水针刀配合脊柱旋转复位法治疗神经根型颈椎病的随机对照试验  

Controlled randomized trial on therapeutic effects of acupotomy-injection combined with Feng's spinal manipulation(FSM) for cervical spondylotic radiculopathy

作　　者：职良喜[1] 冯财旺[1] 涂昌义[1] 

机构地区：[1]焦作煤业集团有限责任公司五官医院医学康复科,河南焦作454000

出　　处：《中国骨伤》2008年第6期421-424,共4页China Journal of Orthopaedics and Traumatology

摘　　要：目的:观察水针刀配合脊柱旋转复位法治疗神经根型颈椎病(CSR)的临床疗效。方法:72例CSR患者,分为治疗组和对照组,各36例,治疗组采用水针刀配合脊柱旋转复位法治疗,对照组采用牵引治疗,两组治疗后均随访3个月评价疗效。结果:治疗组临床痊愈24例,显效6例,好转4例,无效2例;对照组临床痊愈15例,显效3例,好转10例,无效8例。治疗组的综合疗效以及痊愈患者优于对照组(P<0.05),两组治疗前后症状量表评分、简化McGill疼痛询问量表评分比较差异有统计学意义(P<0.001),以治疗组更好(P<0.01)。结论:水针刀配合脊柱旋转复位的方法治疗CSR,临床疗效优于常规牵引治疗。Objective：To evaluate the therapeutic effects of acupotomy-injection with FENG Tian-you spinal manipulation （FSM） for treating cervical spondylotlc radiculopathy （CSR）. Methods： Seventy-two patients with CSR were randomly divided into two groups（n=36 respectively） ：treatment and control group. The patients in treatment group were treated with acupotomy- injection combined with FSM ,and patients in control group were treated with traction. All the patients were followed up for 3 months after treatment and the therapeutic effects were evaluated. Results ：Totally there were 72 patients and 69 completed the treatment and the other 3 patients withdraw from treatment. In treatment group,24 patients were cured,6 patients had remarkable effects,4 effective and 2 ineffective ;as well in control group,above data were 15,3, 10 and 8 respectively. The comprehensive effects and the cured patients in the treatment group were obviously better than those of control group （P〈0.05）. The comparison of scales for assessment of symptoms and short-form McGill Pain Questionaire before and after treatment in two groups had significant differences （P〈0.001 ）. Conclusion：The method of acupotomy-injection combined with FSM for treating CSR is better than conventional traction method.

关 键 词：颈椎病 正骨手法 针刺疗法 随机对照试验 

分 类 号：R681.53[医药卫生—骨科学] R274.915.5[医药卫生—外科学]