[1]邓真 沈知彼 詹红生 陈蓓 廉由之 商海滨 李国中 王辉昊△.石氏定位旋扳法治疗神经根型颈椎病的疗效观察[J].中国中医骨伤科杂志,2020,28(05):5-9.
　DENG Zhen SHEN Zhibi ZHAN Hongsheng CHEN BeiLIAN Youzhi SHANG Haibin LI Guozhong WANG Huihao.Therapeutic Effect of Shi’s Rotation Manipulation Treatment forCervical Spondylotic Radiculopathy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2020,28(05):5-9.
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石氏定位旋扳法治疗神经根型颈椎病的疗效观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年05期
页码:
5-9
栏目:
临床研究
出版日期:
2020-05-10

文章信息/Info

Title:
Therapeutic Effect of Shi’s Rotation Manipulation Treatment forCervical Spondylotic Radiculopathy
文章编号:
1005-0205(2020)05-0005-05
作者:
邓真1; 2 沈知彼2; 3 詹红生2; 3 陈蓓1 廉由之1; 2 商海滨1 李国中1 王辉昊2; 3△
1上海市宝山区中西医结合医院,上海中医药大学附属曙光医院宝山分院(上海,201999)2詹红生上海市名老中医学术经验研究工作室3上海中医药大学附属曙光医院
Author(s):
DENG Zhen1; 2 SHEN Zhibi2; 3 ZHAN Hongsheng2; 3 CHEN Bei1LIAN Youzhi1; 2 SHANG Haibin1 LI Guozhong1 WANG Huihao2; 3△
1Shanghai Baoshan Hosptial of Intergated Traditional Chinese and Western Medicine, Shanghai 201999, China; 2Zhan Hongsheng Studio of Academic Experience of Shanghai Famous Doctors in Traditional Chinese Medicine,Shanghai 201203, China; 3Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.
关键词:
神经根型颈椎病;  定位旋扳法;  理筋手法;  牵引手法
Keywords:
cervical spondylotic radiculopathy;  rotation manipulation treatment;  tendon regulation manipulation;  traction manipulation
分类号:
R681.5
文献标志码:
A
摘要:
的:观察石氏颈椎定位旋扳法治疗神经根型颈椎病的临床疗效。方法:将符合纳入标准的120例患者随机分为观察组和对照组(每组60例),观察组采用石氏颈椎定位旋扳法治疗,每周2次,共2周; 对照组采用常规颈部理筋牵引手法治疗,每周2次,共2周。分别在治疗前、治疗第1周及第2周后和治疗结束后3个月对患者进行VAS量表、NPQ量表及临床症状评估,观察比较两组患者治疗前后和3个月后的临床疗效。结果:第1周治疗结束后,观察组VAS评分(41.21±10.41)、NPQ量表评分(27.21±7.34)明显低于对照组(59.57±13.49,33.65±11.37),差异有统计学意义(t=2.713,P<0.01; t=3.511,P<0.05)。第2个疗程结束后,观察组VAS量表(29.28±13.87)、NPQ量表评分(16.14±5.26)明显低于对照组(40.37±15.79,26.37±9.76),差异有统计学意义(t=3.072,P<0.01; t=2.027,P<0.01)。第2周治疗结束后,观察组总有效率94.74%,对照组总有效率70.91%,两组差异有统计学意义(P<0.05)。治疗结束3个月后随访,VAS评分观察组(20.02±9.52)与对照组(24.12±10.61)差异无统计学意义(t=2.812,P>0.05),NPQ评分观察组(12.74±6.33)明显低于对照组(19.88±7.26),差异有统计学意义(t=2.366,P<0.05)。3个月后随访,观察组复发率5.56%,最终有效率89.47%,对照组复发率23.08%,最终有效率54.55%,两者差异有统计学意义(P<0.01)。结论:石氏定位旋扳法治疗神经根型颈椎病疗效显著,复发率低,操作简单、规范、安全,值得临床推广应用。
Abstract:
Objective: To observe the efficacy of Shi’s rotation manipulation treatment for cervical spondylotic radiculopathy. Methods: 120 patients were randomly divided into the observation group(n=60)and control group(n=60). The observation group was treated with Shi’s rotation manipulation treatment twice per week for 2 weeks. The control group was treated with ordinary tendon combined with traction manipulation treatment. All patients were assessed with VAS scale and NPQ scale before and after treatment as well as 3 months later to observe and compare the clinical efficacy between two groups. Results: At the end of the first week, the VAS score(41.21±10.41)and NPQ score(27.21±7.34)in the observation group were significantly lower than those in the control group(59.57±13.49,33.65±11.37)(P<0.05). After the second course of treatment, the VAS(29.28±13.87)and NPQ(16.14±5.26)in the observation group were significantly lower than those in the control group(40.37±15.79, 26.37±9.76)(P<0.01). At the end of the second week, the total effective rate was 94.74% in the observation group and 70.91% in the control group(P<0.05). After 3 months follow-up, there was no significant difference in VAS between the observation group(20.02±9.52)and the control group(24.12±10.61)(t=2.812,P>0.05), NPQ score in the observation group(12.74±6.33)was significantly lower than the control group(19.88±7.26), the difference was statistically significant(t=2.366,P<0.05). After 3 months follow-up, the recurrence rate of the observation group was 5.56%, the final effective rate was 89.47%, the recurrence rate of the control group was 23.08%, the final effective rate was 54.55%, the difference was statistically significant(P<0.01). Conclusion: The Shi’s rotation manipulation treatment on cervical spondylotic radiculopathy is effective, with low recurrence rate, simple, standardized and safe operation. It is worthy of clinical application.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(81804114,81973871)上海市卫计委临床行业专项(201840004)上海市卫计委詹红生上海市名老中医学术经验研究工作室建设项目(SHGS-2017025,SZYMYGZS4013)△通信作者 E-mail:huihaowang@126.com(收稿日期:2019-11-14)
更新日期/Last Update: 2020-05-10