施氏伤科手法治疗神经根型颈椎病的临床观察

观察通过施氏伤科手法治疗神经根型颈椎病的临床疗效。方法 将神经根型颈椎病门诊患者随机地分成治疗组与对照组,每组32例,共计64例。治疗组给予施氏伤科手法治疗,对照组给予颈椎电牵引治疗。两组的疗程同为3周,观察治疗后的临床疗效,比较疼痛视觉模拟评分、颈椎病症状量表以及症状与功能评估的变化情况。结果 ①临床总有效率治疗组为90.63%,对照组为75%;临床疗效组间比较,差异有统计学意义(P<0.05)。②治疗前后组内比较和治疗后组间比较,两组的VAS评分差异均有统计学意义(P<0.05)。③治疗前后组内比较和组间治疗后比较,两组颈椎病症状量表的得分水平差异均有统计学意义(P<0.05)。结论 施氏伤科手法治疗神经根型颈椎病,可明显减轻肢麻症状,改善患者颈项板滞不利,肩背牵掣等不适表现,从而让患者的劳动能力和生活质量得到提高。

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.

手法治疗颈性眩晕的研究

目的：分析探讨手法治疗颈性眩晕的临床效果。方法：选取2007年2月到2011年2月期间在我院治疗的颈性眩晕患者128例，随机将患者分为对照组和观察组，对照组患者采用颈椎电牵引治疗，观察组患者采取手法治疗。分别分析两组患者临床有效率及眩晕评分。结果：和对照组相比，观察组患者临床总有效率明显提高，眩晕评分明显增加，差异显著具有统计学意义（P〈0．05）。结论：手法治疗颈性眩晕可以明显改善患者症状，具有显著的临床效果，减轻患者痛苦，提高患者生活质量，值得推广。