摘要
目的运用循证医学方法,通过多中心随机对照临床研究评价"整颈三步九法"治疗颈椎病的有效性和安全性。方法采用多中心、大样本临床研究方法,各临床中心同步按照纳入标准共纳入180例病例,并随机分为治疗组和对照组(各90例),分别采用"整颈三步九法"治疗和牵引、低周波综合治疗;两组均治疗两个疗程,观察临床疗效及中医证候、疼痛(MPQ疼痛评估量表)、体征(Greene评分,JOA评分)变化情况。结果治疗组、对照组总有效率分别为91.11%、72.22%;组间临床疗效比较,差异有统计学意义(P<0.01)。两组疼痛和中医证候(主症、次症)积分治疗前后组内比较,差异均有统计学意义(P<0.05,P<0.01);组间治疗后比较,各指标差异均有统计学意义(P<0.05,P<0.01)。治疗组治疗前后JOA积分差异无统计学意义(P>0.05),Greene评分差异有统计学意义(P<0.05);对照组治疗前后JOA积分、Greene评分差异均有统计学意义(P<0.05,P<0.01);组间治疗后比较,Greene评分差异有统计学意义(P<0.05)。结论 "整颈三步九法"治疗颈椎病安全、有效,临床便于操作。
Objective To evaluate the effectiveness and safety of ＂three steps and nine methods＂ by multicenter randomized control trial.Methods One hundred and eighty cases were randomized into treatment group and control group,ninety cases in treatment group were treated by ＂three steps and nine methods＂;ninety cases in control group were treated by comprehensive therapy： traction and low-frequency wave,with 2 courses.The clinical efficacy,TCM symptoms,pain and signs were observed.Results The total effective rates were 91.11% and 72.22% in treatment group and control group respectively,the difference of clinical efficacy between the two groups was significant（P0.01）;the pain condition and TCM symptom scores were significant between before and after treatment（P0.05,P0.01）;after treatment,the differences of all indexes between the two groups were significant（P0.05,P0.01）.No significant difference of JOA score in treatment group was observed between before and after treatment（P0.05）,and the difference of Greene between score in treatment group was significant between before and after treatment（P0.05）;the differences of JOA score and Greene score in control group were significant before and after treatment（P0.05,P0.01）;after treatment,the difference of Greene score was significant between the two groups（P0.05）.Conclusion Treating cervical spondylosis by ＂three steps and nine methods＂ is safe,effective and feasible,and deserves to be applied in clinical practice.
出处
《上海中医药杂志》
2012年第4期47-49,共3页
Shanghai Journal of Traditional Chinese Medicine
基金
上海市卫生局科研基金计划项目(2008L023A)
上海市教育委员会预算内科研项目(09JW24)
国家中医药管理局行业专项(201107004)
关键词
颈椎病
手法
整颈三步九法
cervical spondylosis
manipulation
＂three steps and nine methods＂
