摘要
目的:观察邵氏无痛手法联合中药塌渍、牵引对神经根型颈椎病患者的临床疗效。方法:选取98例神经根型颈椎病患者,随机数字表法分为对照组(n=49)、观察组(n=49)。对照组给予中药塌渍配合牵引治疗,观察组在对照组基础上给予邵氏无痛手法治疗。比较两组颈椎活动度、颈椎等长肌力、疼痛和压痛视觉模拟评分量表(VAS)、颈部功能障碍指数(NDI)、血清前列腺素E 2(PGE 2)、P物质(SP)、临床疗效。结果:治疗后观察组颈椎活动度(前屈、后伸、左旋、右旋)、颈椎等长肌力(前屈、后伸、左侧屈、右侧屈)高于对照组(P<0.05);治疗后观察组疼痛和压痛VAS评分、NDI评分低于对照组(P<0.05);治疗后观察组PGE 2、SP低于对照组(P<0.05);观察组总有效率(91.84%)高于对照组(75.51%)(P<0.05)。结论:邵氏无痛手法联合中药塌渍、牵引治疗CSR患者疗效确切,可改善颈椎功能、减轻疼痛程度。
Objective To analyze the clinical value of Shao s Painless Tuina Manipulationcombined with Chinese medicine collapse and traction in patients with cervical spondylotic radiculopathy(CSR).Methods A total of 98 CSR patients diagnosed and treated in our hospital were randomly divided into control group(n=49)and observation group(n=49)by random number table method.The control group was treated with traditional Chinese medicine and traction,and the observation group was treated with Shao s Painless Tuina Manipulation based on the control group.The clinical efficacy,cervical range of motion,cervical isometric muscle strength,visual analogue scale/score(VAS),neck dysfunction index(NDI),serum prostaglandin E 2(PGE 2),Substance P(SP),and effectivenesswere compared between the two groups.Results The total effective rate of observation group(91.84%)was higher than that of control group(75.51%)(P<0.05).After treatment,cervical motion(anterior flexion,posterior extension,left and right rotation)and cervical isometric strength(anterior flexion,posterior extension,left and right flexion)in observation group were higher than those in control group(P<0.05).After treatment,the pain and tenderness VAS scores and NDI scores of the observation group were lower than those of the control group(P<0.05).After treatment,PGE 2 and SP in observation group were lower than those in control group(P<0.05);the total effective rate of the observation group(91.84%)was higher than that of the control group(75.51%)(P<0.05).ConclusionShao s Painless Tuina Manipulation combined with traditional Chinese medicine for the treatment of CSR patients is effective,and can improve cervical spine function and reduce pain degree.
作者
王旭伟
崔改琴
程斌
WANG Xuwei;CUI Gaiqin;CHENG Bin(Zhengzhou Neck Shoulder Waist and Leg Pain Hospital Waist and Leg Pain Department,Zhengzhou 450000,China)
出处
《中国民族民间医药》
2024年第13期92-95,共4页
Chinese Journal of Ethnomedicine and Ethnopharmacy
关键词
神经根型颈椎病
邵氏无痛手法
中药塌渍
牵引
功能活动
疼痛程度
Cervical Radiculopathy
Shao s Painless Tuina Manipulation
Chinese Medicine Collapse Stain
Traction
Functional Activity
Pain Level
