“五联”疗法治疗神经根型颈椎病的临床研究  

Clinical study on the curative effect of combined therapy on the treatment of cervical spondylotic radiculopathy

作　　者：欧阳松[1] 罗建平[1] 李先樑[1] 李刚[1] 李建辉[1] 舒文韬[1] 张智[1] 廖伟[1] 

机构地区：[1]四川省中医药科学院中医研究所,四川成都610031

出　　处：《中医正骨》2010年第7期6-9,共4页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：四川省中医药管理局"‘十五’中医药防治疾病优势领域工程"重大专项课题(编号2003A4)

摘　　要：目的:观察牵引、电针、神灯照射、推拿、导引"五联"综合疗法治疗神经根型颈椎病的临床疗效。方法:将132例神经根型颈椎病患者随机分为观察组和对照组,每组66例。观察组采用牵引、电针、神灯照射、推拿、导引"五联"综合疗法治疗;对照组采用牵引、理疗、神灯照射、体育疗法治疗。两组治疗时间与次数均相同,治疗结束后评定两组疗效。结果:132例病人中,123例完成整个治疗过程,脱失9例。观察组疗效优于对照组(Z=-4.007,P=0.000)。颈肩肢痛缓解的程度,观察组优于对照组(颈肩肢痛程度评分:t=4.097,P=0.000;颈肩肢痛持续时间评分:t=2.131,P=0.035)。颈肩肢痛频度、上肢麻木程度、颈项僵硬程度3项指标治疗前后的变化程度,两组间差异无统计学意义(t=2.804,P=0.060;t=0.858,P=0.393;t=0.844,P=0.401)。观察组患者治疗后各项体征的阳性率均低于治疗前(压顶试验:χ2=107.496,P=0.000;臂丛神经牵拉试验:χ2=111.518,P=0.000;椎旁压痛试验:χ2=103.995,P=0.000);对照组患者治疗后各项体征的阳性率亦均低于治疗前(压顶试验:χ2=67.658,P=0.000;臂丛神经牵拉试验:χ2=76.530,P=0.000;椎旁压痛试验:χ2=58.634,P=0.000)。治疗后两组间比较各项体征的阳性率,差异无统计学意义(压顶试验:χ2=1.207,P=0.272;臂丛神经牵拉试验:χ2=2.506,P=0.113;椎旁压痛试验:χ2=2.918,P=0.088)。结论:"五联"疗法治疗神经根型颈椎病疗效确切,值得临床推广。Objective：To observe the clinical curative effect of combined therapy as traction,electroacupuncture,infrared radiation（TDP）,manipulation and physical﹠breathing exercises on the treatment of cervical spondylotic radiculopathy（CSR）.Methods：132 CSR patients were randomly divided into observation group and control group,66 cases in each group.Patients in observation group were administrated with combined therapy as traction,electroacupuncture,infrared radiation（TDP）,manipulation and physical﹠breathing exercises,while the others in control group were administrated with traction,physical therapy,TDP and movement therapy.The time and number of treatment for the 2 groups were all the same.The curative effects were evaluated after the treatment.Results：123 patients went through with the entire treatment,while 9 patients dropped out.The curative effect of observation group was better than that of control group（Z=-4.007,P=0.000）.The extent of relief from pain in neck,shoulder and limbs of observation group was greater than that of control group（scores of intensity of pain in neck,shoulder and limbs：t=4.097,P=0.000;scores of duration of pain in neck,shoulder and limbs：t=2.131,P=0.035）.There was no statistical difference between the 2 groups on the difference values of indicators including frequency of pain in neck,shoulder and limbs and intensity of numbness in the upper limbs and stiffness in neck before and after the treatment（t=2.804,P=0.060;t=0.858,P=0.393;t=0.844,P=0.401）.After the treatment,the positive rate of every physical sign decreased in the observation group（capping test：χ^2=107.496,P=0.000;brachial plexus traction test：χ^2=111.518,P=0.000;paravertebral tenderness test：χ^2=103.995,P=0.000）.The situation was the same in the control group（capping test：χ^2=67.658,P=0.000;brachial plexus traction test：χ^2=76.530,P=0.000;paravertebral tenderness test：χ^2=58.634,P=0.000）.After the treatment,there was no statistical difference in the positive rate of phys

关 键 词：颈椎病 牵引术 电针 推拿 脊柱 导引 物理疗法(专业) 体育和训练 治疗性人类试验 

分 类 号：R274[医药卫生—中医骨伤科学]