时相性辨证分期推拿疗法治疗气滞血瘀型神经根型颈椎病临床研究  

The Phase of Massage Therapy Treatment According to Syndrome Differentiation of Qi Stagnation and Blood Stasis Type of Nerve Root Type Cervical Spondylosis

作　　者：李华南[1,2] 马菲[3] 张玮[1,2] 赵娜[1,2] 海兴华[1,2] 王金贵[1] 

机构地区：[1]天津中医药大学第一附属医院推拿科,天津300193 [2]国家中医药管理局推拿手法生物效应三级实验室,天津300193 [3]天津市中医药研究院附属医院推拿科,天津300120

出　　处：《中华中医药学刊》2017年第4期939-942,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：天津市自然科学基金项目(BJCYBJC22200)

摘　　要：目的:评价时相性辨证分期推拿疗法治疗气滞血瘀型神经根型颈椎病的临床疗效。方法:将80例来自天津中医药大学第一附属医院推拿科门诊的气滞血瘀型神经根型颈椎病(CSR)患者随机分为治疗组和对照组各40例。治疗组采用时相性辨证分期推拿疗法,对照组采用传统推拿法。以25 d为观察周期,分别于治疗前、治疗第7天、第15天以及治疗第25天对患者进行颈部功能障碍指数(NDI)、疼痛视觉模拟标尺评估(VAS)观察,并采集入组、出组患者的神经根周围脂肪CT值进行比较。结果:试验组总有效率为100%,愈显率为97.44%;对照组总有效率为97.30%,愈显率为72.97%,试验组优于对照组(P<0.01)。两组患者治疗后VAS、NDI评分,神经根周围脂肪CT值均较治疗前明显下降,且试验组优于对照组(P<0.05)。结论:与传统推拿疗法相比较,时相性辨证分期推拿疗法可有效改善气滞血瘀型CSR患者的临床症状,降低神经根水肿程度。Objective： This article aims to evaluate the effect of the phase of massage therapy treatment on Qi stagnation and blood stasis type of nerve root type cervical spondylosis. Methods： This trial was designed as a randomized controlled trial and carried out in The First Teaching Hospital Affiliated to Tianjin University of TCM. Eighty cases were from Tuina department outpatient,The First Teaching Hospital Affiliated to Tianjin University of TCM,who were diagnosed as Qi stagnation and blood stasis type of nerve root type cervical spondylosis（ CSR）. Eighty participants were included and randomly divided into two groups,an experimental group and a control group. The experimental group was treated by the phase of treatment and the control group with the traditional massage method. To verify the effect of two groups,neck disability index（ NDI）,visual analogue scale（ VAS） before treatment,on the 7th,15 th,25th day of treatment. And the CT values were compared after the treatment. Results： The total effective rate of experimental group was 100% and the healing rate was 97. 44%. The total effective rate of control group was 97. 30% and the healing rate was 72. 97%. The experimental group was better than the control group（ P〈0. 01）. After treatment,the VAS and NDI scores of the two groups were significantly lower than those before treatment and the CT values of the nerve roots were significantly decreased and the experimental group was better than the control group（ P〈0. 05）. Conclusion： The phase of massage therapy treatment has better effect than the traditional massage method in the treatment of Qi stagnation and blood stasis type of nerve root type cervical spondylosis（ CSR）.

关 键 词：神经根型颈椎病 时相性辨证分期疗法 推拿 随机对照试验 

分 类 号：R681.55[医药卫生—骨科学]