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平乐治颈七法治疗颈型颈椎病患者的疗效观察

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目的 观察比较平乐治颈七法与常规牵引法治疗颈型颈椎病患者的临床疗效.方法 选取2021年1月-2022年12月期间在深圳平乐骨伤科医院(深圳市坪山区中医院)筋伤科门诊就诊的颈型颈椎病患者120例,按随机数字表法分为对照组和治疗组,每组各60例.对照组采用常规牵引治疗,治疗组采用平乐治颈七法治疗.治疗14天后,观察比较两组患者治疗前后颈部临床症状、体征评分、视觉模拟评分(Visual analogue scale,VAS)、颈椎功能障碍指数(Neck disability index,NDI)、颈部活动度及临床疗效.结果 治疗后治疗组临床总有效率76.79%(43/56)明显高于对照组48.08%(25/52),差异有统计学意义(P<0.05).治疗后两组患者VAS、NDI评分均较治疗前降低,差异有统计学意义(P<0.05);且治疗组VAS、NDI评分均明显低于对照组,差异有统计学意义(P<0.05).治疗后两组患者后伸、左右侧屈活动度均较治疗前明显增加,差异有统计学意义(P<0.05);且治疗组后伸活动度明显优于对照组,差异有统计学意义(P<0.05).治疗后两组患者颈部临床症状、体征积分较治疗前降低,差异有统计学意义(P<0.05);且治疗组颈部临床症状、体征积分明显低于对照组,差异有统计学意义(P<0.05).结论 平乐治颈七法治疗颈型颈椎病优于常规牵引法,可有效改善患者的疼痛和功能障碍,值得推广应用.
Clinic Research of Pingle Guo's Orthopedics Technique in Treating Cervical Spon-dylosis
Objective To compare the clinical efficacy between Pingle Guo's orthopedics technique and conven-tional traction method for cervical spondylosis.Methods A total of 120 patients with cervical spondylosis who were treated in the Department of Orthopedics and Traumatology,Shenzhen Pingle Orthopedics Hospital(Shenzhen Pingshan District Hospital of Traditional Chinese Medicine)from January 2021 to December 2022 were selected and divided into a treatment group and a control group with the random number table method.Sixty patients in the treatment group were treated with the Pingle Guo's orthopedics technique,while sixty patients in the control group were treated with the conventional traction method.After 14 days of treatment,clinical efficacy in the two groups was evaluated by observing and comparing the follow-ing indicators before and after treatment:clinical symptoms of the neck,physical sign score scale,visual analogue scale(VAS),neck disability index(NDI)score scale,and neck mobility.Results After treatment,the total clinical effective rate of 76.79%(43/56)in the treatment group was significantly higher than that of 48.08%(25/52)in the control group(P<0.05).VAS and NDI scores of the two groups after treatment were lower than those before treatment(P<0.05),and these scores were significantly lower in the treatment group than in the control group(P<0.05).After treatment,the poste-rior extension and lateral flexion activities of the two groups were significantly higher than those before treatment(P<0.05).In addition,posterior extension in the treatment group was significantly better than that in the control group(P<0.05).After treatment,the clinical symptoms of the neck and physical sign scores of the two groups were decreased,com-pared with those before treatment(P<0.05),and they were in lower levels in the treatment group than in the control group(P<0.05).Conclusion The therapeutic effect of Pingle Guo's orthopedics technique on cervical spondylosis is better than that of the conventional traction method,which can effectively improve the pain and dysfunction of patients and is worth popularization and application.

Pingle Guo's Orthopedics TechniqueCervical SpondylosisCervical Dysfunction

何正保、颜大荃、李正家、张治国、蔺福辉

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广东省深圳平乐骨伤科医院/深圳市坪山区中医院筋伤科,广东 深圳 518122

平乐治颈七法 颈型颈椎病 颈椎功能障碍

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(11)