OBJECTIVE:To determine the clinical effect,treatment times,and rheoencephalogram changes in vertebral artery type cervical spondylosis patients treated with innovative Tuina manipulations.METHODS:One hundred and twent...OBJECTIVE:To determine the clinical effect,treatment times,and rheoencephalogram changes in vertebral artery type cervical spondylosis patients treated with innovative Tuina manipulations.METHODS:One hundred and twenty six cervical spondylosis patients(vertebral artery type) were randomly divided into test and control groups.Patients in the test group were treated with innovative Tuina manipulations,while those in the control group were treated with the routine Tuina manipulations according to the textbook of Chinese Massage for Acupuncture and Moxibustion majors.The clinical effects,treatment times,clinical symptoms,and cerebral blood flow were measured.RESULTS:The response to the treatment was 100% in the test group and 88.71% in the control group.Patients in the test group required(7 ± 4) treatments before recovery,while those in the control group required(15 ± 7) treatments before recovery(P<0.05).The clinical symptoms exhibited greater improvement in the test group compared to the control group(P<0.05).There were no differences in cerebral blood flow between the two groups.CONCLUSION:Both innovative Tuina manipulations and routine Tuina manipulations produced satisfactory therapeutic results in vertebral artery type cervical spondylosis patients.However,the innovative manipulation was more effective in improving the functional symptoms,although there were no changes in the cerebral blood flow.展开更多
目的:探究推拿手法治疗腰椎间盘突出症的临床疗效及不同推拿手法时间应用的差异性。方法:检索PubMed、Embase、Web of science外文数据库及CNKI、VIP、WanFang、Chinese Biomedical等中文数据库自建库起至2018年7月1日公开发表的关于推...目的:探究推拿手法治疗腰椎间盘突出症的临床疗效及不同推拿手法时间应用的差异性。方法:检索PubMed、Embase、Web of science外文数据库及CNKI、VIP、WanFang、Chinese Biomedical等中文数据库自建库起至2018年7月1日公开发表的关于推拿手法治疗腰椎间盘突出症的临床随机对照研究(RCT)6项。由2名研究人员独立筛选文献并提取资料。采用RevMan5.3软件进行Meta分析。结果:共纳入6项研究,全部为RCT试验研究,采用随机效应模型合并加权均数差(WMD)对文献进行分析,显示无论长期(>3周)或短期(≤3周)推拿手法均可以缓解腰椎间盘突出症患者的疼痛,差异具有统计学意义(P<0.00001);从SF-36健康调查简表功能评分来看长期(>3周)推拿手法可能对于腰椎间盘突出症患者生存生活治疗改善有限(P=0.04),而对于腰椎间盘突出症患者Oswestry功能障碍指数评分的改善可能更为明显(P<0.00001)。结论:无论长期(>3周)或短期(≤3周)推拿手法均可以明显改善腰椎间盘突出症患者的疼痛症状及腰椎的功能,同时在严格把握适应症的基础上推拿手法具有安全性高、副作用少等治疗优势。展开更多
基金Supported by the Fund of Capital Medical Development and Research(No.Ⅲ-11)the Subject Growth Fund of Guang'anmen Hospital,China Academy of Chinese Medical Sciences(No.81392)
文摘OBJECTIVE:To determine the clinical effect,treatment times,and rheoencephalogram changes in vertebral artery type cervical spondylosis patients treated with innovative Tuina manipulations.METHODS:One hundred and twenty six cervical spondylosis patients(vertebral artery type) were randomly divided into test and control groups.Patients in the test group were treated with innovative Tuina manipulations,while those in the control group were treated with the routine Tuina manipulations according to the textbook of Chinese Massage for Acupuncture and Moxibustion majors.The clinical effects,treatment times,clinical symptoms,and cerebral blood flow were measured.RESULTS:The response to the treatment was 100% in the test group and 88.71% in the control group.Patients in the test group required(7 ± 4) treatments before recovery,while those in the control group required(15 ± 7) treatments before recovery(P<0.05).The clinical symptoms exhibited greater improvement in the test group compared to the control group(P<0.05).There were no differences in cerebral blood flow between the two groups.CONCLUSION:Both innovative Tuina manipulations and routine Tuina manipulations produced satisfactory therapeutic results in vertebral artery type cervical spondylosis patients.However,the innovative manipulation was more effective in improving the functional symptoms,although there were no changes in the cerebral blood flow.
文摘目的:探究推拿手法治疗腰椎间盘突出症的临床疗效及不同推拿手法时间应用的差异性。方法:检索PubMed、Embase、Web of science外文数据库及CNKI、VIP、WanFang、Chinese Biomedical等中文数据库自建库起至2018年7月1日公开发表的关于推拿手法治疗腰椎间盘突出症的临床随机对照研究(RCT)6项。由2名研究人员独立筛选文献并提取资料。采用RevMan5.3软件进行Meta分析。结果:共纳入6项研究,全部为RCT试验研究,采用随机效应模型合并加权均数差(WMD)对文献进行分析,显示无论长期(>3周)或短期(≤3周)推拿手法均可以缓解腰椎间盘突出症患者的疼痛,差异具有统计学意义(P<0.00001);从SF-36健康调查简表功能评分来看长期(>3周)推拿手法可能对于腰椎间盘突出症患者生存生活治疗改善有限(P=0.04),而对于腰椎间盘突出症患者Oswestry功能障碍指数评分的改善可能更为明显(P<0.00001)。结论:无论长期(>3周)或短期(≤3周)推拿手法均可以明显改善腰椎间盘突出症患者的疼痛症状及腰椎的功能,同时在严格把握适应症的基础上推拿手法具有安全性高、副作用少等治疗优势。
