中医三维立体牵引治疗神经根型颈椎病的临床研究  

Clinical study on TCM three-dimensional traction in the treatment of cervical spondylotic radiculopathy (CSR)

作　　者：陈博[1,2] 顾新丰[1,2] 张旻 庞坚[1,2] 杜国庆[1,2] 雷腾飞[1,2] 胡零三 詹红生[1,2] 林勋[1,2] CHEN Bo;GU Xinfeng;ZHANG Min;PANG Jian;DU Guoqing;LEI Tengfei;HU Lingsan;ZHAN Hongsheng;LIN Xun(Shi’s Traumatology Medical Center of Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Institute of Bone Trauma,Shanghai Academy of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属曙光医院石氏伤科医学中心,上海201203 [2]上海市中医药研究院骨伤科研究所,上海201203

出　　处：《上海中医药杂志》2019年第12期49-51,共3页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目、青年基金项目(81774340,81704103);上海市科委科研计划医学重点项目(16401970102);上海市进一步加快中医药事业发展三年行动计划项目(ZY3-LCPT-2-1005);上海申康医院发展中心新兴前沿技术项目(SHDC12014121);上海市卫计委科研项目(ZYKC201602006);上海市浦东新区中医药事业发展专项(PZY2015-1)

摘　　要：目的观察中医三维立体牵引治疗神经根型颈椎病的临床疗效。方法将80例神经根型颈椎病患者随机分为治疗组和对照组,每组40例。治疗组采用中医三维立体牵引装置治疗(三维立体间歇牵引),对照组采用传统颈椎牵引椅治疗(传统连续牵引)。两组疗程均为2周,观察治疗安全性,比较疼痛视觉模拟评分(VAS)和颈椎功能障碍指数量表评分(NDI)的变化情况。结果①试验期间,未见脱落病例。②治疗前后组内比较,两组VAS评分、NDI评分均明显减少(P<0.05);组间治疗后比较,治疗组VAS评分、NDI评分明显低于对照组(P<0.05)。③治疗组不良反应发生率明显低于对照组(P<0.05)。结论与传统颈椎牵引相比,中医三维立体牵引治疗神经根型颈椎病,能更好地缓解颈椎疼痛及功能障碍,且不良反应更少。Objective To observe the clinical effect of TCM three-dimensional traction in the treatment of cervical spondylotic radiculopathy(CSR). Methods Eighty cases of CSR were randomized into the treatment group and the control group with 40 cases in each group. The treatment group was treated with TCM three-dimensional traction device(three-dimensional intermittent traction), while the control group was treated with traditional cervical traction chair(traditional continuous traction). The course of treatment in both groups was 2 weeks. The safety of treatment was observed and the changes of Visual Analogue Scale(VAS) and Neck Disability Index(NDI) were compared. Results ①There was no drop-out case during the trial. ②The scores of VAS and NDI of the two groups before and after treatment respectively were significantly reduced(P<0.05);After treatment, the VAS score and NDI score of the treatment group were significantly lower than those of the control group(P<0.05). ③The incidence of adverse reactions in the treatment group was significantly lower than that in the control group(P<0.05). Conclusion Compared with the traditional cervical traction, TCM three-dimensional traction can better relieve the pain and dysfunction with fewer adverse reactions in the treatment of CSR.

关 键 词：神经根型颈椎病 牵引疗法 间歇牵引 生理曲度 筋出槽骨错缝 

分 类 号：R68[医药卫生—骨科学]