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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:

第25卷

期数:

2013年10期

页码:

14-16

栏目:

临床研究

出版日期:

2013-10-30

文章信息/Info

Title:

Effect of acupoint sticking therapy combined with cervical vertebra exercises on cervicalspondylotic radiculopathy

作者:

郭浩山; 关涛

山东省聊城市中医医院,山东 聊城 252000

Author(s):

Guo Haoshan^*; Guan Tao.^*

Traditional Chinese Medical Hospital of Liaocheng,Liaocheng 252000,Shandong,China

关键词:

颈椎病 穴位贴敷法 运动疗法 项痹膏

Keywords:

Cervical spondylosis;  Acupoint sticking therapy;  Exercise therapy;  XIANGBI UNGUENTUM

摘要:

目的:观察项痹膏穴位贴敷配合颈椎保健操治疗神经根型颈椎病的临床疗效。方法:神经根型颈椎病患者120例,男74例,女46例; 年龄31～73岁,中位数46.5岁; 病程1～72个月,中位数20.5个月; 随机分为2组,观察组60例,采用项痹膏穴位贴敷配合颈椎保健操治疗; 对照组60例,采用立式特定电磁波谱治疗仪理疗配合药物内服治疗; 7 d为1个疗程,共治疗2个疗程。采用疼痛视觉模拟评分法于治疗前后对患者疼痛情况进行评分; 参照《中医病证诊断疗效标准》中颈椎病疗效评定标准评定疗效; 并对2组的疼痛视觉模拟评分及疗效进行组间比较。结果:治疗前2组患者疼痛视觉模拟评分比较,差异无统计学意义[(4.60±1.06)分,(4.53±0.93)分; t=0.366,P=0.225]; 治疗后观察组患者疼痛视觉模拟评分低于对照组,差异有统计学意义[(1.30±1.59)分,(1.90±2.17)分; t=1.730,P=0.013]。观察组治愈31例、好转26例、未愈3例; 对照组治愈27例、好转22例、未愈11例。观察组疗效优于对照组(R^-_观察组=0.448,R^-_对照组=0.552; u=2.185,P=0.031)。结论:项痹膏穴位贴敷配合颈椎保健操治疗神经根型颈椎病,可有效缓解疼痛,有利于颈、肢体的功能恢复及患者日常工作、生活能力的恢复,疗效优于立式特定电磁波谱治疗仪理疗配合药物内服。

Abstract:

Objective:To observe the therapeutic effect of XIANGBI unguentum applied to acupoint combined with cervical vertebra exercises on cervicalspondylotic radiculopathy.Methods:One hundred and twenty patients(74 males and 46 females)with cervicalspondylotic radiculopathy,with a median age of 46.5 years(31-73)and a median disease courses of 20.5 months(1-72),were randomly divided into 2 groups,60 cases in each group.Patients in observation group were treated with application of XIANGBI unguentum to acupoint and cervical vertebra exercises,while patients in control group were treated with specific electromagnetic wave physiotherapy and oral drugs administration.The total disease course was 14 days,7 days for each course.Pain before and after treatment was measured by using visual analogue scale(VAS)and the therapeutic effects were evaluated according to therapeutic effect evaluation standard of cervical spondylosis which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes.VAS scores and therapeutic effect were compared between the 2 groups.Results:There was no statistical difference in VAS scores between the 2 groups before the treatment(4.60+/-1.06 vs 4.53+/-0.93 points,t=0.366,P=0.225),The VAS scores of observation group was lower than that of control group after the treatment(1.30+/-1.59 vs 1.90+/-2.17 points,t=1.730,P=0.013).Thirty-one patients were cured,26 improved and 3 poor in observation group; while 27 patients were cured,22 improved and 11 poor in control group.The observation group surpassed the control group in the therapeutic effect(R^-_{observation group}=0.448,R^-_{control group}=0.552; u=2.185,P=0.031).Conclusion:The therapy of XIANGBI unguentum applied to acupoint combined with cervical vertebra exercises can effectively relieve the pain in the treatment of cervicalspondylotic radiculopathy,and it is helpful to the restoration of neck and limbs function and the recovery of ability of routine work and daily living,and its therapeutic effect is better than that of specific electromagnetic wave physiotherapy combined with oral drugs administration.

备注/Memo

备注/Memo:

2012-09-26收稿 2012-12-22修回
基金项目:国家中医临床研究基地业务建设科研专项(2012K02)

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更新日期/Last Update: 2013-10-30