[1]吴忌,李越,楚福明,等.二黄新伤止痛软膏走罐联合颈椎旋提手法治疗神经根型颈椎病[J].中医正骨,2017,29(04):8-12.
　WU Ji,LI Yue,CHU Fuming,et al.Moving cupping therapy with Erhuang Xinshang Zhitong Ruangao(二黄新伤止痛软膏)combined with cervical vertebra rotation-traction manipulation for treatment of cervical spondylotic radiculopathy[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(04):8-12.
点击复制

二黄新伤止痛软膏走罐联合颈椎旋提手法治疗神经根型颈椎病()
分享到：

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期数:
2017年04期
页码:
8-12
栏目:
临床研究
出版日期:
2017-04-20

文章信息/Info

Title:
Moving cupping therapy with Erhuang Xinshang Zhitong Ruangao(二黄新伤止痛软膏)combined with cervical vertebra rotation-traction manipulation for treatment of cervical spondylotic radiculopathy
作者:
吴忌; 李越; 楚福明; 黄莉; 唐小松; 王艳杰; 王雯; 苏洪
四川省骨科医院,四川 成都 610041
Author(s):
WU Ji; LI Yue; CHU Fuming; HUANG Li; TANG Xiaosong; WANG Yanjie; WANG Wen; SU Hong
Sichuan Orthopaedic Hospital,Chengdu 610041,sichuan,China
关键词:
颈椎病;  推罐;  肌肉骨骼手法;  二黄新伤止痛软膏
Keywords:
Key words cervical spondylosis;  moving cupping therapy;  musculoskeletal manipulations;  Erhuang Xinshang Zhitong Ruangao
摘要:
目的:探讨二黄新伤止痛软膏走罐联合颈椎旋提手法治疗神经根型颈椎病的临床疗效。方法:2015年1月至2016年1月,选择神经根型颈椎病患者90例,随机分为2组,试验组48例、对照组42例。试验组采用二黄新伤止痛软膏走罐联合颈椎旋提手法治疗,对照组采用颈部放松手法联合颈椎牵引治疗。隔日治疗1次,每周3次,共治疗2周。分别于治疗前、治疗1周后及治疗2周后采用疼痛视觉模拟量表(visual analogue scale,VAS)对患者颈肩部疼痛情况进行评价,并采用田中靖久等制定的神经根型颈椎病疗效判定标准对临床疗效进行综合评价。结果:治疗前后不同时间点间患者颈肩部疼痛VAS评分的差异有统计学意义(F=1 031.863,P=0.000),即存在时间效应,VAS评分逐渐降低。2组患者颈肩部疼痛VAS评分总体比较,组间差异有统计学意义(t=30.214,P=0.000),即存在分组效应。治疗前,2组患者颈肩部疼痛VAS评分的组间差异无统计学意义[(7.156±0.839)分,(7.345±0.873)分,t=1.095,P=0.298]; 治疗1周后和治疗2周后,试验组颈肩部疼痛VAS评分均低于对照组[(4.260±0.928)分,(5.012±0.815)分,t=16.434,P=0.000;(1.927±0.744)分,(3.012±0.676)分; t=51.852,P=0.000)。时间因素与分组因素存在交互效应(F=9.226,P=0.000)。治疗前后不同时间点间患者临床疗效综合评分的差异有统计学意义(F=383.412,P=0.000),即存在时间效应,临床疗效综合评分逐渐增高。2组患者临床疗效综合评分总体比较,差异有统计学意义(F=23.405,P=0.000),即存在分组效应。治疗前,2组患者临床疗效综合评分的差异无统计学意义(10.100±2.116)分,(10.210±2.055)分,t=0.062,P=0.803]; 治疗1周后和治疗2周后,试验组临床疗效综合评分均高于对照组[(13.980±1.422)分,(13.020±1.538)分,t=9.373,P=0.003;(17.710±0.874)分,(15.310±1.554)分,t=84.088,P=0.000]; 时间因素与分组因素存在交互效应(F=15.064,P=0.000)。结论:二黄新伤止痛软膏走罐联合颈椎旋提手法治疗神经根型颈椎病,可有效缓解患者颈肩部疼痛,综合临床疗效优于颈部放松手法联合颈椎牵引。
Abstract:
ABSTRACT Objective:To explore the clinical curative effects of moving cupping therapy with Erhuang Xinshang Zhitong Ruangao(二黄新伤止痛软膏,EHXSZTRG)combined with cervical vertebra rotation-traction manipulation for treatment of cervical spondylotic radiculopathy.Methods:From January 2015 to January 2016,ninety patients with cervical spondylotic radiculopathy were selected and randomly divided into experimental group(48 cases)and control group(42 cases).The patients in experimental group were treated with EHXSZTRG moving cupping therapy combined with cervical vertebra rotation-traction manipulation,while the