[1]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):12-14.
　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):12-14.
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石氏手法治疗神经根型颈椎病的疗效观察()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年04期
页码:
12-14
栏目:
临床研究
出版日期:
2015-04-30

文章信息/Info

Title:
Observation on the curative effect of Shi's manipulation in the treatment of cervical spondylotic radiculopathy
作者:
王翔; 詹红生; 张明才; 陈元川; 石瑛; 陈东煜; 石印玉
上海中医药研究院骨伤科研究所,上海 201203
Author(s):
WANG Xiang; ZHAN Hongsheng; ZHANG Mingcai; CHEN Yuanchuan; SHI Ying; CHEN Dongyu; SHI Yinyu
The Institute of Traumatology and Orthopedics Affiliated to Shanghai Academy of Traditional Chinese Medicine,Shanghai 201203,China
关键词:
颈椎病;  手法; 捏脊;  治疗; 临床研究性
Keywords:
cervical spondylosis;  manipulation; chiropractic;  therapies; investigational
摘要:
目的:观察石氏手法治疗神经根型颈椎病的临床疗效。方法:将120例符合要求的神经根型颈椎病患者随机分为石氏组和常规组,每组60例。石氏组采用石氏手法治疗,常规组采用传统推拿、针灸、理疗或药物等非手术方法综合治疗,共治疗4周。分别于治疗前及治疗2周、4周后采用视觉模拟评分法(visual analogue score,VAS)评定患者颈肩部疼痛情况,治疗结束后采用按照《中医病证诊断疗效标准》中颈椎病的疗效标准自拟的标准评定疗效。结果:石氏组2例未完成治疗,常规组3例未完成治疗。治疗前后不同时间颈肩痛VAS评分的差异有统计学意义,即存在时间效应(F=16.011,P=0.000)。2组颈肩痛VAS评分比较总体上有统计学意义,即存在分组效应(F=3.498,P=0.001); 除治疗前外,治疗2周、4周后石氏组的评分均低于常规组[(5.733±1.013)分,(5.830±1.046)分,t=0.256,P=0.614;(2.905±1.214)分,(3.790±1.389)分,t=13.265,P=0.000;(1.219±1.107)分,(2.547±1.554)分,t=27.932,P=0.000]。时间因素与分组因素不存在交互效应(F=1.089,P=0.299)。治疗4周后,石氏组治愈26例、显效22例、有效9例、无效1例,常规组治愈19例、显效17例、有效18例、无效3例,石氏组的疗效优于常规组(R^-石氏组=52.13,R^-常规组=63.97; Z=-2.021,P=0.043)。结论:石氏手法可有效减轻神经根型颈椎病患者的颈肩痛,疗效确切。
Abstract:
Objective:To observe the clinical curative effect of Shi's manipulation in the treatment of cervical spondylotic radiculopathy(CSR).Methods:One hundred and twenty patients with CSR enrolled in the study were randomly divided into Shi's group and conventional group,60 cases in each group.Patients in Shi's group were treated with Shi's manipulation for 4 consecutive weeks,while the others in the conventional group were treated with non-operative treatment such as traditional massage,acupuncture,physical therapy or drugs for 4 consecutive weeks.The neck and shoulder pain were evaluated by using visual analogue score(VAS)before treatment and after 2 and 4-week treatment respectively,and the curative effect were evaluated after the treatment according to the self-designed therapeutic effect evaluation standard of cervical spondylosis which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes.Results:The treatment were unfinished in 2 patients(Shi's group)and 3 patients(conventional group)respectively.There was statistical difference in VAS scores of neck and shoulder pain between different time points,in other words,there was time effect(F=16.011,P=0.000).There was statistical difference in VAS scores of neck and shoulder pain between the 2 groups,in other words,there was group effect(F=3.498,P=0.001).The VAS scores were lower in Shi's group compared to conventional group after 2 and 4-week treatment(5.733+/-1.013 vs 5.830+/-1.046 points,t=0.256,P=0.614; 2.905+/-1.214 vs 3.790+/-1.389 points,t=13.265,P=0.000; 1.219+/-1.107 vs 2.547+/-1.554 points,t=27.932,P=0.000).There was no interaction between time factor and grouping factor(F=1.089,P=0.299).Twenty-six patients were cured,22 got a good result,9 fair and 1 poor in the Shi's group; while 19 patients were cured,17 got a good result,18 fair and 3 poor in the conventional group after 4-week treatment.The Shi's group surpassed the conventional group in the curative effect(R^-Shi's group=52.13,R^-conventional group=63.97; Z=-2.021,P=0.043).Conclusion:Shi's manipulation can effectively reduce the neck and shoulder pain in patients with CSR,and its clinical effect is definite.

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备注/Memo

备注/Memo:
2014-12-03收稿 2015-02-03修回
基金项目:国家自然科学基金项目(81073114、81001528、81202707); “海派中医流派传承研究基地”项目(ZYSNXD-CC-HPGC-JD-001); “中医骨伤科学”国家重点学科项目(100508); 上海市中医药领军人才建设项目(2012-63-15); 上海领军人才项目(041); 上海市中医药事业发展三年行动计划项目(ZYSNXD-CC-ZDYJ047); 上海市科学技术委员会科研计划医学重点项目(12411951400)
更新日期/Last Update: 2015-04-30