摘要
目的:采用牵引配合同步针刺治疗神经根型颈椎病,进行治疗前后康复评定;并与非同步的牵引结合针刺治疗作对照,总结评价其临床疗效。为神经根型颈椎病的中西医结合康复治疗提供更为有效的方法。方法:将75例神经根型颈椎病患者随机分为两组:对照组予以非同步牵引配合针刺;试验组予以牵引配合同步针刺。治疗前后采用简化McGill疼痛问卷、目测类比评分和颈椎关节活动度进行疗效评价。结果:试验组完成病例观察38例,对照组完成病例观察35例。经统计分析,两组在简化McGill疼痛问卷评分、颈椎关节活动度变化上治疗前后对比都有显著性差异。试验组在McGill疼痛问卷评分和起效时间上优于对照组。观察期间两组治疗都未出现不良反应。结论:牵引配合针刺对神经根型颈椎病的颈肩臂疼痛改善、颈椎活动度改善有明显作用。牵引配合同步针刺对颈肩臂疼痛改善方面优于非同步牵引配合针刺,其目测类比评分(VAS)起效时间较非同步牵引配合针刺短;牵引配合同步针刺节约单次治疗时间,提高治疗效率。
Objective： This trial was designed to observe the clinical curative effect of cervical spondylotic radiculopathy in traction and acupuncture therapy simultaneously and asynchronously through random consecutive trial for two groups of cervical spondylotic radiculopathy. Methods ：75 cases were divided randomly into two groups： the controlled group was given traction and acupuncture therapy asynchronously; the experiment group was given traction and acupuncture therapy simultaneously. The results were evaluated by the MPQ,visual analogue scales and the ROM of cervical vertebra. Results： The results suggested that there was significant difference between the two groups in the index of MPQ and the ROM of cervical vertebra. There were 38 cases in the experiment group. There were 35 cases in the controlled group. The experiment group is superior to the controlled group in the MPQ and the time of effecting. There was no adverse reaction in the two groups while observing. Conclusion ： There was obvious effect in the pain reducing of the neck and shoulder and the improvement of the ROM in the traction and acupuncture therapy simultaneously. The pain reducing of the neck and shoulder is much better in traction and acupuncture therapy simultaneously than in asynchronously. The effecting time of visual analogue scales in the simultaneous is shorter than in the asynchronous. The traction and acupuncture therapy simultaneously is to decrease the time of the single cure and improve the cure efficiency.
出处
《中华中医药学刊》
CAS
2009年第10期2126-2128,共3页
Chinese Archives of Traditional Chinese Medicine
基金
浙江省中医药科技计划项目资助(2007SA008)
关键词
颈椎病
牵引
针灸疗法
评定
cervical osteoarthritis
traction
acupuncture therapy
assessment
