中药熏蒸加定点旋转复位法治疗颈椎病疗效观察  

Effective observation on treating cervical spondylopathy by TCM medicine fumigation plus fixed-point rotatory reduction manipulation

作　　者：张小兵 

机构地区：[1]河南省博爱县人民医院,河南博爱454450

出　　处：《中医临床研究》2018年第31期85-87,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察中药熏蒸加定点旋转复位手法治疗颈椎病的临床疗效。方法:我们选取了自2016年5月-2017年6月来我科就诊的颈椎病患者198例。按其临床症状、体征和辅助检查结果,将其分为颈型62例、神经根型88例、椎动脉型18例、交感神经型10例、混合型20例。由于脊髓型颈椎病的手法治疗风险较大,未征得患者同意,无法实施手法。故此文中的颈椎病不包括脊髓型。我们将198例患者分为观察组和对照组,每组各99例。观察组采用中药熏蒸每日1次,每次20min,熏蒸后使用定点旋转复位手法,每周2次,2周为一个疗程,连续治疗两个疗程后统计治疗效果。对照组采用TDP照射加普通针刺治疗,每日1次,每次30min。两周为一个疗程,治疗两个疗程后统计治疗效果。结果:观察组治愈44例,总有效率为93.9%。对照组治愈33例,总有效率为81.8%。观察组的总有效率高于对照组总有效率,差异具有统计学意义(P <0.05)。结论:从治疗结果不难看出,中药熏蒸加定点旋转复位手法治疗颈椎病的有效率高于对照组。此疗法安全有效,患者痛苦少。应该成为保守治疗颈椎病的首选方法。Objective： To observe clinical effects of TCM medicine fumigation plus fixed-point rotatory reduction manipulation on cervical spondylopathy. Methods： 198 patients with cervical spondylopathy were divided into cervical spondylopathy （62 cases）, radiculopathy （88 cases）, lieou syndrome （18 cases）, sympathetic-S （10 cases）, hybrid type （20 cases）. 198 patients with cervical spondylopathy were randomly divided into the observation group and the control group, 99 cases in each. The observation group was treated by TCM medicine fumigation, once a day, 20 minutes at a time. Then the observation group was treated by fxed-point rotatory reduction manipulation for two courses, twice a week, two weeks for a course. The control group was treated by TDP irradiation plus normal acupuncture for two courses, once a day, 30 minutes at a time, two weeks for a course. Results： The total efective rate was 93.9% （44 cases） in the observation group, higher than 81.8% （33 cases） in the control group （P〈0.05）. Conclusion： TCM medicine fumigation plus fxed-point rotatory reduction manipulation on cervical spondylopathy is efective, safe and worthy of promotion.

关 键 词：颈椎病 中药熏蒸 定点旋转复位法 

分 类 号：R68[医药卫生—骨科学]