Clinical study on tuina for acute cervical radiculopathy

推拿治疗急性期神经根型颈椎病临床研究

Objective:To observe the clinical efficacy of Ba-pulling and Qian-traction manipulation with neck suspension and movement for acute cervical radiculopathy.Methods:A total of 85 patients who met the inclusion criteria were randomized into an observation group and a control group by random numbers,with 43 cases in the observation group and 42 cases in the control group.The observation group was treated with Ba-pulling and Qian-traction manipulation with neck suspension and movement;while the control group was treated with Bashen-pulling and stretching manipulation in a supine position.The treatment was performed once a day,10 times as a treatment course.The therapeutic efficacy was evaluated after 1 treatment course,and the changes in the scores of visual analog scale(VAS)and neck disability index(NDI)were observed.Results:The total effective rate was 97.7%in the observation group,and 83.3%in the control group,and the differenee between the two groups was statistically significant(P<0.05).After treatment,the VAS and NDI scores of both groups were sign讦icantly decreased(both P<0.01),and the differences in the VAS and NDI scores between the two groups were stat:istically sigrdficant(both P<0.01).Conclusion:Both Ba-pulling and Qian-traction manipulation with neck suspension and movement and Bashen-pulling and stretching manipulation in a supine position can relieve pain and improve cervical function in patients with acute cervical radiculopathy,and Ba-pulling and Qian-traction manipulation with neck suspension and movement can produce more significant efficacy than Bashen-pulling and stretching manipulation in a supine position.

目的:观察“悬动拔牵”手法治疗急性期神经根型颈椎病的临床疗效。方法:将符合纳入标准的85例患者按随机数字分为两组,观察组43例采用“悬动拔牵”手法治疗,对照组42例采用仰卧拔伸手法治疗。每日治疗1次,10次1疗程。治疗1个疗程后进行疗效评定,并观察视觉模拟量表(VAS)评分和颈椎功能障碍指数(NDI)评分的变化情况。结果:观察组总有效率为97.7%,对照组总有效率为83.3%,两组总有效率差异有统计学意义(PV0.05)。治疗后,两组VAS及NDI评分均较治疗前显著下降(均P V 0.01);观察组VAS及NDI评分与对照组有统计学(均PV0.01)。结论:“悬动拔牵”手法和仰卧拔伸法均能改善急性期神经根型颈椎病患者的疼痛和颈椎功能,“悬动拔牵”手法的疗效优于仰卧拔伸法。