三维平衡正脊技术联合针刺、牵引治疗神经根型颈椎病临床研究

Clinical Study on Three-Dimensional Balancing Chiropractic Technique Combined with Acupuncture and Traction in Treatment of Cervical Spondylotic Radiculopathy

目的:观察三维平衡正脊技术联合针刺、牵引治疗神经根型颈椎病的临床疗效。方法:将80例神经根型颈椎病患者按照随机数字表法分为观察组与对照组各40例。两组均采用药物、针刺和牵引疗法,观察组在此基础上联合应用三维平衡正脊技术。两组均以5次治疗为1个疗程,1个疗程结束后休息2 d再进行下个疗程,连续治疗3个疗程。比较两组治疗前、治疗3个疗程后、治疗结束2个月后的视觉模拟评分法(VAS)评分和颈椎病临床评价量表(CASCS)评分,并评价两组的临床疗效。结果:①两组治疗3个疗程后和治疗结束2个月后的VAS评分均低于治疗前(P<0.05);治疗3个疗程后,观察组的VAS评分低于对照组(P<0.05)。②两组治疗3个疗程后和治疗结束2个月后的CASCS评分均高于治疗前(P<0.05);治疗结束2个月后,观察组CASCS评分高于对照组(P<0.05)。③治疗3个疗程后,观察组和对照组的总有效率分别为94.7%、89.7%,两组临床疗效比较,差异无统计学意义(P>0.05)。结论:三维平衡正脊技术联合针刺、牵引治疗神经根型颈椎病疗效确切,能缓解患者颈部疼痛,改善患者临床症状、体征,促进其生活、工作和社会适应能力恢复。

Objective:To observe the clinical curative efficacy of the three-dimensional balancing chiropractic technique combined with acupuncture and traction in treating cervical spondylotic radiculopathy(CSR).Methods:A total of 80 patients with CSR were divided into an observation group and a control group according to the random number table method,with 40 patients in each group.Both the two groups received medication,acupuncture,and traction therapy,while the observation group received the three-dimensional balancing chiropractic technique on this basis.Both groups took 5 treatments as a course,with a 2-day rest after one course before the next course,continuing for 3 courses in total.The scores of visual analogue scale(VAS)and clinical assessment scale for cervical spondylosis(CASCS)were compared between the two groups before treatment,after 3 courses of treatment,and 2 months after the treatment ended.The clinical curative efficacy of the two groups were evaluated.Results:①After 3 courses of treatment and 2 months after the treatment ended,the VAS score of each group was lower than that before treatment(P<0.05).After 3 courses of treatment,the VAS score of the observation group was lower than that of the control group(P<0.05).②After 3 courses of treatment and 2 months after the treatment ended,the CASCS score of each group was higher than that before treatment(P<0.05).Two months after the treatment ended,the CASCS score of the observation group was higher than that of the control group(P<0.05).③After 3 courses of treatment,the total effective rate of the observation group and the control group was 94.7%and 89.7%,respectively,and the difference between the clinical curative efficacy of the two groups was not statistically significant(P>0.05).Conclusions:Three-dimensional balancing chiropractic technique combined with acupuncture and traction has definite curative efficacy on CSR,which can alleviate patients’neck pain,improve clinical symptoms and signs,and promote the recovery of their life,work,and social adaptation abilities.