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[1]徐創(chuàng)龍,唐春蘭,劉紅平,等.臥位調衡手法聯(lián)合頸部五禽操治療神經根型頸椎病的臨床研究[J].中醫(yī)正骨,2017,29(06):20-24.
　XU Chuanglong,TANG Chunlan,LIU Hongping,et al.A clinical study of regulating balance manipulation in clinostatism combined with cervical five mimic-animal boxing for treatment of cervical spondylotic radiculopathy[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(06):20-24.
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臥位調衡手法聯(lián)合頸部五禽操治療神經根型頸椎病的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數:
2017年06期
頁碼:
20-24
欄目:
臨床研究
出版日期:
2017-06-20

文章信息/Info

Title:
A clinical study of regulating balance manipulation in clinostatism combined with cervical five mimic-animal boxing for treatment of cervical spondylotic radiculopathy
作者:
徐創(chuàng)龍1; 唐春蘭1; 劉紅平2; 富雅麗2; 曹玉鳳2
1.寧夏回族自治區(qū)中醫(yī)醫(yī)院暨中醫(yī)研究院,寧夏 銀川 750021; 2.甘肅省金昌市中西醫(yī)結合醫(yī)院,甘肅 金昌 737100
Author(s):
XU Chuanglong1; TANG Chunlan1; LIU Hongping2; FU Yali2; CAO Yufeng2
1.Ningxia TCM hospital and academy of Chinese medicine,Yinchuan 750021,Ningxia,China 2.Jinchang combinational hospital of traditional Chinese medicine and Western medicine,Jinchang 737100,Gansu,China
關鍵詞:
頸椎病;  推拿; 脊柱;  五禽戲;  臨床試驗
Keywords:
Key words cervical spondylosis;  manipulation; spinal;  five mimic-animal boxing;  clinical trial
摘要:
目的:探討臥位調衡手法聯(lián)合頸部五禽操治療神經根型頸椎病的臨床療效和安全性。方法:將符合要求的100例神經根型頸椎病患者隨機分為2組,每組50例。聯(lián)合治療組采用臥位調衡手法聯(lián)合頸部五禽操治療,推拿治療組采用常規(guī) 頸椎推拿手法治療,均治療20 d。分別于治療前、治療10 d后、治療20 d后及治療結束后10 d隨訪時采用疼痛視覺模擬量表(visual analogue scale,VAS)和田中靖久等制定的神經根型頸椎病療效判定標準評定疼痛程度和臨床綜合療效,同時觀察治療及隨訪期間的并發(fā)癥發(fā)生情況。結果:聯(lián)合治療組2例患者和推拿治療組1例患者未能堅持完成治療予以剔除。治療及隨訪期間2組患者均未出現并發(fā)癥。治療前后不同時間點疼痛VAS評分的差異有統(tǒng)計學意義,即存在時間效應(F=15.000,P=0.000); 治療后2組疼痛VAS評分均呈下降趨勢(F=0.970,P=0.000; F=7.950,P=0.000)。治療前2組疼痛VAS評分比較,差異無統(tǒng)計學意義[(8.29±0.74)分,(8.37±0.70)分,t=0.517,P=0.606]; 治療10 d后、治療20 d后及治療結束后10 d時聯(lián)合治療組的疼痛VAS評分均低于推拿治療組[(4.58±1.30)分,(5.20±0.82)分,t=2.820,P=0.006;(1.17±1.10)分,(2.71±1.22)分,t=5.207,P=0.000;(0.67±0.34)分,(1.51±1.21)分,t=3.235,P=0.002]。時間因素和分組因素存在交互效應(F=27.110,P=0.000)。治療前后不同時間點臨床綜合療效評分的差異有統(tǒng)計學意義,即存在時間效應(F=52.456,P=0.000),治療后2組臨床綜合療效評分均呈上升趨勢。2組患者臨床綜合療效評分總體比較,組間差異無統(tǒng)計學意義,即不存在分組效應(F=11.074,P=0.428)。時間因素和分組因素不存在交互效應(F=2.463,P=0.089)。結論:臥位調衡手法聯(lián)合頸部五禽操能有效改善神經根型頸椎病患者的疼痛癥狀,其效果優(yōu)于常規(guī)頸椎推拿手法,而且具有較高的安全性,但短期綜合療效與常規(guī)頸椎推拿手法相當。
Abstract:
ABSTRACT Objective:To explore the clinical curative effects and safety of regulating balance manipulation in clinostatism combined with cervical five mimic-animal boxing in the treatment of cervical spondylotic radiculopathy(CSR).Methods:One hundred patients with CSR were randomly divided into combination therapy group and manipulation group,50 cases in each group.The patients in combination therapy group were treated with regulating balance manipulation in clinostatism combined with cervical five mimic-animal boxing,while the patients in manipulation group were treated with conventional cervical massage manipulation for 20 days.The pain degrees were evaluated by using visual analogue scale(VAS)and the total clinical curative effects were evaluated by using therapeutic effect criterion of CSR made by YASUJI TANAKA before treatment,after 10- and 20-day treatment and at 10 days after the end of the treatment respectively,and the complication incidences were observed and compared between the 2 groups during the treatment and follow-up period.Results:Two patients in combination therapy group and 1 patient in manipulation group failed to finish the treatment and were excluded.No complications were found in the 2 groups during the treatment and follow-up period.There was statistical difference in VAS scores between different timepoints,in other words,there was time effect(F=15.000,P=0.000).The VAS scores presented a decreasing trend in the 2 groups----------------------------------------------- after treatment(F=0.970,P=0.000; F=7.950,P=0.000).There was no statistical difference in VAS scores between the 2 groups before the treatment(8.29+/-0.74 vs 8.37+/-0.70 points,t=0.517,P=0.606).The VAS scores were lower in combination therapy group compared to manipulation group after 10- and 20-day treatment and at 10 days after the end of the treatment(4.58+/-1.30 vs 5.20+/-0.82 points,t=2.820,P=0.006; 1.17+/-1.10 vs 2.71+/-1.22 points,t=5.207,P=0.000; 0.67+/-0.34 vs 1.51+/-1.21 points,t=3.235,P=0.002).There was interaction between time factor and group factor(F=27.110,P=0.000).There was statistical difference in total clinical curative effect scores between different timepoints,in other words,there was time effect(F=52.456,P=0.000).The total clinical curative effect scores presented a rising trend in the 2 groups after the treatment.There was statistical difference in total clinical curative effect scores between the 2 groups in general,in other words,there was no group effect(F=11.074,P=0.428).There was no interaction between time factor and group factor(F=2.463,P=0.089).Conclusion:The combination therapy of regulating balance manipulation in clinostatism and cervical five mimic-animal boxing can effectively improve the pain in patients with CSR with high safety,and it surpasses conventional cervical massage manipulation in alleviating pain.However,the two therapies are similar to each other in short-term total clinical curative effects.

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備注/Memo

備注/Memo:
基金項目:甘肅省金昌市青年人才基金項目(jrc2015-76-12) 通訊作者:徐創(chuàng)龍 E-mail:[email protected]
更新日期/Last Update: 2017-06-20