中医整复手法治疗颈椎病椎骨错缝的有效性研究
he Effective Research of Reconstructive Manipulation Treating Joint semi-dislocation of Cervical Spondylosis Radiculopathy
目的:观察中医整复手法治疗神经根型颈椎病椎骨错缝的安全性及有效性。方法:将64名符合神经根型颈椎病诊断标准的患者用随机数字表法随机分为手法整复组和对照组,手法整复组在松解理筋的基础上,施以整复手法,纠正患者的"骨错缝筋出槽",对照组只进行松解理筋手法治疗,不进行整复手法治疗。1周治疗2次,2周为1个疗程,共治疗2个疗程。观察手法治疗的安全性及疼痛程度,临床疗效等有效性指标。结果:手法整复组和对照组治疗后的感觉项总分、情感项总分及VAS得分与治疗前相比,均有改善(P<0.05);治疗后,手法整复组的感觉项总分、情感项总分及VAS得分均优于对照组(P<0.05)。手法整复组总体疗效优于对照组(P<0.05)。两组患者在治疗期间均未出现不良反应。结论:中医整复手法通过纠正颈椎关节的"骨错缝筋出槽"来治疗神经根型颈椎病,效果显著,安全性良好。
bstract: Objective To observe the safety and the effectiveness of the reconstructive manipulation treating cervical spondylosis radiculopathy. Methods Sixty four patients with cervical spondylosis radiculopathy were divided into two groups randomly. The treatment group were executed by rotating and reconstructive manipulation, corrected the joint semidislocation and sinews off-position; the control group were executed by tendon-regulation massage. Twice a week, treating for 2 courses with 2 weeks in a course. the safety, pain degree and clinical effectiveness were observed. Results After treatment, the score of sensory dimension and affective dimension of pain experience and VAS both in the treatment group and control group were significantly better than before the treatment (P<0.05). The score of sensory dimension and affective dimension of pain experience and VAS in treatment group was better than control group (P<0.05). The overall effectiveness of treatment group was better than control group (P<0.05). No adverse reaction in the two groups. Conclusion The reconstructive manipulation by corrected the joint semi-dislocation and sinews off-position for treating cervical spondylosis radiculopathy has the advantage of clinical effectiveness and safety.
林勋、陈博、郑梦捷、詹红生
中医学临床医学
神经根型颈椎病"骨错缝、筋出槽"矫正手法
ervical Spondylosis RadiculopathyJoint Semi-dislocation and Sinews Off-PositionReconstructive Manipulation
林勋,陈博,郑梦捷,詹红生.中医整复手法治疗颈椎病椎骨错缝的有效性研究[EB/OL].(2014-11-04)[2025-08-18].http://www.paper.edu.cn/releasepaper/content/201411-46.点此复制
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