石氏手法治疗神经根型颈椎病的疗效观察  

Observation on the curative effect of Shi's manipulation in the treatment of cervical spondylotic radiculopathy

作　　者：王翔 詹红生 张明才 陈元川 石瑛 陈东煜 石印玉 

机构地区：[1]上海中医药研究院骨伤科研究所,上海201203

出　　处：《中医正骨》2015年第4期12-14,20,共4页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：国家自然科学基金项目(81073114;81001528;81202707);"海派中医流派传承研究基地"项目(ZYSNXD-CC-HPGC-JD-001);"中医骨伤科学"国家重点学科项目(100508);上海市中医药领军人才建设项目(2012-63-15);上海领军人才项目(041);上海市中医药事业发展三年行动计划项目(ZYSNXD-CC-ZDYJ047);上海市科学技术委员会科研计划医学重点项目(12411951400)

摘　　要：目的:观察石氏手法治疗神经根型颈椎病的临床疗效。方法:将120例符合要求的神经根型颈椎病患者随机分为石氏组和常规组,每组60例。石氏组采用石氏手法治疗,常规组采用传统推拿、针灸、理疗或药物等非手术方法综合治疗,共治疗4周。分别于治疗前及治疗2周、4周后采用视觉模拟评分法(visual analogue score,VAS)评定患者颈肩部疼痛情况,治疗结束后采用按照《中医病证诊断疗效标准》中颈椎病的疗效标准自拟的标准评定疗效。结果:石氏组2例未完成治疗,常规组3例未完成治疗。治疗前后不同时间颈肩痛VAS评分的差异有统计学意义,即存在时间效应(F=16.011,P=0.000)。2组颈肩痛VAS评分比较总体上有统计学意义,即存在分组效应(F=3.498,P=0.001);除治疗前外,治疗2周、4周后石氏组的评分均低于常规组[(5.733±1.013)分,(5.830±1.046)分,t=0.256,P=0.614;(2.905±1.214)分,(3.790±1.389)分,t=13.265,P=0.000;(1.219±1.107)分,(2.547±1.554)分,t=27.932,P=0.000]。时间因素与分组因素不存在交互效应(F=1.089,P=0.299)。治疗4周后,石氏组治愈26例、显效22例、有效9例、无效1例,常规组治愈19例、显效17例、有效18例、无效3例,石氏组的疗效优于常规组(R石氏组=52.13,R常规组=63.97;Z=-2.021,P=0.043)。结论:石氏手法可有效减轻神经根型颈椎病患者的颈肩痛,疗效确切。Objective：To observe the clinical curative effect of Shi’s manipulation in the treatment of cervical spondylotic radiculopa-thy（CSR）.Methods：One hundred and twenty patients with CSR enrolled in the study were randomly divided into Shi’s group and conven-tional group,60 cases in each group.Patients in Shi’s group were treated with Shi’s manipulation for 4 consecutive weeks,while the others in the conventional group were treated with non-operative treatment such as traditional massage,acupuncture,physical therapy or drugs for 4 consecutive weeks.The neck and shoulder pain were evaluated by using visual analogue score（VAS）before treatment and after 2 and 4-week treatment respectively,and the curative effect were evaluated after the treatment according to the self-designed therapeutic effect evalu-ation standard of cervical spondylosis which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes.Results：The treatment were unfinished in 2 patients（Shi’s group）and 3 patients（conventional group）respec-tively.There was statistical difference in VAS scores of neck and shoulder pain between different time points,in other words,there was time effect（F =16.011,P =0.000）.There was statistical difference in VAS scores of neck and shoulder pain between the 2 groups,in other words,there was group effect（F =3.498,P =0.001）.The VAS scores were lower in Shi’s group compared to conventional group after 2 and 4-week treatment（5.733 ＋/-1.013 vs 5.830 ＋/-1.046 points,t =0.256,P =0.614;2.905 ＋/-1.214 vs 3.790 ＋/-1.389 points, t =13.265,P =0.000;1.219 ＋/-1.107 vs 2.547 ＋/-1.554 points,t =27.932,P =0.000）.There was no interaction between time factor and grouping factor（F =1.089,P =0.299）.Twenty-six patients were cured,22 got a good result,9 fair and 1 poor in the Shi’s group;while 19 patients were cured,17 got a good result,18 fair and 3 poor in the conventional group after 4-week treatment.The Shi’s grou

关 键 词：颈椎病 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]