三步推拿法治疗颈型颈椎病临床推广应用研究

Study on the popularization and application in the three-steps manipulation for treating cervical spondylosis

[目的]进一步论证三步推拿法治疗颈型颈椎病的临床疗效,同时研究其在基层医疗机构推广应用价值。[方法]研究采用三级推广模式,选取颈型颈椎病患者270例(三甲医院、二级医院和社区卫生服务中心各90例),均随机分入三步推拿组、牵引治疗组和传统推拿组,观察比较3家医院间的临床疗效差异,同时选用颈椎功能障碍指数(NDI)、目测视觉模拟评分(VAS)作为观察指标对疗效进行量化评定。[结果]3组临床总有效率分别为三步推拿组90.00%、牵引治疗组73.33%和传统推拿组86.67%,其差异具有统计学意义(P<0.05)。三步推拿法在3家医院应用,其临床疗效比较无统计学差异(P>0.05)。[结论]三步推拿法治疗颈型颈椎病的临床疗效等同于传统推拿手法,且明显优于单一的牵引治疗。

[Objective] To further expound and prove the clinical effect of cervical spondylosis with three-steps manipulation,and to research the value of popularization and application in the basic medical institutions.[Methods] The study adopted three popularizing models.The 270 patient cases with cervical spondylosis were selected.Each 90 cases were from municipal hospital,district hospital and community health center.The trials were randomly divided into three-steps manipulation group,traction treatment group and traditional manipulation group.Compare the clinical efficacy among the three hospitals.Opt Neck Disabi1 ity Index（NDI） and Visual Analogues Scale（VAS） qua the observation index sign for quantitative curative effects.[Results] The total clinical efficiency of three-steps manipulation group,traction treatment group and traditional manipulation group were 90.00%,73.33% and 86.67%.These ratio of cure has obvious statistical difference（P0.05）.The ratio of cure with three-step manipulation has no statistical difference among three different hospitals（P 0.05）.[Conclusion] Three-steps manipulation treatment of cervical spondylosis clinical efficacy equivalent to the traditional manipulation,but is better than the single traction treatment obviously.It has the characteristics of simple and easy to master,and it is suitable for using in base hospital of traditional Chinese medicine clinical technology.