二黄新伤止痛软膏走罐联合颈椎旋提手法治疗神经根型颈椎病  

Moving cupping therapy with Erhuang Xinshang Zhitong Ruangao( 二黄新伤止痛软膏) combined with cervical vertebra rotation-traction manipulation for treatment of cervical spondylotic radiculopathy

作　　者：吴忌[1] 李越[1] 楚福明[1] 黄莉[1] 唐小松[1] 王艳杰[1] 王雯[1] 苏洪[1] WU Ji LI Yue CHU Fuming HUANG Li TANG Xiaosong WANG Yanjie WANG Wen SU Hong(Sichuan Orthopaedic Hospital, Chengdu 610041, sichuan, China)

机构地区：[1]四川省骨科医院,四川成都610041

出　　处：《中医正骨》2017年第4期8-12,共5页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：四川省中医药科学技术研究专项项目(2016Q027);2015年度四川省骨科医院科研课题

摘　　要：目的:探讨二黄新伤止痛软膏走罐联合颈椎旋提手法治疗神经根型颈椎病的临床疗效。方法:2015年1月至2016年1月,选择神经根型颈椎病患者90例,随机分为2组,试验组48例、对照组42例。试验组采用二黄新伤止痛软膏走罐联合颈椎旋提手法治疗,对照组采用颈部放松手法联合颈椎牵引治疗。隔日治疗1次,每周3次,共治疗2周。分别于治疗前、治疗1周后及治疗2周后采用疼痛视觉模拟量表(visual analogue scale,VAS)对患者颈肩部疼痛情况进行评价,并采用田中靖久等制定的神经根型颈椎病疗效判定标准对临床疗效进行综合评价。结果:治疗前后不同时间点间患者颈肩部疼痛VAS评分的差异有统计学意义(F=1 031.863,P=0.000),即存在时间效应,VAS评分逐渐降低。2组患者颈肩部疼痛VAS评分总体比较,组间差异有统计学意义(t=30.214,P=0.000),即存在分组效应。治疗前,2组患者颈肩部疼痛VAS评分的组间差异无统计学意义[(7.156±0.839)分,(7.345±0.873)分,t=1.095,P=0.298];治疗1周后和治疗2周后,试验组颈肩部疼痛VAS评分均低于对照组[(4.260±0.928)分,(5.012±0.815)分,t=16.434,P=0.000;(1.927±0.744)分,(3.012±0.676)分;t=51.852,P=0.000)。时间因素与分组因素存在交互效应(F=9.226,P=0.000)。治疗前后不同时间点间患者临床疗效综合评分的差异有统计学意义(F=383.412,P=0.000),即存在时间效应,临床疗效综合评分逐渐增高。2组患者临床疗效综合评分总体比较,差异有统计学意义(F=23.405,P=0.000),即存在分组效应。治疗前,2组患者临床疗效综合评分的差异无统计学意义(10.100±2.116)分,(10.210±2.055)分,t=0.062,P=0.803];治疗1周后和治疗2周后,试验组临床疗效综合评分均高于对照组[(13.980±1.422)分,(13.020±1.538)分,t=9.373,P=0.003;(17.710±0.874)分,(15.310±1.554)分,t=84.088,P=0.000];时间因素与分组因素存在交互效应(F=15.064,P=0.000)。结论:二黄新伤止痛软膏走罐联Objective：To explore the clinical curative effects of moving cupping therapy with Erhuang Xinshang Zhitong Ruangao （二黄新伤止痛软膏, EHXSZTRG） combined with cervical vertebra rotation - traction manipulation for treatment of cervical spondylotic radiculopathy. Methods：From January 2015 to January 2016, ninety patients with cervical spondylotic radiculopathy were selected and randomly divided into experimental group（48 cases）and control group（42 cases）. The patients in experimental group were treated with EHXSZTRG moving cupping therapy combined with cervical vertebra rotation - traction manipulation, while the patients in control group were treated with cervical relaxation manipulation combined with cervical traction, three times a week for 2 weeks. The neck and shoulder pain were evaluated by using visual analogue scale（VAS） and the clinical comprehensive curative effects were evaluated by using therapeutic effect criterion of cervical spondylotic radiculopathy made by YASUJI TANAKA before treatment and at 1 and 2 weeks after the treatment respectively. Results：There was statistical difference in the neck and shoulder pain VAS scores between different timepoints before and after the treatment （F = 1 031. 863,P = 0. 000） , in other words, there was time effect. The VAS scores decreased gradually. There was statistical difference in the neck and shoulder pain VAS scores between the 2 groups in general（t =30. 214,P =0, 000） ,in other words,there was group effect. There was no statistical difference in the neck and Shoulder pain VAS scores between the 2 groups before treatment （7. 156 ＋/-0. 839 vs 7. 345 ＋/-0. 873 points, t = 1. 095,P = 0. 298）. The neck and shoulder pain VAS scores were lower in experimental group compared to control group at 1 and 2 weeks after the treatment （4. 260 ＋/- 0. 928 vs 5.012 ＋/- 0.815 points, t = 16. 434, P = 0.000 ; 1. 927 ＋/- 0.744 vs 3.012 ＋/- 0. 676 points, t = 51. 852, P = 0. 000）. There was interaction between time factor

关 键 词：颈椎病 推罐 肌肉骨骼手法 二黄新伤止痛软膏 

分 类 号：R274.9[医药卫生—中西医结合]