峨眉派“畅气通络”手法治疗神经根型颈椎病临床研究
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摘要
目的观察峨眉派"畅气通络"手法治疗神经根型颈椎病的临床疗效。方法将150例神经根型颈椎病患者按照随机数字表法分为2组。对照组75例予颈椎牵引法治疗;治疗组75例予峨眉派"畅气通络"手法治疗。2组均1周内治疗4次,即第1、3、5、7 d各治疗1次。观察2组治疗前后及治疗后1周、1个月疼痛视觉模拟评分法(VAS)、颈椎功能障碍指数(NDI)和田中靖久20分法评分,以及患者满意率、医疗舒适率和2组临床疗效情况。结果治疗组总有效率93.33%,对照组总有效率85.33%,2组比较差异无统计学意义(P>0.05),2组疗效相当。2组治疗后及治疗后1周、1个月疼痛VAS、NDI、田中靖久20分法评分不同时间点组内比较差异均有统计学意义(P<0.05),均有下降趋势,且治疗组治疗后及治疗后1周、1个月疼痛VAS、NDI、田中靖久20分法评分均低于对照组同期(P<0.05)。2组治疗后及治疗后1周、1个月满意率、医疗舒适率不同时间点组内比较均有统计学意义(P<0.05),均有上升趋势,且治疗组治疗后及治疗后1周、1个月满意率、医疗舒适率均高于对照组同期(P<0.05)。结论峨眉派"畅气通络"手法治疗神经根型颈椎病疗效确切,并能改善临床症状,提高满意率、医疗舒适率。
Objective To observe the clinical effects of Emei Sect' s "Changqi Tongluo" manipulation in the treatment of cervical spondylotic radiculopathy. Methods 150 patients with cervical spondylotic radiculopathy were divided into two groups according to random number table method. 75 cases in control group were treated by cervical traction. 75 cases in treatment group were treated by Emei Sect' s "Changqi Tongluo" manipulation. Both groups were treated 4 times in a week, that is once on the 1 st, 3 rd, 5 th and 7 th day. The pain visual analogue scale(VAS), cervical dysfunction index(NDI) and Tanaka Yasuhiro 20-point scale before and after treatment and 1 week and 1 month after treatment of the two groups were observed, and the satisfaction rate, medical comfort rate and clinical efficacy of the two groups were observed. Results The total effective rate was 93.33% in the treatment group and 85.33% in the control group. There was no significant difference between the two groups(P>0.05). Intra-group comparison in two groups, the VAS, NDI and Tanaka Yasuhiro 20-point scale after treatment and one week and one month after treatment were significantly different at different time points(P<0.05), there is a downward trend, and the VAS, NDI and Tanaka Yasuhiro 20-point scale of the treatment group after treatment and one week and one month after treatment were lower than those of the control group at the same time(P<0.05). Intra-group comparison in two groups, there were significant differences in satisfaction rate and medical comfort rate after treatment and one week and one month after treatment at different time points(P<0.05), there is an upward trend, and the satisfaction rate and medical comfort rate of the treatment group after treatment and and one week and one month after treatment were higher than those of the control group at the same time(P<0.05). Conclusion Emei Sect's "Changqi Tongluo" manipulation is effective in treating cervical spondylotic radiculopathy, and can improve clinical symptoms, satisfaction rate and medical comfort rate.
