摘要
目的:观察侧旋提推手法对神经根型颈椎病的临床疗效。方法:选取2022年10月—2023年10月百色市中医医院住院治疗的60例神经根型颈椎病患者作为研究对象,采用随机数表法将其分为观察组和对照组,每组各30例。对照组采用颈椎理筋手法联合颈椎舒适牵引并口服双氯芬酸钠缓释片治疗;观察组在此基础上采用侧旋提推手法治疗。观察两组临床疗效,比较两组治疗前后生活质量评分、视觉模拟量表(VAS)评分、颈椎功能障碍指数(NDI)、中医症状积分、血清炎症指标及治疗过程中不良反应发生情况。结果:观察组总有效率高于对照组,差异有统计学意义(P<0.05);治疗后,观察组生活质量评分高于对照组,差异有统计学意义(P<0.05);观察组VAS评分、颈椎功能障碍指数(NDI)、中医症状积分及血清炎症指标均低于对照组,差异有统计学意义(P<0.05)。结论:旋提推手法能显著改善神经根型颈椎病患者的疼痛度、颈椎功能,并提高其生活质量,炎症因子的抑制可能与临床结果相关。
Objective:To observe the clinical effect of lateral thrusting maneuver on cervical radiculopathy.Method:60 patients with cervical radiculopathy hospitalized in Baise Hospital of Traditional Chinese Medicine from October 2022 to October 2023 were selected and divided into observation group and control group,with 30 cases in each group.The control group was treated with cervical spine manipulation combined with cervical comfortable traction,and orally diclofenac sodium sustained-release tablets.On this basis,the observation group was treated with lateral thruster manipulation.The clinical efficacy of the two groups of patients was observed,and the quality of life score,visual analogue scale(VAS)score,cervical spine dysfunction index(NDI),TCM symptom score,serum inflammation index and the occurrence of adverse reactions during treatment were compared between the two groups.Result:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the life quality score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).VAS score,cervical spine dysfunction index(NDI),TCM symptom score and serum inflammation index in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).Conclusion:Rotatory manipulation can significantly improve the pain degree,cervical spine function and quality of life in patients with radiculotic cervical spondylosis.Inhibition of inflammatory factors may be related to clinical outcomes.
作者
吴显兴
吴国璟
黄江华
牙爱萍
韦秀衣
WU Xianxing;WU Guojing;HUANG Jianghua;YA Aiping;WEI Xiuyi(Baise Hospital of Traditional Chinese Medicine,Baise 533000,China;不详)
出处
《中外医学研究》
2024年第27期121-125,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
广西壮族自治区中医药管理局自筹经费科研项目(Gzzc2020263)。
关键词
神经型颈椎病
生活质量
颈椎侧旋提推手法
炎症因子
Cervical spondylotic radiculopathy
Quality of life
Lateral thrusting manipulation
Inflammatory factors
