[1]徐创龙,唐春兰,刘红平,等.卧位调衡手法联合颈部五禽操治疗神经根型颈椎病的临床研究[J].中医正骨,2017,29(06):20-24.
　XU Chuanglong,TANG Chunlan,LIU Hongping,et al.A clinical study of regulating balance manipulation in clinostatism combined with cervical five mimic-animal boxing for treatment of cervical spondylotic radiculopathy[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(06):20-24.
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卧位调衡手法联合颈部五禽操治疗神经根型颈椎病的临床研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期数:
2017年06期
页码:
20-24
栏目:
临床研究
出版日期:
2017-06-20

文章信息/Info

Title:
A clinical study of regulating balance manipulation in clinostatism combined with cervical five mimic-animal boxing for treatment of cervical spondylotic radiculopathy
作者:
徐创龙1; 唐春兰1; 刘红平2; 富雅丽2; 曹玉凤2
1.宁夏回族自治区中医医院暨中医研究院,宁夏 银川 750021; 2.甘肃省金昌市中西医结合医院,甘肃 金昌 737100
Author(s):
XU Chuanglong1; TANG Chunlan1; LIU Hongping2; FU Yali2; CAO Yufeng2
1.Ningxia TCM hospital and academy of Chinese medicine,Yinchuan 750021,Ningxia,China 2.Jinchang combinational hospital of traditional Chinese medicine and Western medicine,Jinchang 737100,Gansu,China
关键词:
颈椎病;  推拿; 脊柱;  五禽戏;  临床试验
Keywords:
Key words cervical spondylosis;  manipulation; spinal;  five mimic-animal boxing;  clinical trial
摘要:
目的:探讨卧位调衡手法联合颈部五禽操治疗神经根型颈椎病的临床疗效和安全性。方法:将符合要求的100例神经根型颈椎病患者随机分为2组,每组50例。联合治疗组采用卧位调衡手法联合颈部五禽操治疗,推拿治疗组采用常规 颈椎推拿手法治疗,均治疗20 d。分别于治疗前、治疗10 d后、治疗20 d后及治疗结束后10 d随访时采用疼痛视觉模拟量表(visual analogue scale,VAS)和田中靖久等制定的神经根型颈椎病疗效判定标准评定疼痛程度和临床综合疗效,同时观察治疗及随访期间的并发症发生情况。结果:联合治疗组2例患者和推拿治疗组1例患者未能坚持完成治疗予以剔除。治疗及随访期间2组患者均未出现并发症。治疗前后不同时间点疼痛VAS评分的差异有统计学意义,即存在时间效应(F=15.000,P=0.000); 治疗后2组疼痛VAS评分均呈下降趋势(F=0.970,P=0.000; F=7.950,P=0.000)。治疗前2组疼痛VAS评分比较,差异无统计学意义[(8.29±0.74)分,(8.37±0.70)分,t=0.517,P=0.606]; 治疗10 d后、治疗20 d后及治疗结束后10 d时联合治疗组的疼痛VAS评分均低于推拿治疗组[(4.58±1.30)分,(5.20±0.82)分,t=2.820,P=0.006;(1.17±1.10)分,(2.71±1.22)分,t=5.207,P=0.000;(0.67±0.34)分,(1.51±1.21)分,t=3.235,P=0.002]。时间因素和分组因素存在交互效应(F=27.110,P=0.000)。治疗前后不同时间点临床综合疗效评分的差异有统计学意义,即存在时间效应(F=52.456,P=0.000),治疗后2组临床综合疗效评分均呈上升趋势。2组患者临床综合疗效评分总体比较,组间差异无统计学意义,即不存在分组效应(F=11.074,P=0.428)。时间因素和分组因素不存在交互效应(F=2.463,P=0.089)。结论:卧位调衡手法联合颈部五禽操能有效改善神经根型颈椎病患者的疼痛症状,其效果优于常规颈椎推拿手法,而且具有较高的安全性,但短期综合疗效与常规颈椎推拿手法相当。
Abstract:
ABSTRACT Objective:To explore the clinical curative effects and safety of regulating balance manipulation in clinostatism combined with cervical five mimic-animal boxing in the treatment of cervical spondylotic radiculopathy(CSR).Methods:One hundred patients with CSR were randomly divided into combination therapy group and manipulation group,50 cases in each group.The patients in combination therapy group were treated with regulating balance manipulation in clinostatism combined with cervical five mimic-animal boxing,while the patients in manipulation group were treated with conventional cervical massage manipulation for 20 days.The pain degrees were evaluated by using visual analogue scale(VAS)and the total clinical curative effects were evaluated by using therapeutic effect criterion of CSR made by YASUJI TANAKA before treatment,after 10- and 20-day treatment and at 10 days after the end of the treatment respectively,and the complication incidences were observed and compared between the 2 groups during the treatment and follow-up period.Results:Two patients in combination therapy group and 1 patient in manipulation group failed to finish the treatment and were excluded.No complications were found in the 2 groups during the treatment and follow-up period.There was statistical difference in VAS scores between different timepoints,in other words,there was time effect(F=15.000,P=0.000).The VAS scores presented a decreasing trend in the 2 groups----------------------------------------------- after treatment(F=0.970,P=0.000; F=7.950,P=0.000).There was no statistical difference in VAS scores between the 2 groups before the treatment(8.29+/-0.74 vs 8.37+/-0.70 points,t=0.517,P=0.606).The VAS scores were lower in combination therapy group compared to manipulation group after 10- and 20-day treatment and at 10 days after the end of the treatment(4.58+/-1.30 vs 5.20+/-0.82 points,t=2.820,P=0.006; 1.17+/-1.10 vs 2.71+/-1.22 points,t=5.207,P=0.000; 0.67+/-0.34 vs 1.51+/-1.21 points,t=3.235,P=0.002).There was interaction between time factor and group factor(F=27.110,P=0.000).There was statistical difference in total clinical curative effect scores between different timepoints,in other words,there was time effect(F=52.456,P=0.000).The total clinical curative effect scores presented a rising trend in the 2 groups after the treatment.There was statistical difference in total clinical curative effect scores between the 2 groups in general,in other words,there was no group effect(F=11.074,P=0.428).There was no interaction between time factor and group factor(F=2.463,P=0.089).Conclusion:The combination therapy of regulating balance manipulation in clinostatism and cervical five mimic-animal boxing can effectively improve the pain in patients with CSR with high safety,and it surpasses conventional cervical massage manipulation in alleviating pain.However,the two therapies are similar to each other in short-term total clinical curative effects.

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备注/Memo

备注/Memo:
基金项目:甘肃省金昌市青年人才基金项目(jrc2015-76-12) 通讯作者:徐创龙 E-mail:mqxcl@163.com
更新日期/Last Update: 2017-06-20