摘要
Objective： To observe the clinical effect of tuina for cervical intervertebral disc herniation. Methods： Eighty seven cases were randomized into a treatment and a control group. 39 cases in the treatment group were treated with tuina manipulation, while 48 cases in the control group were treated with combined cervical traction and medium-frequency impulse. Cases in both groups were treated 3 times a week, and 10 times constitute a course of treatment. Results： Of 39 cases in the treatment group, 22 obtained recovery, 13 obtained marked effects and 4 obtained improvement, manifesting a marked effect rate of 89.7% and an effective rate of 100.0%. Of 48 cases in the control group, 23 obtained recoveries, 17 obtained marked effects, 7 obtained improvements and 1 saw no improvement, manifesting a marked effect rate of 83.3% and an effective rate of 97.9%. There were no statistical differences in the marked effect rate and total effective rate. Cases in the treatment group were treated 17.8 times on average, while cases in the control group were treated 26.6 times on average. Conclusion： Despite the equivalent effects in the treatment of cervical intervertebral disc herniation, tuina is superior to combined traction and medium-frequency impulse in terms of a faster effect and shorter course of treatment.
目的：观察推拿治疗颈椎间盘突出症的临床疗效。方法：87例患者根据就诊顺序随机分为治疗组和对照组。治疗纽39例，采用推拿手法治疗；对照纽48例，采用颈椎牵引结合中频脉冲治疗。两组均每星期治疗3次，治疗10次为一个疗程。结果：治疗组治愈22例，显效13例，好转4例，显效率89．7％，总有效率100．0％；对照纽治愈23例，显效17例，有效7例，无效1例。显效率83．3％，总有效率97．9％。两组显效率及总有效率比较，差异均无统计学意义。治疗组平均治疗17．8次，对照组平均治疗26．6次。结论：推拿治疗颈椎间盘突出症疗效与牵引结合中频脉冲治疗相当，但推拿治疗具有见效快，疗程短的优势。
