整脊手法配合练功治疗神经根型颈椎病的疗效观察  

Therapeutic Effect of Chiropractic Manipulation Combined with Health Exercises on Cervical Spondylotic Radiculopathy

作　　者：王贤 曾浩彬[2] 陈茂水[2] 张博[2] WANG Xian;ZENG Hao-Bin;CHEN MaoShui;ZHANG Bo(The Second Clinical Medical School,Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Dept,of Spine,Zhuliai Branch Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine,Zhuhai 519015 Guangdong,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510405 [2]广东省中医院珠海医院脊柱科,广东珠海519015

出　　处：《广州中医药大学学报》2021年第8期1661-1665,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省中医药局科研项目(编号:20182141)。

摘　　要：【目的】探讨整脊手法配合练功治疗神经根型颈椎病(CSR)的临床疗效。【方法】将60例CSR患者随机分为治疗组和对照组,每组各30例。治疗组给予行整脊手法配合练功法治疗,对照组给予行颈椎牵引治疗,疗程为2周。观察2组患者治疗前、治疗后及末次随访(治疗后的1个月)时疼痛视觉模拟量表(VAS)评分、颈椎功能障碍指数(NDI)评分的变化情况,并评价2组患者的临床疗效。【结果】(1)治疗2周后,治疗组的总有效率为93.3%(28/30),对照组为86.7%(26/30),治疗组的疗效略优于对照组,但差异无统计学意义(P>0.05)。(2)治疗后及末次随访时,2组患者的VAS评分均较治疗前明显降低(P<0.05),且治疗组在治疗后对VAS评分的降低作用明显优于对照组(P<0.05)。(3)治疗后及末次随访时,2组患者的NDI评分均较治疗前明显降低(P<0.05),且治疗组在治疗后及末次随访时对NDI评分的降低作用均明显优于对照组(P<0.05)。【结论】整脊手法配合练功对CSR疗效确切。Objective To observe the clinical effect of chiropractic manipulation combined with health exercises for the treatment of cervical spondylotic radiculopathy. Methods A total of 60 patients with cervical spondylotic radiculopathy were randomly divided into treatment group and control group,with 30 cases in each group. The treatment group was treated with chiropractic manipulation and health exercises,and the control group was treated with cervical traction. The course of treatment for the two groups lasted 2 weeks. Before and after treatment and at the last follow-up(one month after treatment),the pain visual analogue scale(VAS)scores and the neck disability index(NDI)scores in the two groups were examined. Meanwhile, the clinical efficacy in the two groups was evaluated. Results(1)After treatment for 2 weeks,the total effective rate of the treatment group was 93.3%(28/30),and that of the control group was 86.7%(26/30). The efficacy of the treatment group was mildly superior to that of the control group,and the difference between the two gorups was insignificant(P>0.05).(2)After treatment and at the last follow-up,VAS scores of the two groups were decreased in comparison with those before treatment(P<0.05), and the decrease in the treatment group after treatment was superior to that in the control group(P<0.05).(3)After treatment and at the last follow-up, NDI scores of the two groups were decreased in comparison with those before treatment(P<0.05),and the decrease in the treatment group after treatment and at the last follow-up was superior to that in the control group(P<0.05). Conclusion Chiropractic manipulation combined with health exercises exerts certain effect for the treatment of cervical spondylotic radiculopathy.

关 键 词：整脊手法 练功 神经根型颈椎病(CSR) 视觉模拟量表(VAS)评分 颈椎功能障碍指数(NDI)评分 

分 类 号：R244.1[医药卫生—针灸推拿学]