桂枝加葛根汤结合推拿对颈型颈椎病后伸肌群影响临床研究

Guizhi Jia Gegen Decoction Combined with Massage on Cervical Spondylosis after Extensor Group Influence Clinical Research

目的通过临床随机对照研究比较推拿手法结合中药与单纯推拿手法治疗颈型颈椎病的疗效,观察中医中药对颈型颈椎病患者颈后伸肌群的影响情况。方法将符合纳入标准的40例颈型颈椎病患者随机分为推拿中药组和推拿对照组。推拿中药组为推拿手法结合中药汤剂治疗,推拿对照组采用单纯推拿手法治疗,两组都需要分别记录治疗前后症状体征变化,再汇总所得数据进行医学统计学分析。结果两组治疗1疗程后各自与治疗前在颈椎后伸等长收缩肌力、活动度比较均有明显疗效,组间比较颈椎后伸等长收缩肌力差异无统计学意义、活动度差异有统计学意义;随访3个月观察,两组在有效率方面比较没有显著差异,痊愈率方面比较桂枝加葛根汤结合推拿手法比常规手法有显著疗效。结论桂枝加葛根汤结合推拿手法治疗颈型颈椎病优于传统单纯推拿手法。

Objective Through clinical randomized study comparing massage combined with Chinese traditional medicine and simple massage technique treatment neck type cervical spondylopathy, observation of traditional Chinese medicine on cervical spondylosis neck extensor group influence. Methods Will meet the criteria of 40 patients were randomly divided into Chinese medicine massage massage group and control group. Massage Chinese medicine group were treated with massage combined with Decoction of Chinese medicine treatment, massage the control group for the simple massage technique treatment,two groups were recorded after treatment of symptomatic signs of change, and then based on the data obtained were statistically analyzed. Results Two groups after 1 course of treatment the respective and before treatment in cervical spondylosis isometric contraction,activity compared with obvious curative effect, intergroup comparisons of cervical spondylosis isometric contraction of no significant difference, activity degree difference;folLow-up of 3 months observation, two groups of efficiency without significant difference in comparison, recovery rate passes supervises the strong spinal manipulative and compared with the conventional methods have obvious curative effect. Conclusion Guizhi Jia Gegen decoction combined with massage therapy for cervical spondylosis is better than that of traditional massage.