patients in control group were treated with cervical relaxation manipulation combined with cervical traction,three times a week for 2 weeks.The neck and shoulder pain were evaluated by using visual analogue scale(VAS)and the clinical comprehensive curative effects were evaluated by using therapeutic effect criterion of cervical spondylotic radiculopathy made by YASUJI TANAKA before treatment and at 1 and 2 weeks after the treatment respectively.Results:There was statistical difference in the neck and shoulder pain VAS scores between different timepoints before and after the treatment(F=1 031.863,P=0.000),in other words,there was time effect.The VAS scores decreased gradually.There was statistical difference in the neck and shoulder pain VAS scores between the 2 groups in general(t=30.214,P=0.000),in other words,there was group effect.There was no statistical difference in the neck and shoulder pain VAS scores between the 2 groups before treatment(7.156+/-0.839----------------------------------------------- vs 7.345+/-0.873 points,t=1.095,P=0.298).The neck and shoulder pain VAS scores were lower in experimental group compared to control group at 1 and 2 weeks after the treatment(4.260+/-0.928 vs 5.012+/-0.815 points,t=16.434,P=0.000; 1.927+/-0.744 vs 3.012+/-0.676 points,t=51.852,P=0.000).There was interaction between time factor and group factor(F=9.226,P=0.000).There was statistical difference in the comprehensive scores of clinical curative effect between different timepoints before and after the treatment(F=383.412,P=0.000),in other words,there was time effect.The comprehensive scores of clinical curative effect increased gradually.There was statistical difference in the comprehensive scores of clinical curative effect between the 2 groups in general(F=23.405,P=0.000),in other words,there was group effect.There was no statistical difference in the comprehensive scores of clinical curative effect between the 2 groups before treatment(10.100+/-2.116 vs 10.210+/-2.055 points,t=0.062,P=0.803).The comprehensive scores of clinical curative effect were higher in experimental group compared to control group at 1 and 2 weeks after the treatment(13.980+/-1.422 vs 13.020+/-1.538 points,t=9.373,P=0.003; 17.710+/-0.874 vs 15.310+/-1.554 points,t=84.088,P=0.000).There was interaction between time factor and group factor(F=15.064,P=0.000).Conclusion:The combination therapy of EHXSZTRG moving cupping therapy and cervical vertebra rotation-traction manipulation can effectively relieve the neck and shoulder pain in the treatment of cervical spondylotic radiculopathy,and its comprehensive clinical curative effect is better than that of the combination therapy of cervical relaxation manipulation and cervical traction.

