摘要
目的:观察颈四针加郑氏手法治疗神经根型颈椎病的有效性和安全性。方法:将在本科治疗的90例神经根型颈椎病患者,随机分为联合组(颈四针加郑氏手法,观察组)、颈四针组、郑氏手法组(后两组为对照组),每组各30例,比较3组患者治疗前后VAS评分及NDI评分变化。结果:3组患者与治疗前对比,VAS评分均有降低,观察组低于对照组,3组对比差异有统计学意义(P<0.05);与治疗前比较,3组患者的NDI评分均有降低,观察组低于对照组,差异有统计学意义(P<0.05);联合组总有效率(93.33%)高于颈四针组(76.67%)、郑氏手法组(70.00%),差异有统计学意义(P<0.05)。结论:颈四针加郑氏手法治疗神经根型颈椎病,可有效缓解患者的颈部疼痛感受,提高患者的颈椎功能,效果显著,值得临床推广应用。
Objective：To observe the efficacy and safety of＂Four Neck Needle＂acupuncture combined with Zheng’s manipulation in the treatment of cervical spondylotic radicular disease.Methods：A total of 90 patients with cervical spondylotic radiculopathy were randomly divided into three groups,including the combined group ＂Four Neck Needle＂acupuncture plus Zheng’s manipulation）,the＂Four Neck Needle＂acupuncture group and the Zheng’s manipulation group,with 30 cases in each group.The VAS scores and NDI scores of the three groups before and after treatment were compared.Results：Compared with before treatment,the VAS scores of the three groups were lower,the VAS scores of the observation group were lower than those of the control group,and there was significant difference among the three groups（P〈0.05）. Compared with those before treatment,the NDI scores of the three groups decreased.The NDI score of the observation group was lower than that of the control group,with statistical significance（P〈0.05）.The total effective rate of the combined group（93.33%）was higher than that of the＂Four Neck Needle＂acupuncture group（76.67%）and Zheng’s manipulation group（70.00%）,with statistical significance（P〈0.05）.Conclusion：The ＂Four Neck Needle＂acupuncture combined with Zheng’s manipulation can effectively alleviate cervical pain in patients with cervical spondylotic radiculopathy,improve the function of the cervical spine,and the effect is significant,worthy of clinical application.
作者
程远东
刘太
王标
唐流刚
CHENG Yuandong;LIU Tai;WANG Biao;TANG Liugang(Orthopedic Hospital of Sichuan,Chengdu 610041,China)
出处
《中国中医骨伤科杂志》
CAS
2018年第10期40-44,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
中国民族医药学会(2017KYXM-Z175-43)
四川省干部保健科研课题(川干研2018-605)
关键词
神经根型颈椎病
颈四针
郑氏手法
临床效果
cervical spondylotic radiculopathy
＂Four Neck Needle＂ acupuncture
Zheng’s manipulation
clinical effect
