中医外治预防颈型颈椎病复发临床研究  

Clinical Study on External Therapy of Traditional Chinese Medicine in the Prevention of Recurrence of Neck Cervical Spondylosis

作　　者：申斌 于川 余威 支小晶 刘福奇 见国繁 SHEN Bin;YU Chuan;YU Wei;ZHI Xiaojing;LIU Fuqi;JIAN Guofan(Department of Preventive Treatment of Disease,Pinggu Hospital of Traditional Chinese Medicine,Beijing 101200,China;Department of Acupuncture and Moxibustion,Pinggu Hospital of Traditional Chinese Medicine,Beijing 101200,China;Massage Department,Pinggu Hospital of Traditional Chinese Medicine,Beijing 101200,China)

机构地区：[1]北京市平谷区中医医院治未病科,北京101200 [2]北京市平谷区中医医院针灸科,北京101200 [3]北京市平谷区中医医院推拿科,北京101200

出　　处：《中国中医药现代远程教育》2019年第23期34-36,共3页Chinese Medicine Modern Distance Education of China

基　　金：北京中医药管理局北京中医药科技发展资金项目【No.JJ2016-20】

摘　　要：目的观察中医外治保健方案对颈型颈椎病患者病后防复的效果。方法选取2017年1月—2018年6月平谷区中医医院推拿科、针灸科收治的颈型颈椎病患者250例作为研究对象,随机分为观察1、2、3、4组和对照组,每组50例。观察1组予推拿手法和功能锻炼,观察2组予中药热敷,观察3组予灸法,观察4组予健康指导,对照组为空白对照。比较各组患者干预期间颈椎病复发人次、天数。结果干预后复发人次比较:在干预后12周、随访12周、24周内,观察1、2、3、4组复发人次与对照组比较,均P<0.05。干预后12周、随访12周,观察1、2、3、4组复发天数均值与对照组比较,均P<0.05。随访24周,观察1、2、3、4组复发天数与对照组比较,均P<0.05,观察1组、观察3组、4组与观察2组相比较,差异有统计学意义,P<0.05。结论在减少复发次数及每次复发天数方面,推拿、灸法、中药热敷具有较好作用。Objective To observe effect of TCM external treatment and health care on prevention of recurrence of the neck cervical spondylosis.Methods 250 cases with the neck cervical spondylosis in manipulation department and acupuncture department from January 2017 to June 2018 were randomly divided into five groups,including four observation groups and one control group,with 50 cases in each group.Observation group 1 was treated by massage manipulation and functional training.Observation group 2 was treated by TCM fomentation.Observation group 3 was treated by moxibustion.Observation group 4 underwent health guidance.The control group was a blank control group.The person times of relapse and the recurrence days during the intervention were recorded and analyzed.Results The person times of relapse of four observation groups were significantly different from that of control group,on 12 weeks after intervened,follow-up 12 weeks and 24 weeks(P<0.05).The recurrence days of four observation groups were significantly different from that of control group,on 12 weeks after intervened and follow-up 12 weeks(P<0.05).The recurrence days of observation group 1,2,4 were significantly different from that of observation group 3,on follow-up 24 weeks(P<0.05).Conclusion Massage manipulation,moxibustion,TCM fomentation and health guidance were effective on the person times of relapse and the recurrence days of the neck type cervical spondylosis.

关 键 词：项痹 颈型颈椎病 中医外治疗法 病后防复 

分 类 号：R24[医药卫生—中医临床基础]