参考文献/References:

[1] 朱立国,于杰.关于神经根型颈椎病的临床治疗评述[J].医学信息:内·外科版,2009,22(1):3-6.
[2] 吴燕,姚新苗,徐守宇.运动疗法联合口服消炎镇痛药及颈椎牵引治疗神经根型颈椎病[J].中医正骨,2014,26(1):24-26.
[3] 安连生,韦坚,陈升旭,等.韦氏颈椎手法配合中药烫疗治疗神经根型颈椎病的临床研究[J].中医正骨,2014,26(6):35-38.
[4] 白玉,邓素玲,孙树椿.跟随孙树椿教授治疗神经根型颈椎病的临床体会[J].中医正骨,2013,25(11):64-66.
[5] 江建春.神经根型颈椎病的中医药治疗研究概况[J].中医正骨,2015,27(11):71-74.
[6] 赖忠维,谭佳,刘晓岚.中药封包外敷联合高压氧疗法治疗神经根型颈椎病[J].中医正骨,2016,28(9):35-36.
[7] 王翔,詹红生,张明才,等.石氏手法治疗神经根型颈椎病的疗效观察[J].中医正骨,2015,27(4):12-14.
[8] 韦英成,董彤,吴肖梅,等.推拿手法治疗神经根型颈椎病的研究进展[J].中医正骨,2015,27(10):65-67.
[9] 赵军,王庆甫.三分法在颈椎病颈项部筋伤诊治中的应用[J].中医正骨,2014,26(2):65-67.
[10] 李增春,陈德玉,吴德升,等.第三届全国颈椎病专题座谈会纪要[J].中华外科杂志,2008,46(23):1796-1799.
[11] 蒋协远,王大伟.骨科临床疗效评价标准[M].北京:人民卫生出版社,2005:123.
[12] 田中靖久.頚部神経根症治療成績判定基準[J].脊椎脊髄ジャーナル,2006,19(4):300-302.
[13] NORDIN M,FRANKEL VH.肌肉骨骼系统基础生物力学[M].邝适存,郭霞,译.北京:人民卫生出版社,2008:29.
[14] 邓真,牛文鑫,王辉昊,等.生物力学在中医骨伤手法治疗颈椎病中的应用[J].医用生物力学,2015,30(6):569-573.
[15] 叶国栋,王艳国.颈椎曲度异常与颈椎病的相关性[J].颈腰痛杂志,2014,35(2):154-156.
[16] 陈波,陈泽林,郭义,等.罐疗之走罐研究——天人地三部走罐法[J].中国针灸,2010,30(9):777-780.
[17] 李振忠.拔罐疗法临床应用研究进展[J].现代诊断与治疗,2014,17(25):3923-3925.
[18] 张耀巍,毛林焕,廉安琪.中药拔罐法的临床研究[J].西部中医药,2013,26(2):108-110.
[19] 王乾,朱立国,高景华.旋提手法治疗神经根型颈椎病的疗效观察[J].中医正骨,2009,21(6):409-411.
[20] 朱立国,于杰,高景华.旋转手法治疗神经根型颈椎病研究概述[J].中医正骨,2005,17(8):69-70.

相似文献/References:

[1]孙献武,于香兰,邵海燕,等.应用三维动静态平衡康复模式治疗 非脊髓型颈椎病的临床研究[J].中医正骨,2015,27(11):8.
　SUN Xianwu,YU Xianglan,SHAO Haiyan,et al.Clinical study on three-dimensional dynamic and static equilibrium rehabilitation modality in the treatment of non-myelopathy type cervical spondylosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(04):8.
[2]江建春.神经根型颈椎病的中医药治疗研究概况[J].中医正骨,2015,27(11):71.
[3]韦英成,董彤,吴肖梅,等.推拿手法治疗神经根型颈椎病的研究进展[J].中医正骨,2015,27(10):65.
[4]张莉,秦丹霞,张细姣.Orem自理理论在前路手术治疗脊髓型颈椎病 围手术期护理中的应用[J].中医正骨,2015,27(09):75.
[5]邸保林,董国顺,林红猛.俯卧斜扳法治疗神经根型颈椎病[J].中医正骨,2015,27(07):70.
[6]白玉,王爱国.郭春园教授治疗颈椎病的学术思想探究[J].中医正骨,2015,27(02):64.
[7]郝庆英,刘楚吟,付婵娟,等.Hybrid手术治疗脊髓型颈椎病的护理[J].中医正骨,2015,27(02):78.
[8]王翔,詹红生,张明才,等.石氏手法治疗神经根型颈椎病的疗效观察[J].中医正骨,2015,27(04):12.
　WANG Xiang,ZHAN Hongsheng,ZHANG Mingcai,et al.Observation on the curative effect of Shi's manipulation in the treatment of cervical spondylotic radiculopathy[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(04):12.
[9]史俊德,梁舒涵,海渊.毛书歌教授治疗寰枢关节错缝的经验[J].中医正骨,2015,27(04):76.
[10]王树强,杨振国,刘文斌,等.董建文教授治疗神经根型颈椎病的经验[J].中医正骨,2015,27(01):69.

备注/Memo

备注/Memo:
基金项目:四川省中医药科学技术研究专项项目(2016Q027); 2015年度四川省骨科医院科研课题 通讯作者:吴忌 E-mail:239993809@qq.com
更新日期/Last Update: 1900-01-01