other words,there was time effect.The VAS scores decreased gradually.There was statistical difference in the neck and shoulder pain VAS scores between the 2 groups in general(t=30.214,P=0.000),in other words,there was group effect.There was no statistical difference in the neck and shoulder pain VAS scores between the 2 groups before treatment(7.156+/-0.839----------------------------------------------- vs 7.345+/-0.873 points,t=1.095,P=0.298).The neck and shoulder pain VAS scores were lower in experimental group compared to control group at 1 and 2 weeks after the treatment(4.260+/-0.928 vs 5.012+/-0.815 points,t=16.434,P=0.000; 1.927+/-0.744 vs 3.012+/-0.676 points,t=51.852,P=0.000).There was interaction between time factor and group factor(F=9.226,P=0.000).There was statistical difference in the comprehensive scores of clinical curative effect between different timepoints before and after the treatment(F=383.412,P=0.000),in other words,there was time effect.The comprehensive scores of clinical curative effect increased gradually.There was statistical difference in the comprehensive scores of clinical curative effect between the 2 groups in general(F=23.405,P=0.000),in other words,there was group effect.There was no statistical difference in the comprehensive scores of clinical curative effect between the 2 groups before treatment(10.100+/-2.116 vs 10.210+/-2.055 points,t=0.062,P=0.803).The comprehensive scores of clinical curative effect were higher in experimental group compared to control group at 1 and 2 weeks after the treatment(13.980+/-1.422 vs 13.020+/-1.538 points,t=9.373,P=0.003; 17.710+/-0.874 vs 15.310+/-1.554 points,t=84.088,P=0.000).There was interaction between time factor and group factor(F=15.064,P=0.000).Conclusion:The combination therapy of EHXSZTRG moving cupping therapy and cervical vertebra rotation-traction manipulation can effectively relieve the neck and shoulder pain in the treatment of cervical spondylotic radiculopathy,and its comprehensive clinical curative effect is better than that of the combination therapy of cervical relaxation manipulation and cervical traction.

參考文獻(xiàn)/References:

[1] 朱立國,于杰.關(guān)于神經(jīng)根型頸椎病的臨床治療評述[J].醫(yī)學(xué)信息:內(nèi)·外科版,2009,22(1):3-6.
[2] 吳燕,姚新苗,徐守宇.運(yùn)動療法聯(lián)合口服消炎鎮(zhèn)痛藥及頸椎牽引治療神經(jīng)根型頸椎病[J].中醫(yī)正骨,2014,26(1):24-26.
[3] 安連生,韋堅(jiān),陳升旭,等.韋氏頸椎手法配合中藥燙療治療神經(jīng)根型頸椎病的臨床研究[J].中醫(yī)正骨,2014,26(6):35-38.
[4] 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.
[5] 江建春.神經(jīng)根型頸椎病的中醫(yī)藥治療研究概況[J].中醫(yī)正骨,2015,27(11):71-74.
[6] 賴忠維,譚佳,劉曉嵐.中藥封包外敷聯(lián)合高壓氧療法治療神經(jīng)根型頸椎病[J].中醫(yī)正骨,2016,28(9):35-36.
[7] 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(4):12-14.
[8] 韋英成,董彤,吳肖梅,等.推拿手法治療神經(jīng)根型頸椎病的研究進(jìn)展[J].中醫(yī)正骨,2015,27(10):65-67.
[9] 趙軍,王慶甫.三分法在頸椎病頸項(xiàng)部筋傷診治中的應(yīng)用[J].中醫(yī)正骨,2014,26(2):65-67.
[10] 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.
[11] 蔣協(xié)遠(yuǎn),王大偉.骨科臨床療效評價(jià)標(biāo)準(zhǔn)[M].北京:人民衛(wèi)生出版社,2005:123.
[12] 田中靖久.頚部神経根癥治療成績判定基準(zhǔn)[J].脊椎脊髄ジャーナル,2006,19(4):300-302.
[13] NORDIN M,FRANKEL VH.肌肉骨骼系統(tǒng)基礎(chǔ)生物力學(xué)[M].鄺適存,郭霞,譯.北京:人民衛(wèi)生出版社,2008:29.
[14] 鄧真,牛文鑫,王輝昊,等.生物力學(xué)在中醫(yī)骨傷手法治療頸椎病中的應(yīng)用[J].醫(yī)用生物力學(xué),2015,30(6):569-573.
[15] 葉國棟,王艷國.頸椎曲度異常與頸椎病的相關(guān)性[J].頸腰痛雜志,2014,35(2):154-156.
[16] 陳波,陳澤林,郭義,等.罐療之走罐研究——天人地三部走罐法[J].中國針灸,2010,30(9):777-780.
[17] 李振忠.拔罐療法臨床應(yīng)用研究進(jìn)展[J].現(xiàn)代診斷與治療,2014,17(25):3923-3925.
[18] 張耀巍,毛林煥,廉安琪.中藥拔罐法的臨床研究[J].西部中醫(yī)藥,2013,26(2):108-110.
[19] 王乾,朱立國,高景華.旋提手法治療神經(jīng)根型頸椎病的療效觀察[J].中醫(yī)正骨,2009,21(6):409-411.
[20] 朱立國,于杰,高景華.旋轉(zhuǎn)手法治療神經(jīng)根型頸椎病研究概述[J].中醫(yī)正骨,2005,17(8):69-70.

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備注/Memo

備注/Memo:
基金項(xiàng)目:四川省中醫(yī)藥科學(xué)技術(shù)研究專項(xiàng)項(xiàng)目(2016Q027); 2015年度四川省骨科醫(yī)院科研課題 通訊作者:吳忌 E-mail:[email protected]
更新日期/Last Update: 1900-01-01