龙氏治脊疗法结合放血疗法治疗40例神经根型颈椎病  

Study on 40 Cases of Cervical Spondylotic Radiculopathy Treated by Long's Chiropractic Therapy combined with Bloodletting Therapy

作　　者：文舒宁 袁小敏 赵彪 WEN Shuning;YUAN Xiaomin;ZHAO Biao(Zhuhai Hospital of Integrated Traditional Chinese and Western Medicine,Zhuhai Guandong 519000,China)

机构地区：[1]珠海市中西医结合医院,广东珠海519000

出　　处：《中医药导报》2024年第6期79-83,94,共6页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：广东省中医药局科研资助项目(20212209)。

摘　　要：目的:观察龙氏治脊疗法联合放血疗法对神经根型颈椎病患者症状的影响。方法:将164例神经根型颈椎病患者随机分为对照组、龙氏治脊组、放血组、联合组,每组各41例。对照组给予常规药物治疗,龙氏治脊组在对照组基础上应用龙氏治脊疗法治疗,放血组在对照组基础上应用放血疗法,联合组在对照组基础上应用放血疗法和龙氏治脊疗法。1周为1个疗程,共治疗2个疗程。治疗前、治疗1个疗程后、治疗2个疗程后分别用视觉模拟评分法(VAS)疼痛评分、VAS麻木评分、田中靖久颈椎病症状量表评分、颈椎功能障碍指数进行比较。同时评价治疗2个疗程后的临床疗效。结果:放血组剔除2例,联合组剔除1例,4组共161例完成研究。治疗2个疗程后,对照组、龙氏治脊组、放血组、联合组的VAS疼痛评分、VAS麻木评分、田中靖久颈椎病症状量表评分、颈椎功能障碍指数均较治疗前提高(P<0.01),且龙氏治脊组、放血组、联合组治疗2个疗程后VAS疼痛评分、VAS麻木评分、田中靖久颈椎病症状评分、颈椎功能障碍指数与对照组比较,差异均有统计学意义(P<0.05)。在治疗2个疗程后,联合组、对照组、龙氏治脊组、放血组总显效率分别为87.5%(35/40)、43.9%(18/41)、68.3%(28/41)、69.2%(27/39);联合组总显效率高于对照组、龙氏治脊组、放血组(P<0.05);龙氏治脊组和放血组总显效率均高于对照组(P<0.05);龙氏治脊组与放血组比较,差异无统计学意义(P>0.05)。龙氏治脊疗法和放血疗法两者无交互作用(P>0.05)。VAS疼痛评分、VAS麻木评分、颈椎功能障碍指数各评分的时间因素和分组因素都存在交互效应(P<0.01),4组下降趋势不一致,联合组下降幅度最大。田中靖久症状量表评分的时间因素和分组因素存在交互效应(P<0.01),4组增长幅度不一致,联合组增长幅度最大。结论:龙氏治脊疗法联合放血疗法可有效缓解神�Objective:To observe the effect of Long's chiropractic therapy combined with bloodletting therapy on the symptoms of patients with cervical spondylotic radiculopathy.Methods:A total of 164 patients with cervical spondylotic radiculopathy were randomly divided into control group,Long's group,bloodletting group and Long's combined bloodletting group,41 cases in each group.The control group was given routine drug treatment,and the Long's group was treated with Long's chiropractic therapy on the basis of the control group.The bloodletting group was treated with bloodletting therapy on the basis of the control group,and the Long's combined bloodletting group was treated with bloodletting therapy and Long's chiropractic therapy on the basis of the control group.One week is a course of treatment,with a total of 2 courses of treatment.Before treatment,after one course of treatment and after two courses of treatment,the scores of VAS pain scale,visual simulation numbness scale,Tanaka Jingjiu cervical spondylosis symptom scale and cervical dysfunction index were compared respectively.At the same time,the curative effect was evaluated after two courses of treatment.Results:A total of 2 cases were excluded from the bloodletting group,1 case was excluded from the Long's combined bloodletting group,and 161 cases in 4 groups completed the study.After 2 courses of treatment,the scores of VAS pain scale,visual simulated numbness,Tanaka Jingjiu cervical spondylosis symptom scale and cervical vertebra dysfunction index in the control group,Long's group,bloodletting group and Long's combined bloodletting group were all higher than those before treatment(P<0.01),and compare with the control group,there were statistically significant differences in the scores of VAS pain scale,visual simulated numbness,Tanaka Jingjiu cervical spondylosis symptom scale and cervical vertebra dysfunction index in Long's group,bloodletting group and Long's combined bloodletting group after 2 courses of treatment(P<0.05).After two courses of treatment,the

关 键 词：神经根型颈椎病 龙氏治脊疗法 放血疗法 析因设计 临床研究 

分 类 号：R244.15[医药卫生—针灸推拿学]