A CLINICAL OBSERVATION ON THE THERAPEUTIC EFFECT OF CERVICAL SPONDYLOPATHY OF NERVE ROOT TYPE TREATED BY COMBINED CERVICAL TRACTION AND ELECTROACUPUNCTURE

Objective: To observe the therapeutic effect of combined cervical traction and electroacupuncture (EA) on Cervical Spondylopathy of Nerve Root Type (CSNRT). Methods: 145 patients diagnosed as CSNRT were randomized into 3 groups: combined treatment group, EA group, and cervical traction (CT) group. The combined group was treated with traction followed by EA of Dazhui (大椎 GV 14), Fengchi (风池 GB 20), cervical Jiaji (夹脊 EX-B 2), etc.. Patients of two control groups were only treated by either CT or EA. Results: The markedly-effective rate and total effective rate were 76.0% and 94.0% respectively in the combined treatment group, 62.5% and 81.25% respectively in CT group, and 63.82% and 82.97% respectively in EA group. The therapeutic effect of the combined treatment group was significantly superior to that of two control groups (P<0.05). At 6-month follow-up, the above two markedly-effective and total effective rates in the combined treatment group remained 74.0% and 92.0%, still significantly higher than that in two control groups. Conclusion: Combining cervicle traction with EA treatment can effectively eliminate or relieve the symptoms and signs in patients with nerve root type cervical spondylopathy.

CLINICAL OBSERVATION ON TREATMENT OF NERVE-ROOT TYPE CERVICAL SPONDYLOSIS WITH ACUPUNCTURE, TRACTION PLUS SELF-EXERCISE OF QIGONG

Purpose: To observe the therapeutic effect of acupuncture combined with traction and Qigong exercise for treatment of nerve root type cervical spondylosis. Methods: A total of 130 nerve root type cervical spondylosis patients were randomly divided into acupuncture + traction + Qigong exercise (ATQE) group (n=59), acupuncture + Qigong exercise (AQE) group (n=40) and traction + Qigong exercise (TQE) group (n=31). Main acupoints used were Fengchi (GB 20) and cervical Jiaji (EX B 2) on the affected side. Results: After one month’s treatment, in ATQE, AQE and TQE groups, 43 (72.88%), 18 (45.00%) and 12 (45.16%) had remarkable amelioration, 14 (23.72%), 14 (35.00%) and 10 (32.26%) were effective, and 2 (3.39%), 8 (20.00%) and 7 (22.58%) had no apparent changes with the total effective rates being 96.61%, 80.00% and 77.41% respectively. The therapeutic effect of ATQE group was significantly superior to that of AQE and TQE groups (P<0.01).

COMBINED TREATMENT OF 43 CASES OF CERVICAL SPONDYLOPATHY

From February of 1994 to February of 1996, the author of the present paper adopted combined therapies of potent traction, massage, acupuncture and Chinese medicinal herbs to treat 43 cases of cervical spondylopathy. Results showed that after 1-3 months’ treatment, of the 43 cases, 30 (69.8%) were cured, 10 (23.3%) had marked improvement, 2 (4.6%) had improvement and 1 (2.3%) failed, with an effective rate of 97.7%.

Observation of therapuetic effect on cervical spondylosis treated mainly with electroacupuncture

Objective To observe the clinical effects of cervical spondylosis treated with electroacupuncture （EA）, cupping and TDP irradiation. Methods Ninety cases of mixed cervical spondylosis were randomized into 3 groups. Of which, in the treatment of observation group （30 cases）, the acupoints included Fengchi （风池 GB 20）, Jianjing （肩井GB 21）, Tianzong （天宗SI 11）, etc. EA, cupping and TDP irradiation were provided in combination. Two control groups were divided. In control group 1 （30 cases）, cervical traction was adopted in treatment. In control group 2 （30 cases）, stimulation with medium frequency was provided. In all of 3 groups, 5 treatments were given each week. 10 treatments made one course. The therapeutic effects of 3 groups were compared one course of treatment later. Resuits The total effective rate was 93.3% in observation group, 70.0% in control group 1 and 66.7% in control group 2. Significant differences were presented statistically in comparison between observation group and 2 control groups （both P〈0.05）. Conclusion The treatment with EA, cupping and TDP irradiation achieves quite satisfactory therapeutic effect on cervical spondylosis in clinical application.

Triton牵引器结合颈椎手法治疗下颈椎不稳症疗效观察

目的:比较Triton牵引器卧位变角间歇性牵引结合颈椎手法与传统颈椎牵引器坐位垂直连续牵引结合颈椎手法在下颈椎不稳症治疗中的疗效。方法:根据我院住院病人中下颈椎不稳症患者收治先后顺序,随机分为治疗组及对照组各50例,治疗组采用Triton牵引器结合颈椎手法治疗,对照组采用传统颈椎牵引器结合颈椎手法治疗。每日1次,治疗时间以5d为1个疗程,每个疗程间隔1d再进行下一疗程,3个疗程后参照国家中医药管理局制定的《中医病证诊断疗效标准》中颈椎病的疗效标准进行评定,并进行统计学分析。结果:2组治疗3个疗程后疗效比较,治疗组总有效率明显优于对照组,其差异具有统计学意义(P<0.01)。结论:Triton牵引器结合颈椎手法治疗下颈椎不稳症疗效显著。