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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(yè)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(jī)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(jué)模擬評(píng)分法(visual analogue score,VAS)評(píng)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(píng)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(shí)間頸肩痛VAS評(píng)分的差異有統(tǒng)計(jì)學(xué)意義,即存在時(shí)間效應(yīng)(F=16.011,P=0.000)。2組頸肩痛VAS評(píng)分比較總體上有統(tǒng)計(jì)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(píng)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(shí)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(wú)效1例,常規(guī)組治愈19例、顯效17例、有效18例、無(wú)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.

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