中医针灸治疗颈椎小关节错缝临床疗效观察  

Clinical Efficacy of Traditional Chinese Medicine and Acupuncture in Treating 48 cases of Cervical Facet Joint Dislocation

作　　者：杨金锁[1] 

机构地区：[1]河南省南阳市南阳医学高等专科学校,河南南阳473061

出　　处：《中医药临床杂志》2017年第2期273-275,共3页Clinical Journal of Traditional Chinese Medicine

摘　　要：目的:评价颈椎小关节错缝患者采取中医针灸治疗的临床疗效。方法将2013年9月-2015年9月我院收治的96例颈椎小关节错缝患者作为研究对象,在患者知情同意的条件下,按随机数字表法分为2组;对照组48例采取颈椎牵引方法治疗,以7d为1疗程,持续治疗2个疗程;观察组48例采取中医针灸方法治疗,以7d为1疗程;疗程之间需隔3~5d,持续进行2个疗程的治疗;对2组患者临床疗效、住院时间以及活动能力评分进行对比评估。结果观察组中治疗总有效率95.83%明显高于对照组的72.92%,2组数据差异有统计学意义(P<0.05)。在住院时间方面,观察组与对照组分别为(21.6±1.8)d、(29.8±1.5)d;与对照组患者相比,观察组患者的住院时间明显要短(P<0.05)。观察组患者活动能力评分为(93.8±3.5)分,对照组患者活动能力评分为(84.6±3.2)分;与对照组患者相比,观察组患者的活动能力评分明显要高义(P<0.05)。结论对于颈椎小关节错缝患者,采取中医针灸治疗效果显著;疗效确切,安全可靠,能够提高患者活动能力;因此,值得采纳应用。Objective： To evaluate the clinical efficacy of traditional Chinese medicine and acupuncture for patients with small joint dislocation of the cervical spine. Methods： From September 2009 to September 2015, 96 cases of cervi- cal spondylosis in our hospital were treated as the object of study. In patients with informed consent, according to ran- dom number table patients were divided into two groups. 48 cases in the control group were treated with cervical trac- tion, 7 days for a course of treatment. 48 cases of observation group to take traditional Chinese medicine acupuncture treatment to 7d for a course of treatment. Treatment between the interval of 3 - 5d, continuous treatment for 2 courses; The clinical efficacy, hospitalization time and activity score of the two groups were compared and evaluated. Results： The total effective rate was 95.83% in the observation group higher than 72.92% that in the control group, the differ- ence was statistically significant （P〈0.05）. In the hospitalization time, the observation group and the control group were （21.6 ± 1.8） d and （29.8 ± 1.5） d respectively. Compared with the control group, the hospitalization time of the obser- vation group was significantly shorter （P〈0.05）. Activity ability score in the observation group （93.8 ±3.5） were better than those in the control group （84.6± 3.2） （P〈0.05）. Conclusion： It is effective to treat patients with cervical spondy- losis with traditional Chinese medicine acupuncture and moxibustion, and the curative effect is safe and reliable, which can improve the activity of patients. Therefore, it is worthy to adopt.

关 键 词：中医针灸 颈椎小关节错缝 临床疗效 

分 类 号：R246[医药卫生—针灸推拿学]