摘要
目的：观察仰卧位后伸定点旋转扳法治疗颈型颈椎病的临床疗效。方法选择110例符合纳入标准的颈型颈椎病患者作为研究对象，按随机数字表法分为治疗组和对照组，每组各55例，治疗组采用以仰卧位后伸定点旋转扳法治疗，手法隔天1次，每周3次，1周为1个疗程，对照组采用传统推拿手法治疗，手法每天1次，每周5次，休息2 d，1周为1个疗程，两组均治疗2个疗程，治疗前后采用 Borden 氏测量法测量颈椎曲度，采用皮尺测量法测量颈椎活动度，参照国家中医药管理局《中医病证诊断疗效标准》进行疗效评价。结果治疗组与对照组治疗后颈椎生理曲度、颈椎前屈、后伸、左旋转、右旋转、左侧屈、右侧屈的活动度分别为（9．87±3．88）mm 比（6．75±3．40）mm、（3．22±1．16）mm 比（6．51±1．95）mm、（16．69±1．49）mm 和（14．49±1．30）mm、（11．26±0．95）mm 比（14．07±1．16）mm、（11．59±1．28）mm 比（13．11±1．71）mm、（12．59±0．96）mm 比（13．02±1．14）mm、（12．09±0．91）mm 比（12．49±0．92）mm，均较治疗前明显改善，差异均有统计学意义（t ＝6．226和3．558，5．554和3．408，4．702和3．382，5．003和3．605，7．004和3．882，5．036和3．554，4．818和3．588，均 P ＜0．05）。治疗组治疗后颈椎生理曲度，颈椎前屈、后伸、左旋转、右旋转的活动度改善情况明显优于对照组，差异具有统计学意义（t ＝3．312、3．638、3．0338、3．251、3．422，均 P ＜0．05）。治疗组临床有效率为96．3％，明显高于对照组的81．8％，差异有统计学意义（χ2＝11．444，P ＜0．05）。结论仰卧位后伸定点旋转扳法为主治疗颈型颈椎病疗效优于传统推拿手法，在改善颈椎生理曲度和活动度方面具有明显优势，缩短了治疗时间，提高了临床疗效，值得临床推广使用。
Objective To observe the clinical effect of the treatment of cervical spondylosis by the fixed rotation pulling method in the supine position.Methods 110 patients with cervical spondylosis met the inclusion criteria were selected as research objects,which were randomly divided into treatment group and control group,55 cases in each group,the treatment group were given fixed -point cervical rotatory manipulation in face -upward position, 1 times a day,3 times a week,1 weeks for 1 courses,the control group were received traditional massage treatment, 1 times a day,5 times a week,rest for 2 days,1 week for a course of treatment.both group had been treated for 2 courses, the cervical curvature were detected by borden,the cervical vertebra activity were detected by tape,then the effects were evaluated.Results The neck vertebral lordosis and activity degree of cervical flexion,extension,left rotation and right rotation,left and right flexion of the treatment group and the control group after treatment were significantly better than before treatment[（9.87 ±3.88）mm vs（6.75 ±3.40）mm,（3.22 ±1.16）mm vs （6.51 ±1.95）mm,（16.69 ± 1.49）mm vs （14.49 ±1.30）mm,（11.26 ±0.95）mm vs （14.07 ±1.16）mm,（11.59 ±1.28）mm vs （13.11 ± 1.71 ）mm,（12.59 ±0.96）mm vs （13.02 ±1.14）mm,（12.09 ±0.91）mm vs （12.49 ±0.92）mm],the differences were statistically significant（t =6.226 and 3.558,5.554 and 3.408,4.702 and 3.382,5.003 and 3.605,7.004 and 3.882,5.036 and 3.554,4.818 and 3.588,all P 〈0.05）.After treatment,the neck vertebral lordosis and Activity degree of cervical flexion,extension,left rotation and right rotation of the treatment group were significantly better than the control group,the differences were statistically significant（t =3.312,363.8,3.0338,3.251 and 3.422,all P 〈0.05）.The effective rate of the treatment group was 96.3%,which of the control group were 81.8%,the difference was statistically significant（χ2 =11.444,P 〈0.05）.Conclusion The fixed -point c
出处
《中国基层医药》
CAS
2016年第15期2343-2346,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
颈型颈椎病
仰卧位后伸定点旋转扳法
推拿
临床研究
Cervical type cervical spondylosis
Fixed -point cervical rotatory manipulation in face -up-ward Position
Massage
Clinical research
