摘要
目的:观察平乐筋滞骨错手法联合优值牵引治疗神经根型颈椎病的临床疗效。方法:选择16 8例神经根型颈椎病患者,随机分为治疗组和对照组各84例,2组均采用颈椎优值牵引,对照组联合传统推拿手法治疗,治疗组联合平乐筋滞骨错手法治疗。治疗2周后,比较2组临床疗效、治疗前后视觉模拟评分法(VAS)和颈椎病治疗成绩评分(包括自我感觉、临床检查、日常活动评分)。结果:治疗后,治疗组总有效率为95.24%,对照组总有效率为78.57%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组VAS评分均较治疗前降低(P<0.05),治疗组VAS评分较对照组降低更明显(P<0.05);2组自我感觉、临床检查和日常活动评分均较治疗前升高(P<0.05),治疗组各项评分均较对照升高更明显(P<0.05)。结论:平乐筋滞骨错手法联合优值牵引治疗神经根型颈椎病疗效优于传统推拿手法联合优值牵引治疗,该治疗方法可缓解患者疼痛,改善临床症状。
Objective： To observe the clinical effect of Ping Le Jinzhigucuo manipulation therapy combined with high quality traction for nerve root cervical spondylosis. Methods：Selected 168 cases of patients with nerve root cervical spondylosis and divided them into the treatment group and the control group randomly, 84 cases in each group. Both groups were treated with cervical high quality traction,while the control group was additionally combined with traditional manipulation for treatment and the treatment group was additionally combined with Ping Le Jinzhigucuo manipulation therapy for treatment. After two weeks of treatment, compared the clinical effect,scores of visual analogue scale（VAS） before and after treatment and cervical spondylosis treatment scores（including the scores of self-sensation,clinical examination and daily activities） in both groups. Results：After treatment,the total effective rate was95.24% in the treatment group and 78.57% in the control group,difference being significant（P〈0.05）. After treatment,VAS scores in the two groups were both reduced when compared with those before treatment（P〈0.05）,while the decrease in the treatment group was more obvious than that in the control group（P〈0.05）. And the scores of self-sensation,clinical examination and daily activities were all increased in the two groups when compared with those before treatment（P〈0.05）, while the increase of each score in the treatment group was more evident than that in the control group（P〈0.05）. Conclusion： The therapy of Ping Le Jinzhigucuo manipulation combined with high quality traction for nerve root cervical spondylosis has a better therapeutic effect than that of the traditional manipulation combined with high quality traction in the treatment group. It can relieve pain,improve clinical symptoms
作者
范华雨
赵明宇
张向东
张荣
蔡尚欢
FAN Huayu;ZHAO Mingyu;ZHANG Xiangdong;ZHANG Rong;CAI Shanghuan
出处
《新中医》
CAS
2018年第7期123-125,共3页
New Chinese Medicine
基金
河南省科技攻关项目(162102310062)
河南省中医药科研专项(2015ZY02007)
关键词
神经根型颈椎病
平乐筋滞骨错手法
优值牵引
视觉模拟评分法(VAS)
颈椎病治疗成绩评分
Nerve root cervical spondylosis
Ping Le Jinzhigucuo Manipulation Therapy
High quality traction
Visualanalogue scale（VAS）
Cervical spondylosis treatment score
