改进型仰卧整复法治疗颈椎间盘突出症的疗效观察  

Observation on the curative effect of the modified manipulative reduction in supine position on cervical disc herniation

作　　者：姚本顺[1] 谢远军[1] 

机构地区：[1]浙江中医药大学附属第三医院,浙江杭州310005

出　　处：《中医正骨》2012年第3期15-16,19,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：浙江省"重中之重"学科(针灸推拿学)建设经费资助项目(2008GA015)

摘　　要：目的:观察改进型仰卧整复法治疗颈椎间盘突出症的临床疗效。方法:采用随机数字表将符合要求的41例患者随机分为2组,治疗组21例,对照组20例。治疗组采用改进型仰卧整复法治疗,对照组采用坐位枕颌带牵引治疗。分别采用JOA脊髓型颈椎病评分标准和参照《中医病证诊断疗效标准》中颈椎病的疗效标准所自拟的总体疗效标准进行疗效评定。结果:①按JOA评分进行疗效评定,2组疗效比较,差异无统计学意义[治疗组95%CI为(0.262,0.509),R治疗组=0.614;对照组95%CI为(0.494,0.747),R对照组=0.380];②总体疗效比较,两组间差异无统计学意义[治疗组95%CI为(0.281,0.528),R治疗组=0.593;对照组95%CI为(0.474,0.727),R对照组=0.402]。结论:改进型仰卧整复法能明显减轻颈椎间盘突出症患者的临床症状,其疗效与坐位枕颌带牵引相当,是治疗颈椎间盘突出症的有效方法,值得临床推广应用。Objective：To observe the clinical curative effect of the modified manipulative reduction in supine position on cervical disc herniation（CDH）.Methods：Forty-one patients received by random number table were randomly divided into 2 groups,21 cases in the treatment group,while the others in the control group.Patients in the treatment group were administrated with the modified manipulative reduction in supine position,while the others in the control group were administrated with occipito-mandibular traction in sitting position.The curative effects were evaluated according to JOA scores of cervical spondylotic myelopathy and the self-designed standards of total curative effects for cervical spondylosis referring to the standards specified in Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes respectively.Results：①There was no statistical difference in curative effects between the 2 groups according to JOA scores[treatment group：the 95% confidence interval was（0.262,0.509）,R=0.614;control group：the 95% confidence interval was（0.494,0.747）,R=0.380].②There was no statistical difference in total curative effects between the 2 groups[treatment group：the 95% confidence interval was（0.281,0.528）,R=0.593;control group：the 95% confidence interval was（0.474,0.727）,R=0.402].Conclusion：Compared with the method of occipito-mandibular traction in sitting position,the modified manipulative reduction in supine position has approximate curative effect on CDH,so it is an effective method on CDH and it is worthy of popularizing in clinic.

关 键 词：颈椎病 椎间盘移位 手法 捏脊 治疗 临床研究性 

分 类 号：R274.9[医药卫生—中西医结合]