摘要
目的应用红外热成像可视化热图评估定点侧屈旋扳手法治疗神经根型颈椎病的临床疗效及安全性。方法选取120例神经根型颈椎病患者按随机数字表法分为治疗组(定点侧屈旋扳手法)与对照组(非定点仰卧三牵手法),每组各60例,隔日1次,15~20 min/次,14次为1个疗程,治疗1个疗程。比较两组治疗前后颈臂疼痛视觉模拟评分(VAS)、颈椎曲度、患侧红外热成像温度均值及临床疗效。结果治疗结束后,两组的VAS评分及红外热成像温度均值均较治疗前降低(P<0.05),颈椎曲度均较治疗前改善(P<0.05);治疗组VAS评分及红外热成像温度均值降低优于对照组(P<0.05),颈椎曲度改善优于对照组(P<0.05);治疗组总有效率高于对照组(P<0.05)。两组均无不良反应发生。结论定点侧屈旋扳手法治疗神经根型颈椎病疗效优于非定点仰卧三牵手法,疗效确切,安全性高,红外热成像可视化热图可作为手法治疗神经根型颈椎病临床疗效的一种评价指标。
Objective To evaluate the clinical effect and safety of the fixed-point lateral flexion-rotational manipulation for cervical spondylotic radiculopathy by the visible heat map of infrared thermal imaging.Methods A total of 120 patients were divided into treatment group and control group,60 cases in a group.The fixed-point lateral flexion-rotational manipulation was used in the treatment group.The non-fixed point supine and three pull manipulation was used in the control group,once every other day,15-20 min/time,14 times for a course of treatment.The visual analogue scale(VAS)score and cervical curvature was compared in two groups.The VAS score,cervical curvature,mean value of infrared imaging temperature and clinical efficacy were compared between the two groups before and after treatment.Results After treatment,the VAS scores and the mean value of infrared imaging temperature were significantly decreased(P<0.05).The curvature of the cervical spine was improved(P<0.05).VAS score and mean reduction of infrared imaging temperature in the treatment group were better than those in the control group(P<0.05),and the cervical curvature improvement was better than that in the control group(P<0.05).The total effective rate of the treatment group was higher than that of the control group(P<0.05).No adverse reactions in either group.Conclusion The curative effect of the fixed-point lateral rotation manipulation in the treatment of cervical spondylotic radiculopathy is better than that of the non-fixed-point supine and three pull manipulation.The efficacy is definite,the safety is high and the visible heat map of infrared thermal imaging can be used as an evaluation index for the clinical efficacy of manipulation in the treatment of cervical spondylotic radiculopathy.
作者
李远栋
刘爱峰
张君涛
张超
苏瑾
李嘉钰
王平
LI Yuandong;LIU Aifeng;ZHANG Juntao;ZHANG Chao;SU Jin;LI Jiayu;WANG Ping(Department of Orthopaedics,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Regional TCM Bone Injury Diagnosis and Treatment Center of State Administration of Traditional Chinese Medicine,Tianjin 300381,China)
出处
《辽宁中医杂志》
CAS
2021年第3期85-88,I0009,共5页
Liaoning Journal of Traditional Chinese Medicine
基金
颈椎病的中医药循证医学研究-国家中医药管理局项目(待下发)
天津市教委科研计划项目(2019KJ064)
王平劳模创新工作室-天津市教委资助项目(津教工[2016]3号)
中医传承工作室-天津卫计委资助项目(津卫中[2017]193号)
天津中医药大学第一附属医院“拓新工程”课题(201908)。
关键词
红外热成像
神经根型颈椎病
定点与非定点手法
可视化
临床疗效
infrared thermography(IRT)
cervical spondylotic radiculopathy(CSR)
fixed-point and the non-fixed-point manipulation
visualization
clinical curative efficacy
