1. 上海中医药大学附属曙光医院石氏伤科医学中心,上海,201203
2. 上海市中医药研究院骨伤科研究所,上海,201203
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陈博, 顾新丰, 张旻, 等. 中医三维立体牵引治疗神经根型颈椎病的临床研究[J]. 上海中医药杂志, 2019,53(12):49-51.
CHEN Bo, GU Xinfeng, ZHANG Min, et al. Clinical study on TCM three-dimensional traction in the treatment of cervical spondylotic radiculopathy (CSR)[J]. Shanghai Journal of Traditional Chinese Medicine, 2019,53(12):49-51.
陈博, 顾新丰, 张旻, 等. 中医三维立体牵引治疗神经根型颈椎病的临床研究[J]. 上海中医药杂志, 2019,53(12):49-51. DOI: 10.16305/j.1007-1334.2019.12.014.
CHEN Bo, GU Xinfeng, ZHANG Min, et al. Clinical study on TCM three-dimensional traction in the treatment of cervical spondylotic radiculopathy (CSR)[J]. Shanghai Journal of Traditional Chinese Medicine, 2019,53(12):49-51. DOI: 10.16305/j.1007-1334.2019.12.014.
目的:观察中医三维立体牵引治疗神经根型颈椎病的临床疗效。 方法:将80例神经根型颈椎病患者随机分为治疗组和对照组,每组40例。治疗组采用中医三维立体牵引装置治疗(三维立体间歇牵引),对照组采用传统颈椎牵引椅治疗(传统连续牵引)。两组疗程均为2周,观察治疗安全性,比较疼痛视觉模拟评分(VAS)和颈椎功能障碍指数量表评分(NDI)的变化情况。 结果:①试验期间,未见脱落病例。②治疗前后组内比较,两组VAS评分、NDI评分均明显减少(P<0.05);组间治疗后比较,治疗组VAS评分、NDI评分明显低于对照组(P<0.05)。③治疗组不良反应发生率明显低于对照组(P<0.05)。 结论:与传统颈椎牵引相比,中医三维立体牵引治疗神经根型颈椎病,能更好地缓解颈椎疼痛及功能障碍,且不良反应更少。
Objective:To observe the clinical effect of TCM three-dimensional traction in the treatment of cervical spondylotic radiculopathy (CSR). MethodsEighty cases of CSR were randomized into the treatment group and the control group with 40 cases in each group. The treatment group was treated with TCM three-dimensional traction device (three-dimensional intermittent traction), while the control group was treated with traditional cervical traction chair (traditional continuous traction). The course of treatment in both groups was 2 weeks. The safety of treatment was observed and the changes of Visual Analogue Scale (VAS) and Neck Disability Index (NDI) were compared. Results:①There was no drop-out case during the trial. ②The scores of VAS and NDI of the two groups before and after treatment respectively were significantly reduced (P<0.05); After treatment, the VAS score and NDI score of the treatment group were significantly lower than those of the control group (P<0.05). ③The incidence of adverse reactions in the treatment group was significantly lower than that in the control group (P<0.05). Conclusion:Compared with the traditional cervical traction, TCM three-dimensional traction can better relieve the pain and dysfunction with fewer adverse reactions in the treatment of CSR.
神经根型颈椎病牵引疗法间歇牵引生理曲度筋出槽骨错缝
cervical spondylotic radiculopathy (CSR)traction therapyintermittent tractionphysiological curvaturejoint semi-dislocation and sinews off-position
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