[1]於浩,李广广,戎毅,等.“刘氏骨伤手法”联合中药热敷治疗神经根型颈椎病的临床研究[J].中国中医骨伤科杂志,2022,30(12):29-32.
　YU Hao,LI Guangguang,RONG Yi,et al.Clinical Study of “Liu's Traumatology Manipulation” Combined with Hot Compress of Traditional Chinese Medicine on the Treatment of Cervical Spondylotic Radiculopathy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(12):29-32.
点击复制

“刘氏骨伤手法”联合中药热敷治疗神经根型颈椎病的临床研究()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年12期
页码:
29-32
栏目:
临床研究
出版日期:
2022-12-15

文章信息/Info

Title:
Clinical Study of “Liu's Traumatology Manipulation” Combined with Hot Compress of Traditional Chinese Medicine on the Treatment of Cervical Spondylotic Radiculopathy
文章编号:
1005-0205(2022)12-0029-04
作者:
於浩1; 李广广2; 戎毅1; 王建伟1; 吴毛1; 邵阳1; 华臻1; 张强1; 周悦1△
1江苏无锡市中医医院(江苏 无锡,214071) 2江苏宜兴市中医医院
Author(s):
YU Hao1; LI Guangguang2; RONG Yi1; WANG Jianwei1; WU Mao1; SHAO Yang1; HUA Zhen1; ZHANG Qiang1; ZHOU Yue1△
1Wuxi Hospital of Traditional Chinese Medicine, Wuxi 214071, Jiangsu China; 2Yixing Hospital of Traditional Chinese Medicine, Yixing 214299, Jiangsu China.
关键词:
刘氏骨伤手法;  中药热敷;  神经根型颈椎病;  临床疗效
Keywords:
Liu's traumatology manipulation;  hot compress of traditional Chinese medicine;  cervical spondylotic radiculopathy(CSR);  clinical efficacy
分类号:
R681.5
文献标志码:
A
摘要:
目的:观察“刘氏骨伤手法”联合中药热敷对神经根型颈椎病患者的治疗效果。方法:选择符合纳入标准的60例神经根型颈椎病患者,通过随机数字表法分为对照组和治疗组,对照组使用颈椎牵引联合中药热敷治疗,治疗组为“刘氏骨伤手法”联合中药热敷治疗。经过2个疗程的治疗后(治疗5 d休息2 d为1个疗程),比较两组患者的视觉模拟量表(VAS)评分、日本骨科协会(JOA)评分及临床疗效。结果:两组患者治疗前后VAS评分、JOA评分、临床疗效的组内比较和组间比较均有差异,且差异有统计学意义(P<0.05)。结论:对于神经根型颈椎病患者,采用“刘氏骨伤手法”联合中药热敷或颈椎牵引联合中药热敷治疗,均能缓解颈部疼痛,改善患者生活质量,但“刘氏骨伤手法”联合中药热敷治疗的总体疗效更为显著。
Abstract:
Objective:To observe the therapeutic efficacy of “Liu's traumatology manipulation” combined with hot compress of traditional Chinese medicine on patients with cervical spondylotic radiculopathy.Methods:60 patients with cervical spondylotic radiculopathy who met the inclusion and exclusion criteria were selected and were divided into control group and treatment group by random number table method. The control group was treated with cervical traction combined with hot compress of traditional Chinese medicine, and the treatment group was treated with “Liu's traumatology manipulation” combined with hot compress of traditional Chinese medicine.Visual analogue scale(VAS)score, Japanses Orthopaedic Association(JOA)score and clinical efficacy were compared between the two groups after two courses of treatment(5 d of treatment, 2 d of rest, a total of 10 d of treatment).Results:There were significant differences in VAS score, JOA score and clinical efficacy between two groups before and after treatment(P<0.05).Conclusion:For patients with cervical spondylotic radiculopathy, “Liu's traumatology manipulation” combined with hot compress of traditional Chinese medicine or cervical traction combined with hot compress of traditional Chinese medicine can relieve neck pain and improve the quality of life of patients, but the overall efficacy of “Liu's traumatology manipulation” combined with hot compress of traditional Chinese medicine is more significant.

参考文献/References:

[1] 神经根型颈椎病诊疗规范化研究专家组.神经根型颈椎病诊疗规范化的专家共识[J].中华外科杂志,2015,53(11):812-814.
[2] YANG F,LI W X,LIU Z,et al.Balance chiropractic therapy for cervical spondylotic radiculopathy:study protocol for a randomized controlled trial[J].Trials,2016,17(1):513.
[3] 李淼.手法松解配合中药包外敷治疗神经根型颈椎病的临床研究[J].中国现代药物应用,2020,14(18):220-222.
[4] 黄沂.中医外治法治疗神经根型颈椎病研究进展[J].广西中医药大学学报,2018,21(3):62-64.
[5] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994.
[6] 王建伟,马勇,吴毛,等.刘氏骨伤精要[M].北京:中国中医药出版社,2020.
[7] 韦绪性.中西医临床疼痛学[M].北京:中国中医药出版社,1996:14.
[8] 田中靖久.颈部神经根症治疗成绩判定基准[J].日本整形外科杂志,1993,67(3):552.
[9] 刘秉夫.伤科指要[M].上海:上海中医药大学出版社,2007.
[10] 郭伟,赵颀,龚成,等.颈椎力学评价指标在非手术疗法治疗神经根型颈椎病疗效评价中的应用[J].中医正骨,2018,30(3):22-26.
[11] 郭伟,韩磊,闵亚青,等.利用数字散斑法分析不同手法对腰背部深浅肌群肌肉应变的影响[J].北京中医药,2015,34(8):608-611.
[12] 于长岁,朱立国,张晓峰,等.朱立国旋提手法治疗力学失衡神经根型颈椎病经验[J].浙江中医杂志,2019,54(9):635-636.
[13] 朱立国,韩涛,魏戌,等.近十年手法治疗神经根型颈椎病的CiteSpace知识图谱可视化分析[J].中医杂志,2021,62(8):723-728.
[14] 马继媛,王宇,王海波.中医治疗神经根型颈椎病的临床研究进展[J].吉林中医药,2020,40(9):1250-1253.
[15] 朱换平,赵兵善.中药热敷治疗骨伤科慢性疾患的研究现状[J].甘肃中医学院学报,2011,28(5):58-61.

备注/Memo

备注/Memo:
基金项目:无锡市卫生健康委(刘氏骨伤传承工作室)科研项目 无锡市中医药管理局科研项目 △通信作者 E-mail:1375225646@qq.com
更新日期/Last Update: 2022-12-10