峨眉派“畅气通络”手法治疗神经根型颈椎病临床研究  

Clinical study on Emei Sect' s "Changqi Tongluo" manipulation in the treatment of cervical spondylotic radiculopathy

作　　者：陈茂水[1] 刘万鹏[1] 王哲 刁鸿辉[2] 凌耀权[2] 杨仁轩[1] CHEN Maoshui;LIU Wanpeng;WANG Zhe(Department of Spine, Zhuhai Hospital, Guangdong Hospital of Traditional Chinese Medicine, Zhuhai, Guangdong 519000)

机构地区：[1]广东省中医院珠海医院脊柱科,广东珠海519000 [2]广东省中医院珠海医院康复科,广东珠海519000

出　　处：《河北中医》2019年第3期429-433,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：广东省中医药局科研项目(编号:20183008)

摘　　要：目的观察峨眉派"畅气通络"手法治疗神经根型颈椎病的临床疗效。方法将150例神经根型颈椎病患者按照随机数字表法分为2组。对照组75例予颈椎牵引法治疗;治疗组75例予峨眉派"畅气通络"手法治疗。2组均1周内治疗4次,即第1、3、5、7 d各治疗1次。观察2组治疗前后及治疗后1周、1个月疼痛视觉模拟评分法(VAS)、颈椎功能障碍指数(NDI)和田中靖久20分法评分,以及患者满意率、医疗舒适率和2组临床疗效情况。结果治疗组总有效率93.33%,对照组总有效率85.33%,2组比较差异无统计学意义(P>0.05),2组疗效相当。2组治疗后及治疗后1周、1个月疼痛VAS、NDI、田中靖久20分法评分不同时间点组内比较差异均有统计学意义(P<0.05),均有下降趋势,且治疗组治疗后及治疗后1周、1个月疼痛VAS、NDI、田中靖久20分法评分均低于对照组同期(P<0.05)。2组治疗后及治疗后1周、1个月满意率、医疗舒适率不同时间点组内比较均有统计学意义(P<0.05),均有上升趋势,且治疗组治疗后及治疗后1周、1个月满意率、医疗舒适率均高于对照组同期(P<0.05)。结论峨眉派"畅气通络"手法治疗神经根型颈椎病疗效确切,并能改善临床症状,提高满意率、医疗舒适率。Objective To observe the clinical effects of Emei Sect' s "Changqi Tongluo" manipulation in the treatment of cervical spondylotic radiculopathy. Methods 150 patients with cervical spondylotic radiculopathy were divided into two groups according to random number table method. 75 cases in control group were treated by cervical traction. 75 cases in treatment group were treated by Emei Sect' s "Changqi Tongluo" manipulation. Both groups were treated 4 times in a week, that is once on the 1st, 3rd, 5th and 7th day. The pain visual analogue scale (VAS), cervical dysfunction index (NDI) and Tanaka Yasuhiro 20-point scale before and after treatment and 1 week and 1 month after treatment of the two groups were observed, and the satisfaction rate, medical comfort rate and clinical efficacy of the two groups were observed. Results The total effective rate was 93.33% in the treatment group and 85.33% in the control group. There was no significant difference between the two groups ( P >0.05). Intra-group comparison in two groups, the VAS, NDI and Tanaka Yasuhiro 20-point scale after treatment and one week and one month after treatment were significantly different at different time points ( P <0.05), there is a downward trend, and the VAS, NDI and Tanaka Yasuhiro 20-point scale of the treatment group after treatment and one week and one month after treatment were lower than those of the control group at the same time ( P <0.05). Intra-group comparison in two groups, there were significant differences in satisfaction rate and medical comfort rate after treatment and one week and one month after treatment at different time points ( P <0.05), there is an upward trend, and the satisfaction rate and medical comfort rate of the treatment group after treatment and and one week and one month after treatment were higher than those of the control group at the same time ( P <0.05). Conclusion Emei Sect's "Changqi Tongluo" manipulation is effective in treating cervical spondylotic radiculopathy, and can improve clinical symptoms, satisfa

关 键 词：脊柱骨赘病 颈椎病 按摩疗法 

分 类 号：R274.05[医药卫生—中医骨伤科学] R274.915[医药卫生—中医学]