Objective To observe the clinical effects of Emei Sect' s "Changqi Tongluo" manipulation in the treatment of cervical spondylotic radiculopathy. Methods 150 patients with cervical spondylotic radiculopathy were divided into two groups according to random number table method. 75 cases in control group were treated by cervical traction. 75 cases in treatment group were treated by Emei Sect' s "Changqi Tongluo" manipulation. Both groups were treated 4 times in a week, that is once on the 1 st, 3 rd, 5 th and 7 th day. The pain visual analogue scale(VAS), cervical dysfunction index(NDI) and Tanaka Yasuhiro 20-point scale before and after treatment and 1 week and 1 month after treatment of the two groups were observed, and the satisfaction rate, medical comfort rate and clinical efficacy of the two groups were observed. Results The total effective rate was 93.33% in the treatment group and 85.33% in the control group. There was no significant difference between the two groups(P>0.05). Intra-group comparison in two groups, the VAS, NDI and Tanaka Yasuhiro 20-point scale after treatment and one week and one month after treatment were significantly different at different time points(P<0.05), there is a downward trend, and the VAS, NDI and Tanaka Yasuhiro 20-point scale of the treatment group after treatment and one week and one month after treatment were lower than those of the control group at the same time(P<0.05). Intra-group comparison in two groups, there were significant differences in satisfaction rate and medical comfort rate after treatment and one week and one month after treatment at different time points(P<0.05), there is an upward trend, and the satisfaction rate and medical comfort rate of the treatment group after treatment and and one week and one month after treatment were higher than those of the control group at the same time(P<0.05). Conclusion Emei Sect's "Changqi Tongluo" manipulation is effective in treating cervical spondylotic radiculopathy, and can improve clinical symptoms, satisfaction rate and medical comfort rate.
引文
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[11] 许红兵.针灸推拿联合康复治疗神经根型颈椎病临床观察[J].实用中医药杂志,2019,35(2):232-233.
[12] 张小青,王为民,李庆,等.手法治疗神经根型颈椎病的研究进展[J].天津中医药大学学报,2017,36(2):152-155.
[13] 张琪,金鸿宾,范桐顺,等.推拿手法治疗颈椎病机制研究[J].河南中医,2018,38(8):1248-1251.
[14] 李金明.针灸推拿治疗神经根型颈椎病33例[J].光明中医,2016,31(22):3324-3325.
[15] 李书耀,李娜,郭德亮.正骨推拿联合理疗治疗神经根型颈椎病的临床疗效分析[J].中国实用医药,2016,11(28):15-16.
[16] 张明明.中医推拿结合曲度牵引治疗颈椎病临床疗效观察[D].哈尔滨:黑龙江中医药大学,2016.
[2] 乔秀秀,于秀娟,张蕊杰,等.大学生颈椎病现状调查及防治对策[J].科技资讯,2017,15(29):204-205.
[3] 赵玉龙,张曼莉,李统,等.关于颈椎病的中医认识及其治疗进展探讨[J].世界最新医学信息文摘,2018,18(16):48-49.
[4] 中华医学会.临床诊疗指南:骨科分册[M].北京:人民卫生出版社,2009:88.
[5] 王晓红,何成奇,丁明甫,等.颈椎病治疗成绩评分表[J].华西医学,2005,20(2):232-233.
[6] 周建伟,张凡,李春雨,等.颈椎病(神经根型)证候测评量表编制及效度初步考察[J].四川医学,2006,27(8):777-779.
[7] 张鸣生,许伟成,林仲民,等.颈椎病临床评价量表的信度与效度研究[J].中华物理医学与康复杂志,2003,25(3):151-154.
[8] 潘汝杨.不同治法对神经根型颈椎病临床疗效的比较研究[D].福州:福建中医药大学,2016.
[9] 欧国峰,董博,刘继华,等.神经根型颈椎病的中西医治疗进展[J].现代中西医结合杂志,2017,26(7):791-793.
[10] 王宇晨.程氏推拿手法治疗椎动脉型颈椎病的临床研究[D].广州:广州中医药大学,2017.
[11] 许红兵.针灸推拿联合康复治疗神经根型颈椎病临床观察[J].实用中医药杂志,2019,35(2):232-233.
[12] 张小青,王为民,李庆,等.手法治疗神经根型颈椎病的研究进展[J].天津中医药大学学报,2017,36(2):152-155.
[13] 张琪,金鸿宾,范桐顺,等.推拿手法治疗颈椎病机制研究[J].河南中医,2018,38(8):1248-1251.
[14] 李金明.针灸推拿治疗神经根型颈椎病33例[J].光明中医,2016,31(22):3324-3325.
[15] 李书耀,李娜,郭德亮.正骨推拿联合理疗治疗神经根型颈椎病的临床疗效分析[J].中国实用医药,2016,11(28):15-16.
[16] 张明明.中医推拿结合曲度牵引治疗颈椎病临床疗效观察[D].哈尔滨:黑龙江中医药大学,2016.
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