摘要
目的:观察颈肩宁协方与牵旋手法联合应用对神经根型颈椎病的临床疗效。方法:收集神经根型颈椎病患者90例,采用随机数字表法分为3组,观察组30例(颈肩宁协方配合牵旋手法),对照组1和对照组2各30例(采用单纯颈肩宁协方或牵旋手法)治疗2周。采用主诉与症状、颈椎活动度及简化MoGill量表变化评估疗效及安全性。结果:2周后观察组总体有效率为93.3%;治疗2周后三组患者颈椎各向活动度评分均有不同程度升高,且观察组优于对照组,差异有统计学意义(P<0.001);治疗2周后患者主诉与症状评分及MoGill疼痛简表问卷评分都有不同程度降低,观察组低于对照组,差异有统计学意义(P<0.001)。结论:颈肩宁协方配合牵旋手法治疗神经根型颈椎病能够缓解神经根压迫的症状,改善患者颈椎活动度,提高生活质量。
Objective:To observe the clinical effect of the Jingjianning prescription combined with traction manipulation on cervical spondylotic radiculopathy(CSR).Methods:90 cases of cervical spondylotic radiculopathy were collected and divided into three groups by random number table.30 cases in the observation group(treated with Jingjianning prescription combined with traction and rotation techniques)and 30 cases in each of the control groups 1 and 2(treated with simple Jingjianning prescription or traction and rotation techniques)were treated for 2 weeks.Evaluate efficacy and safety using chief complaints and symptoms,cervical range of motion,and simplified MoGill scale changes.Results:After 2 weeks,the overall effective rate of the observation group was 93.3%.After 2 weeks of treatment,all three groups of patients showed varying degrees of increase in cervical spine range of motion scores,and the observation group was superior to the control group(P<0.001).After 2 weeks of treatment,the chief complaints and symptom scores of patients in the observation group,as well as the simplified MoGill pain questionnaire evaluation,showed that regardless of which group's score decreased to varying degrees after treatment,the observation group was lower than the control group(P<0.001).Conclusion:The combination of Jingjianning prescription with traction and rotation techniques can effectively alleviate symptoms of nerve root compression,improve cervical mobility,and enhance the quality of life for patients with CSR.
作者
梁彦林
王鹏
顾常庆
杨平
魏文元
韦祖洁
任树军
LIANG Yanlin;WANG Peng;GU Changqing;YANG Ping;WEI Wenyuan;WEI Zujie;REN Shujun(Ningxia Hui Autonomous Region Traditional Chinese Medicine Hospital and Research Institute,Yinchuan 750021,China;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China)
出处
《中国中医骨伤科杂志》
2025年第5期37-41,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
宁夏自然科学基金一般项目(2022AAC03412)。
关键词
颈肩宁协方
牵旋手法
神经根型颈椎病
Jingjianning prescription
traction and rotation techniques
cervical spondylotic radiculopathy
