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神经根型颈椎病患者的疼痛和麻木观测

The Measurement of Pain and Numbness in Patients with Cervical Spondylotic Radiculopathy

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【作者】 朱立国于杰高景华李振宇李俊杰房敏张清王尚全李金学王红东秦杰孙武权林定坤陈海云

【Author】 ZHU Liguo1 YU Jie1 GAO Jinghua1 LI Zhenyu2 LI Junjie3 FANG Min4 ZHANG Qing1WANG Shangquan1 LI Jinxue1 WANG Hongdong3 QIN Jie2SUN Wuquan4 LIN Dingkun2 CHEN Haiyun21 Wangjing Hospital,China Academy of Chinese Medical Science,Beijing 100102,China2 Guangdong Hospital of Traditional Chinese Medicine3 Beijing Electric Power Hospital4 Yueyang Hospital of Integrated Traditional and Western Medicine,Shanghai University of Traditional Chinese Medicine

【机构】 中国中医科学院望京医院广东省中医院北京电力医院上海中医药大学附属中西医结合岳阳医院

【摘要】 目的:观察评价旋提手法治疗神经根型颈椎病患者的颈肩疼痛和上肢麻木的变化情况。方法:本组神经根型颈椎病患者210例,脱落12例,其中治疗组106例(脱落5例),对照组104例(脱落7例)。治疗组采用旋提手法,对照组采用牵引疗法,于治疗前和治疗后第1,3,5,7,9,11,13d及治疗后1个月8个时间点随访观测患者颈肩疼痛和上肢麻木情况。结果:两组患者治疗后颈肩疼痛均有减轻(P<0.01),每次治疗后治疗组患者颈臂疼痛减轻程度上均优于对照组(P<0.01),从第4次治疗后治疗组减轻颈臂疼痛优于对照组(P<0.01)。从第6次治疗后治疗组患者减轻上肢麻木优于对照组(P<0.01)。结论:旋提手法可以明显减轻神经根型颈椎病患者的颈肩疼痛和上肢麻木。

【Abstract】 Objective:To observe the effect of rotation-traction manipulation on pain of neck and shoulder and numbness of upper limbs in the treatment of cervical spondylotic radiculopathy(CSR).Methods:A total of 210 patients with CSR were enrolled and randomly divided into experimental group(n=106,with 5 cases dropped out) and control group(n=104,7 cases dropped out).Experimental group and control group were treated with rotation-traction manipulation and neck traction,respectively.Pain and numbness scale in both groups were measured before and on the 1st,3rd,5th,7th,9th,11th,13th day and 1st month after the treatment.Results:Neck and shoulder pain was mitigated after the treatment(P<0.01),with better improvement of neck and shoulder pain in experimental group than that in control group(P<0.01).From the 4th treatment on,pain reduction degree in experimental group was higher than that in control group(P<0.01) and from the 6th treatment on,numbness improvement in experimental group was remarkably superior to that of control group(P<0.01).Conclusion: Rotation-traction manipulation is effective in relieving neck and shoulder pain and upper limbs numbness in patients with CSR.

【基金】 “十五”国家科技攻关课题,课题编号:2004BA721A06
  • 【文献出处】 中国中医骨伤科杂志 ,Chinese Journal of Traditional Medical Traumatology & Orthopedics , 编辑部邮箱 ,2009年04期
  • 【分类号】R681.55
  • 【被引频次】36
  • 【下载频次】942
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