首页|三维平衡正脊技术联合针刺、牵引治疗神经根型颈椎病临床研究

三维平衡正脊技术联合针刺、牵引治疗神经根型颈椎病临床研究

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目的:观察三维平衡正脊技术联合针刺、牵引治疗神经根型颈椎病的临床疗效。方法:将80例神经根型颈椎病患者按照随机数字表法分为观察组与对照组各40例。两组均采用药物、针刺和牵引疗法，观察组在此基础上联合应用三维平衡正脊技术。两组均以5次治疗为1个疗程，1个疗程结束后休息2d再进行下个疗程，连续治疗3个疗程。比较两组治疗前、治疗3个疗程后、治疗结束2个月后的视觉模拟评分法(VAS)评分和颈椎病临床评价量表(CASCS)评分，并评价两组的临床疗效。结果:①两组治疗3个疗程后和治疗结束2个月后的VAS评分均低于治疗前(P＜0。05);治疗3个疗程后，观察组的VAS评分低于对照组(P＜0。05)。②两组治疗3个疗程后和治疗结束2个月后的CASCS评分均高于治疗前(P＜0。05);治疗结束2个月后，观察组CASCS评分高于对照组(P＜0。05)。③治疗3个疗程后，观察组和对照组的总有效率分别为94。7％、89。7％，两组临床疗效比较，差异无统计学意义(P＞0。05)。结论:三维平衡正脊技术联合针刺、牵引治疗神经根型颈椎病疗效确切，能缓解患者颈部疼痛，改善患者临床症状、体征，促进其生活、工作和社会适应能力恢复。
Clinical Study on Three-Dimensional Balancing Chiropractic Technique Combined with Acupuncture and Traction in Treatment of Cervical Spondylotic Radiculopathy
Objective:To observe the clinical curative efficacy of the three-dimensional balancing chiropractic technique combined with acupuncture and traction in treating cervical spondylotic radiculopathy(CSR).Methods:A total of 80 patients with CSR were divided into an observation group and a control group according to the random number table method,with 40 patients in each group.Both the two groups received medication,acupuncture,and traction therapy,while the observation group received the three-dimensional balancing chiropractic technique on this basis.Both groups took 5 treatments as a course,with a 2-day rest after one course before the next course,continuing for 3 courses in total.The scores of visual analogue scale(VAS)and clinical assessment scale for cervical spondylosis(CASCS)were compared between the two groups before treatment,after 3 courses of treatment,and 2 months after the treatment ended.The clinical curative efficacy of the two groups were evaluated.Results:①After 3 courses of treatment and 2 months after the treatment ended,the VAS score of each group was lower than that before treatment(P＜0.05).After 3 courses of treatment,the VAS score of the observation group was lower than that of the control group(P＜0.05).②After 3 courses of treatment and 2 months after the treatment ended,the CASCS score of each group was higher than that before treatment(P＜0.05).Two months after the treatment ended,the CASCS score of the observation group was higher than that of the control group(P＜0.05).③After 3 courses of treatment,the total effective rate of the observation group and the control group was 94.7％and 89.7％,respectively,and the difference between the clinical curative efficacy of the two groups was not statistically significant(P＞0.05).Conclusions:Three-dimensional balancing chiropractic technique combined with acupuncture and traction has definite curative efficacy on CSR,which can alleviate patients'neck pain,improve clinical symptoms and signs,and promote the recovery of their life,work,and social adaptation abilities.

cervical spondylotic radiculopathythree-dimensional balancing chiropractic techniqueacupuncturetractionvisual analogue scaleclinical assessment scale for cervical spondylosis

赵虹飞、姜雪佳、张文霞、王义善、颜纯淳、师彬、王从安

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山东中医药大学针灸推拿学院,山东 济南 250355

山东第一医科大学研究生学院,山东 济南 250117

山东第一医科大学附属颈肩腰腿痛医院康复医学科,山东济南 250031

山东第一医科大学附属颈肩腰腿痛医院中医骨伤科,山东济南 250031

山东中医药大学博士后流动站,山东济南 250355

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神经根型颈椎病 三维平衡正脊技术 针刺 牵引 视觉模拟评分法 颈椎病临床评价量表

国家自然科学基金中国博士后基金山东省自然科学基金泰山学者青年专家项目济南市科技局临床医学科技创新计划项目山东省医药卫生科技发展计划项目

820044952021M691985ZR2020QH318tsqn202211349202019087202220010816

2024

10.16295/j.cnki.0257-358x.2024.02.011

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子：0.431
ISSN：0257-358X
年,卷(期)：2024.43(2)
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