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[1]黃勝杰,王和鳴.定點(diǎn)旋頸法結(jié)合頸椎牽引治療神經(jīng)根型頸椎病的療效觀察[J].中醫(yī)正骨,2011,23(10):10-13.
　HUANG Sheng-jie*,WANG He-ming.*.Observation on the curative effects of fixed-point cervical rotatory manipulation combined with cervical traction in the treatment of cervical spondylotic radiculopathy[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2011,23(10):10-13.
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定點(diǎn)旋頸法結(jié)合頸椎牽引治療神經(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23卷
期數(shù):
2011年10期
頁(yè)碼:
10-13
欄目:
臨床研究
出版日期:
2011-10-31

文章信息/Info

Title:
Observation on the curative effects of fixed-point cervical rotatory manipulation combined with cervical traction in the treatment of cervical spondylotic radiculopathy
作者:
黃勝杰; 王和鳴
福建中醫(yī)藥大學(xué),福建 福州 350003
Author(s):
HUANG Sheng-jie*; WANG He-ming.*
Fujian University of Traditional Chinese Medicine,Fuzhou 350003,Fujian,China
關(guān)鍵詞:
頸椎病 手法; 捏脊 牽引術(shù) 治療; 臨床研究性
Keywords:
Cervical spondylosis;  Manipulation; chiropractic;  Traction;  Therapies; investigational
摘要:
目的:觀察定點(diǎn)旋頸法結(jié)合頸椎牽引治療神經(jīng)根型頸椎病的臨床療效。方法:將納入研究的54例神經(jīng)根型頸椎病患者隨機(jī)分為2組,每組27例。治療組采用定點(diǎn)旋頸法結(jié)合頸椎牽引治療,每周3次,2周為1個(gè)療程; 對(duì)照組采用頸椎牽引結(jié)合推拿手法治療,每周3次,2周為1個(gè)療程。治療1個(gè)療程后參照國(guó)家中醫(yī)藥管理局《中醫(yī)病證診斷療效標(biāo)準(zhǔn)》中頸椎病的療效標(biāo)準(zhǔn)評(píng)定2組患者的臨床療效,并于治療前及治療1個(gè)療程結(jié)束后采用美國(guó)頸椎多功能測(cè)試訓(xùn)練系統(tǒng)測(cè)定患者的頸椎活動(dòng)度。結(jié)果:①臨床療效。治療組療效優(yōu)于對(duì)照組(χ2=4.601,P=0.032)。②頸椎活動(dòng)度。治療前2組患者的頸椎前屈、后伸、左右側(cè)屈及左右旋轉(zhuǎn)活動(dòng)度比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(t=0.176,P=0.861; t=0.309,P=0.758; t=0.178,P=0.859; t=0.203,P=0.839; t=0.119,P=0.906; t=0.464,P=0.645),有可比性; 治療1個(gè)療程后2組患者的頸椎前屈、后伸、左右側(cè)屈及左右旋轉(zhuǎn)活動(dòng)度均有改善(治療組:t=6.936,P=0.000; t=4.511,P=0.000; t=2.409,P=0.020; t=2.464,P=0.017; t=2.492,P=0.016; t=4.403,P=0.000。對(duì)照組:t=4.366,P=0.000; t=2.726,P=0.008; t=2.675,P=0.010; t=2.372,P=0.021; t=3.392,P=0.001; t=3.870,P=0.000),其中治療組患者的前屈、后伸活動(dòng)度的改善程度大于對(duì)照組(t=2.059,P=0.044; t=2.061,P=0.044),2組患者的左右側(cè)屈及左右旋轉(zhuǎn)活動(dòng)度改善程度比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(t=0.268,P=0.790; t=0.313,P=0.756; t=0.394,P=0.695; t=0.303,P=0.763)。結(jié)論:定點(diǎn)旋頸法結(jié)合頸椎牽引治療能明顯改善神經(jīng)根型頸椎病患者的頸椎活動(dòng)度,緩解臨床癥狀。
Abstract:
Objective:To observe the clinical curative effects of fixed-point cervical rotatory manipulation combined with cervical traction in the treatment of cervical spondylotic radiculopathy(CSR).Methods:Fifty-four CSR patients enrolled in the study were randomly divided into 2 groups,27 cases in each group.Patients in the treatment group were administrated with fixed-point cervical rotatory manipulation combined with cervical traction,3 times a week with 2 weeks for a course of treatment; while the others in the control group were administrated with cervical traction combined with massage manipulation,3 times a week with 2 weeks for a course of treatment.After a course of treatment,the clinical curative effects of the patients in the 2 groups were evaluated according to Criteria of diagnosis and therapeutic effect of diseases and syndromes in traditional Chinese medicine publish ed by State Administration of Traditional Chinese Medicine,and the cervical activity of the patients was evaluated before the treatment and after a course of treatment.Results:①Clinical curative effect:the clinical curative effect of treatment group was better than that of control group(χ2=4.601,P=0.032).②Cervical activity:Before the treatment,there was no statistical difference in such cervical activities as proneness,extension,left/right lateral bending and rotation of the patients between the 2 groups(t=0.176,P=0.861; t=0.309,P=0.758; t=0.178,P=0.859; t=0.203,P=0.839; t=0.119,P=0.906; t=0.464,P=0.645),and there was comparability between the 2 groups.After a course of treatment,the cervical activities as proneness,extension,left/right lateral bending and rotation of the patients in the 2 groups improved(Treatment group:t=6.936,P=0.000; t=4.511,P=0.000; t=2.409,P=0.020; t=2.464,P=0.017; t=2.492,P=0.016; t=4.403,P=0.000.Control group:t=4.366,P=0.000; t=2.726,P=0.008; t=2.675,P=0.010; t=2.372,P=0.021; t=3.392,P=0.001; t=3.870,P=0.000),and the cervical proneness and extension of treatment group improved to a greater extent than those of control group(t=2.059,P=0.044; t=2.061,P=0.044),and there was no statistical difference in the improvement of left/right lateral bending and rotation of the cervical vertebra for the patients between the 2 groups(t=0.268,P=0.790; t=0.313,P=0.756; t=0.394,P=0.695; t=0.303,P=0.763).Conclusion:The therapy of fixed-point cervical rotatory manipulation combined with cervical traction can significantly improve the cervical activity for the CSR patients and relieve the clinical symptoms.

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更新日期/Last Update: 1900-01-01