脊柱微调手法结合牵引治疗神经根型颈椎病的随机对照研究  

A Randomized Controlled Trial on the Treatment of Cervical Spondylotic Radiculopathy Through Spinal Fine Adjusting Manipulation Combined with Traction

作　　者：罗永宝[1] 赵海龙 刘伙生 宣守松 余方辉 孙武权[2] LUO Yong-bao;ZHAO Hai-long;LIU Huo-sheng;XUAN Shou-song;YU Fang-hui;SUN Wu-quan(Jiading Hospital of Traditional Chinese Medicine,Shanghai 201800;Yuevang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437)

机构地区：[1]上海市嘉定区中医医院,上海201800 [2]上海中医药大学附属岳阳中西医结合医院,上海200437

出　　处：《按摩与康复医学》2021年第18期1-4,共4页Chinese Manipulation and Rehabilitation Medicine

基　　金：上海市“三年行动计划”中医药临床重大项目“中医脊柱病临床基地建设”(ZY3-LCPT-1-1007)。

摘　　要：目的:本研究从视觉模拟标尺(Visual Analogue Scale,VAS)及颈椎功能障碍指数量表(Neck Disability Index,NDI)的角度,观察脊柱微调手法结合牵引治疗神经根型颈椎病(Cervical Spondylotic Radiculopathy,CSR)的临床疗效,探索治疗CSR的更优方法。方法:将96例神经根型颈椎病患者随机分为脊柱微调手法结合牵引组(治疗组)48例和传统推拿手法结合牵引组(对照组) 48例;将两组治疗前后的VAS评分、NDI指数及临床疗效进行比较。结果:治疗4周后,治疗组总有效率为95.83%,对照组总有效率为81.25%,两组患者较治疗前VAS评分、NDI指数评定均有显著改善(P<0.01),而治疗组较对照组改善更为显著(P<0.05)。结论:脊柱微调手法结合牵引治疗神经根型颈椎病方法安全、疗效确切,相关指标均明显优于对照组,具有很好的临床推广价值。Objective:In this study,form the Visual Analogue Scale and the Neck Disability Index angles,the clinical efficacy of spinal fine adjusting manipulation combined with traction in the treatment of cervical spondylotic radiculopathy(CSR) was observed,and a better method for the treatment of CSR was explored.Methods:96 cases of CSR patients were randomly divided into two groups,48 for each.The treatment group was treated with spine fine adjusting manipulation combined with traction,and the control group was treated with traditional tuina manipulation combined with traction.The visual analogue scale(VAS) score,cervical disability index(NDI),and clinical efficacy were evaluated before and after treatment in the two groups.Results:After 4 weeks of treatment,the effective rates of the treatment group was 95.83%,the control group was 81.25%,respectively,and the score of VAS,NDI in the two groups were significantly improved(P<0.01),while the improvement of the treatment group was more significant than that of the control group(P<0.05).Conclusion:The treatment of cervical spondylotic radiculopathy by spinal fine adjusting manipulation combined with traction was safe and effective,and the relevant indexes were significantly better than those of the control group,which was worth a wider adoption.

关 键 词：脊柱微调手法 牵引 神经根型颈椎病 随机对照研究 

分 类 号：R274.9[医药卫生—中西医结合]