首页|“整颈三步九法”治疗神经根型颈椎病随机对照临床试验研究

“整颈三步九法”治疗神经根型颈椎病随机对照临床试验研究

Cervical Three Steps Nine Manuevers in Treatment of Cervicalspondylosis Radiculopathy by Randomized Controlled Clinical Trial

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目的:通过对“整颈三步九法”治疗神经根型颈椎病的随机对照临床试验研究,观察该手法的临床疗效,形成适于临床推广应用的规范操作,提高治疗神经根型颈椎病的疗效和安全性.方法:严格按照诊断标准、纳入标准、排除标准对病例进行筛选,将72例患者纳入研究,采用电脑随机数字表法进行随机分配,分为试验组和对照组,其中试验组36例,对照组36例.本试验应用视觉模拟量表(VAS)测定治疗前后患者的疼痛值;颈椎功能障碍指数(NDI)评估治疗前后患者疼痛及功能改善情况,并运用SPASS 16.0软件进行统计分析,从而得出研究结论.结果:试验组总有效率为91.67%,对照组为69.44%,经x 2检验,P<0.05,该差异有统计学意义;试验组患者治疗前后VAS及NDI差值均大于对照组患者治疗前后VAS及NDI差值,经t检验,P<0.05,该差异有统计学意义.结论:“整颈三步九法”比传统牵引治疗对改善神经根型颈椎病患者的症状有更加显著的作用,适于临床推广应用.
Objective:The present research was o observe the effect of Cervical Three Steps Nine Manuevers as the treatment of cervicalspondylosis radiculopathy in randomized controlled clinical trial in order to standardize the operation suitable for clinical application and improve the efficacy and safety of treating cervicalspondylosis radiculopathy.Method:The research rigorously screened cases and adopted 72 cases of cervicalspondylosis radiculopathy according to diagnostic criteria,inclusive criteria and exclusion criteria.The cases were distributed randomly into treatment group (36 cases)and control group (36 cases) according to computer random number table method.The experiment was designed to measure the pain values among the selected patients before and after the treatment via VAS,and applied NDI to assess patients' pain and functional improvement with SPSS 16.0 as data analysis software to obtain some significant results.Result:The total effective rate was 91.67% and 69.44% in the treatment group and control group respectively.Through x 2 inspection,there were significant differences between the two groups (P<0.05).The D-values of VAS and NDI both before and after the treatment in treatment group were significantly larger than those in control group through T-test (P<0.05).Conclusion:Compared with traditional traction treatment,Cervical Three Steps Nine Manuevers has special ameliorative effects to treat patients with cervicalspondylosis radiculopathy and it is more suitable for wider clinical application.

Cervical Three Steps Nine Manueverscervicalspondylosis radiculopathyclinical trial

张瑞春、马鑫文、沈明球

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新疆维吾尔自治区中医医院推拿科,新疆乌鲁木齐830001

“整颈三步九法” 神经根型颈椎病 临床试验研究

中医科研专项项目

201107004

2015

辽宁中医药大学学报
辽宁中医药大学

辽宁中医药大学学报

CSTPCD
影响因子:0.775
ISSN:1673-842X
年,卷(期):2015.17(2)
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