交感型颈椎病治疗前后X线影像学改变分析  

X-ray Film Difference Changes of Sympathetic Cervical Spondylosis Patients Before and After Treatment

作　　者：杜建明[1] 王正琴[2] 杨智杰[1] 田小武[1] 张贤[1] 汤建华[1] 陈剑峰[1] 

机构地区：[1]无锡市中医医院脊柱科,江苏无锡214001 [2]无锡市中医医院"治未病"保健中心,江苏无锡214001

出　　处：《南京中医药大学学报》2012年第6期523-526,共4页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：无锡市科技局科技项目(CSZ00856)

摘　　要：目的分析交感型颈椎病治疗前后的X线影像学改变和疗效,探讨X线在交感型颈椎病疗效判定中的价值。方法 2008年1月至2011年12月,收集交感型颈椎病113例,均给予中频、中药热敷、牵引等常规治疗,并随机分为2组,治疗组(根据不同病因而辨证地选择手法调整或骶管冲击或小针刀治疗)71例,对照组(手法松解)42例。评价症状恢复情况;复查X线并分析X线变化与疗效的相关性。结果治疗组71例(优53例,良11例,有效6例,差1例)中,复查X线有改变者68例(优50例,良11例,有效6例,差1例),X线改善与疗效相关性分析,P<0.01。对照组42例(优20例,良8例,有效6例,差8例)中,复查X线有改变者29例(优19例,良7例,有效2例,差1例),X线改善与疗效相关性分析,P<0.05。2组中优良率及复查X线的改变率的差别有显著性意义(P<0.01),但在复查X线有改变中的优良率没有统计学差别(P>0.05)。结论辨证治疗具有良好的疗效,且可提高X线的改变率;X线影像学改变与疗效具有正相关性,可作为交感型颈椎病疗效评价的参考指标。OBJECTIVE To analyze imaging changes and efficacy the sympathetic cervical disease before and after treatment,and to explore the value of the X-ray in the judgment of the sympathetic cervical spondylosis.METHODS 113 cases of sympathetic cervical spondylosis after regular treatment including medium frequency,TCM fomenting therapy and traction were collected from January 2008 to December 2011 and they were divided into 2 groups.Patients in the treatment group（71 cases） were given tactics adjustment or the sacral or treatment of a small knife according to syndrome differentiation and 42 cases in the control group were given manual release.Later the symptoms were valued.Patients took X-ray again to find out the relevance between X-ran changes and efficacy.RESULTS 71 cases in the treatment group,53 showed good effects,11 with moderate effects,6 with effects,and 1 with bad effects;68 patients in the treatment group showed X-ray changes,50 with good effects,11 with moderate effects,6 with effects,and 1 with bad effects,showing relevance between X-ray changes and efficacy（P0.01）.42 cases in the control group,20 showed good effects,8 with moderate effects,6 with effects and 8 with bad effects;29 patients in the control group showed X-ray changes,19 with good effects,7 with moderate effects,2 with effects,and 1 with bad effects,indicating relevance between X-ray changes and efficacy（P0.05）.There was great difference between rate for good and moderate effects and rate for X-ray changes（P0.01）,but there was no difference between X-rays changes（P0.05）.CONCLUSION Syndrome differentiation has good effects and can improve X-ray changes;X-ray imaging changes have a positive correlation with efficacy,suggesting that it can be used as a reference to the sympathetic cervical spondylosis evaluation.

关 键 词：交感型颈椎病 影像学 推拿 骶管冲击 小针刀 

分 类 号：R244[医药卫生—针灸推拿学]