首页|三角度牵引结合中药熏蒸治疗颈椎病患者的疗效观察

三角度牵引结合中药熏蒸治疗颈椎病患者的疗效观察

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目的 观察三角度牵引结合中药熏蒸治疗颈椎病患者的临床疗效.方法 选取2021年12月-2022年5月期间河南省洛阳正骨医院颈腰痛中心就诊的76例颈椎病患者作为研究对象,按随机数字表法平均分为对照组和观察组,每组各38例.对照组采用坐位牵引结合中药熏蒸治疗,观察组采用三角度牵引结合中药辨证熏蒸治疗,一个疗程后观察比较两组患者临床疗效,治疗前后分别运用简式麦吉尔疼痛量表(McGill pain ques-tionnaire,MPQ)评分及视觉模拟评分法(Visual analogue scale,VAS)评分评价患者疼痛程度,记录颈椎功能障碍指数(Neck disability index,NDI),测量颈椎活动度(Range of motion,ROM)评分评价颈椎活动度,并观察比较治疗前后颈椎曲度变化.结果 治疗后两组患者PRI指数及VAS评分均较治疗前降低,差异有统计学意义(P<0.05);且观察组PRI指数及VAS评分均明显低于对照组,差异有统计学意义(P<0.05).治疗后两组患者NDI指数均较治疗前降低,差异有统计学意义(P<0.05);且观察组NDI指数明显低于对照组,差异有统计学意义(P<0.05).治疗后两组患者ROM评分均较治疗前降低,弧弦距均较治疗前增加,差异有统计学意义(P<0.05);且观察组ROM评分明显低于对照组,弧弦距明显长于对照组,差异有统计学意义(P<0.05).治疗后观察组临床总有效率94.73%(36/38)明显高于对照组86.84%(33/38),差异有统计学意义(Z=2.693,P=0.007).结论 三角度牵引结合中药熏蒸治疗颈椎病可有效改善患者疼痛、活动受限等临床症状,帮助恢复颈椎曲度,值得临床推广应用.
Clinical Study on the Treatment of Cervical Spondylosis by Three-Angle Traction Combined with Traditional Chinese Medicine Dialectical Fumigation
Objective To observe the clinical effect of three-angle traction combined with traditional Chinese medicine(TCM)dialectical fumigation in the treatment of cervical spondylosis.Methods A total of 76 patients with cervi-cal spondylosis treated at the Neck and Back Pain Center of the Luoyang Orthopedic Hospital of Henan Province from De-cember 2021 to May 2022 were selected as the research subjects and were randomly divided into a control group(n=38)and an observation group(n=38).The control group was treated by traction in sitting position combined with TCM fumiga-tion,while the observation group was treated with three-angle traction combined with dialectical fumigation of TCM.After one course of treatment,the clinical effects of the two groups were observed and compared.The degree of pain was evalua-ted with the simple McGill Pain Questionnaire(MPQ)and Visual Analogue Scale(VAS)before and after treatment,and the Neck Disability Index(NDI)was recorded,the Range of Motion(ROM)was measured to evaluate the cervical spine mobili-ty,and the changes of cervical curvature before and after treatment were observed and compared.Results After treatment,both the Patient-Rated Inventory(PRI)index and VAS scores decreased significantly compared to before treatment,with statistical significance(P<0.05).Additionally,the PRI index and VAS score in the observation group were significantly low-er than those in the control group(P<0.05).The NDI decreased significantly in both groups after treatment(P<0.05),and the NDI in the observation group was significantly lower than that in the control group(P<0.05).The ROM scores decreased significantly in both groups after treatment,and the chord distance increased significantly compared to before treatment,with statistical significance(P<0.05).Furthermore,the ROM scores in the observation group were significantly lower than those in the control group,and the chord distance was significantly longer than that in the control group(P<0.05).The overall clinical efficacy rate in the observation group after treatment was 94.73%(36/38),which was signifi-cantly higher than that in the control group(86.84%[33/38]),with statistical significance(Z=2.693,P=0.007).Con-clusion Combining three-angle traction with TCM dialectical fumigation therapy can effectively improve the clinical symptoms of patients with cervical spondylosis,such as pain and restricted movement,and it also helps to restore the curva-ture of the cervical spine.This treatment method is worthy of clinical promotion and application.

Cervical SpondylosisThree-Angle TractionTraditional Chinese Medicine Dialectical Fumigation

李洋、曹向阳、李萌萌、楚天首、王延雷、宋永伟、鲍铁周、郭珂珂

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河南省洛阳正骨医院(河南省骨科医院),河南洛阳 471002

淮阳楚氏骨科医院,河南周口 466700

颈椎病 三角度牵引 中药辨证熏蒸

河南省中医药科学研究专项河南省中医药青苗人才培养项目(第二批)

20-21ZY2236豫卫中医函[2021]16号

2024

世界中西医结合杂志
中华中医药学会

世界中西医结合杂志

CSTPCD
影响因子:1.053
ISSN:1673-6613
年,卷(期):2024.19(4)
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