太极推拿联合八把半锁疗法治疗神经根型颈椎病的临床疗效观察

Clinical observation of Tai Chi massage combined with eight and half locks therapy on cervical spondylotic radiculopathy

目的:观察太极推拿联合八把半锁疗法治疗神经根型颈椎病(CSR)的临床疗效。方法:选取2018年1月—2019年10月湖北省中医院收治的116例CSR患者,采用随机数表法分为观察组和对照组,各58例。对照组予八把半锁疗法,观察组在对照组基础上加予太极推拿治疗,5 d为1个疗程,疗程间休息2 d,共治疗4个疗程。治疗结束后计算总有效率,并于治疗前后统计颈椎病临床评价量表(CASCS)评分,疼痛视觉模拟量表(VAS)评分,测定血清血栓素A2(TXA2)和前列腺素E2(PGE2)水平。结果:治疗后,观察组的总有效率为96.55%(56/58),显著高于对照组的86.21%(50/58)(P<0.05);两组患者CASCS量表的临床体征、临床症状及生活、工作和社会能力评分较治疗前均显著上升(P<0.05),且观察组显著高于对照组(P<0.01);两组患者VAS评分显著减少(P<0.05),且观察组显著低于对照组(P<0.01);两组患者的血清PGE2、TXA2水平均显著下降(P<0.05),且观察组显著低于对照组(P<0.01)。结论:采用太极推拿联合八把半锁疗法治疗CSR患者效果显著,可改善患者疼痛程度,降低其血清PGE2、TXA2水平。

Objective:To observe the curative effect of Tai Chi massage combined with eight and half locks therapy on cervical spondylotic radiculopathy(CSR).Methods:A total of 116 patients with CSR admitted to the Hubei Pvovince Hospital of TCM were enrolled between January 2018 and October 2019.According to random number table method,they were divided into observation group and control group,58 cases in each group.The control group was treated with eight and half locks therapy,while observation group was additionally treated with Tai Chi massage.5 d for one course and 2 d rest between treatment,both groups were treated for 4 courses.After treatment,clinical curative effect was evaluated.Before and after treatment,scores of clinical assessment scale for cervical spondylosis(CASCS)and visual analogue scale(VAS),and levels of serum thromboxane A2(TXA2)and prostaglandin E,(PGE2)were statistically analyzed.Results:After treatment,total response rate of observation group was significantly higher than that of control group[96.55%(56/58)vs 86.21%(50/58),P<0.05].After treatment,scores of CASCS(clinical signs,clinical symptoms,life ability,work ability,social ability)in both groups were increased than before treatment(P<0.05),which were higher in observation group than control group(P<0.01).After treatment,VAS scores in both groups were decreased(P<0.05),which were lower in observation group than control group(P<0.01).After treatment,levels of serum PGE2 and TXA2 in both groups were decreased(P<0.05),which were lower in observation group than control group(P<0.01).Conclusion:Curative effect of Tai Chi massage combined with eight and half locks therapy is significant on CSR patients,which can relieve pain and reduce levels of serum PGE,and TXA2.