[1]杨仁轩△ 刘万鹏 郭程湘 俞乐 吴绍汉 姜桂美 李远明 范京强 芮泽野.峨嵋派畅气通络手法治疗颈椎病的临床观察[J].中国中医骨伤科杂志,2015,23(09):12-14.
　YANG Renxuan LIU Wanpeng GUO Chengxiang YU Le WU Shaohan JIANG Guimei LI Yuanming FAN Jingqiang RUI Zeye.Clinical Efficacy Observation on Emei's Changqi Tongluo Manipulation Treating Cervical Spondylosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(09):12-14.
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峨嵋派畅气通络手法治疗颈椎病的临床观察
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年09期
页码:
12-14
栏目:
临床研究
出版日期:
2015-09-15

文章信息/Info

Title:
Clinical Efficacy Observation on Emei's Changqi Tongluo Manipulation Treating Cervical Spondylosis
文章编号:
1005-0205(2015)09-0012-03
作者:
杨仁轩1△ 刘万鹏2 郭程湘1 俞乐1 吴绍汉1 姜桂美1 李远明1 范京强1 芮泽野2
1.广东省中医院(广州,510120)
2.广州中医药大学第二临床医学院
△.通信作者 E-mail:yrxtcm@126.com
Author(s):
YANG Renxuan1 LIU Wanpeng2 GUO Chengxiang1 YU Le1 WU Shaohan1 JIANG Guimei1 LI Yuanming1 FAN Jingqiang1 RUI Zeye2
1.Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, China;
2.The Second Clinical Medical College of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405,China.
关键词:
峨嵋流派;  畅气通络手法;  颈椎病;  临床疗效
Keywords:
Emei genre;  Changqi Tongluo manipulation;  cervical spondylosis;  clinical efficacy
分类号:
R681.5
文献标志码:
A
摘要:
目的:研究峨嵋派畅气通络手法治疗颈椎病的临床疗效与安全性。方法:纳入2011年2月-2014年5月在广东省中医院的70例颈椎病患者,观察组(峨嵋手法组)35例,对照组(颈椎牵引组)35例,两组每周治疗4次。随访时进行视觉模拟量表(VAS)评分、手法疗效量表评分及中医症候量表评分,并采用配对t检验对不同时间点的评分进行分析。结果:两组治疗后随访1月,均显示临床症状改善。末次随访时与治疗前比较:对照组VAS评分为7.11±1.08和3.03±1.74,观察组VAS评分为7.66±1.35和0.71±0.86; 对照组手法疗效量表评分为13.89±2.81和17.23±2.73,观察组手法疗效量表评分为13.23±3.47和19.03±1.01; 对照组中医症候量表评分为12.20±4.98和7.74±5.89,观察组中医症候量表评分为16.23±4.42和7.00±3.31,差异均有统计学意义(P<0.05)。结论:峨嵋派畅气通络手法治疗颈椎病临床效果显著,安全可靠,舒适度高,值得临床推广。
Abstract:
Objective: To study the clinical efficacy and safety of E mei's Changqi Tongluo manipulation treating cervical spondylosis. Methods: From February 2011 to May 2014, 70 cases from Guangdong provincial hospital of TCM were divided into the treatment group and the control group, 35 cases in each group. The treatment group was treated with E mei's Changqi Tongluo manipulation and the control group with cervical traction, 4 times per week. Visual analogue scale(VAS), manipulation efficacy scale and symptoms lists of TCM were recorded and the scores of various time points were analyzed by paired t test at follow-up. Results: The clinical symptoms of both groups were improved at 1 month follow-up. The VAS scores at final follow-up and before treatment were 7.11±1.08 and 3.03±1.74 respectively in the control group while 7.66±1.35 and 0.71±0.86 respectively in the treatment group.The methods efficacy scores of the control group and the treatment group were 13.89±2.81,17.23±2.73,and 13.23±3.47,19.03±1.01 respectively. The TCM symptoms scores of the control group and the treatment group were 12.20±4.98,7.74±5.89,and 16.23±4.42,7.00±3.31 respectively. The difference was statistically significant(P<0.05). Conclusion: Emei's Changqi Tongluo manipulation has significant effect in treating cervical spondylosis. It is safe, reliable and worth to be popularized in clinic.

参考文献/References:

[1] Bovim G,Schrader H,Sand T.Neck pain in the general population [J].Spine.1994,19(12):1307-1309.
[2] Thoomes EJ,Scholten-Peeters GG,de Boer AJ,et al.Lack of uniform diagnostic criteria for cervical radiculopathy in conservative intervention studies:a systematic review[J].Eur Spine J,2012,21(8):1459-1470.
[3] 孙攀,杜元灏,熊俊,等.针刺与牵引治疗神经根型颈椎病疗效比较的系统评价[J].光明中医,2009,24(10):1824-1830.
[4] 孙宇,李贵存.全国第二届颈椎病专题座谈会纪要——颈椎病诊断标准[J].解放军医学杂志,1994,19(2):156-158.
[5] Kotil K,Ozyuvaci E.Multilevel decompressive laminectomy and transpedicular instrumented fusion for cervical spondylotic radiculopathy and myelopathy:a minimum follow-up of 3 years[J].J Craniovertebr Junction Spine,2011,2(1):27-31.
[6] Kim KT,Kim YB.Cervical radiculopathy due to cervical degenerative diseases:anatomy,diagnosis and treatment[J].J Korean Neurosurg Soc,2010,48(6):473-479.
[7] Naidoo RN,Haq SA.Ocuupational use syndromes[J].Best Pract Res Clin Rheumatol,2008,22(4):677.
[8] 周海华.传统医学对神经根型颈椎病的认识及手法治疗探讨[J].现代中西医结合杂志,2013,22(34):3869-3871.
[9] 陈立民,姚猛,孙崇毅.旋转手法治疗椎动脉型颈椎病及其安全性探讨[J].中国骨伤,2004,15(10):580-581.
[10] 姜建元,马昕,张爱敏,等.颈部旋转与侧屈活动对椎动脉血供的影响[J].中华骨科杂志,2004,24(11):666-669.
[11] 刘万鹏,杨仁轩,郭程湘.峨眉推拿流派及其学术传承[J].广州中医药大学学报,2014,31(5):843-844.
[12] 杨仁轩,范京强,郑德采,等.郭程湘畅气通络手法精要[J].西部中医药,2012,25(6):37-38.
[13] 刘万鹏,杨仁轩,郭程湘.峨嵋派畅气通络手法治疗颈椎病体会[J].按摩与康复医学,2014,5(2):186-187.
[14] Evans DW.Mechanisms and effects of spinal high-velocity,low-amplitude thrust manipulation:previous theories[J].J Manipulative Physiol Ther,2002,25(4):251-262.
[15] 张泽宝.医用物理学[M].沈阳:辽宁科学技术出版社,1993:26.
[16] Triano JJ.Biomechanics of spinal manipulative therapy[J].Spine,2001,1(2):121-130.
[17] 刘凯,谢青.毕霞颈椎机械牵引技术的作用及机制研究[J].中国组织工程研究与临床康复,2010,14(28):5272.

备注/Memo

备注/Memo:
收稿日期:2014-12-02
基金项目:广东省科学技术厅—广东省中医药科学院联合科研 专项(2012A032500010)
广东省中医院名中医药专家学术经验传承工作室建 设项目(中医二院[2014]89号)
更新日期/Last Update: 2015-09-15