【摘要】 目的:观察中医旋转整复手法治疗神经根型颈椎病的安全性及有效性。方法:将64例神经根型颈椎病患者随机分为治疗组和对照组,每组32例。两组患者均采用松解理筋手法治疗,治疗组在此基础上加用旋转整复手法治疗,每周治疗2次,疗程为4周。观察两组患者的临床疗效及手法治疗的安全性,采用Mc Gill疼痛量表(MPQ)评价患者的疼痛程度。结果:治疗组的临床总有效率为90.0%,对照组为69.0%,治疗组的疗效优于对照组(P<0.05)。治疗后,两组患者的MPQ感觉项与情感项总分及视觉模拟量表(VAS)评分均显著降低(P<0.05),且治疗组患者的评分均低于对照组(P<0.05)。治疗全程两组患者均未出现与手法治疗相关的不良反应事件。结论:中医旋转整复手法通过纠正颈椎关节的"骨错缝、筋出槽"治疗神经根型颈椎病,疗效较佳,安全性好。更多还原

【Abstract】 Objective: To observe the safety and efficacy of the rotating and reconstructive manipulation in treating nerve root cervical spondylopathy. Methods: Sixty-four patients with nerve root cervical spondylopathy were randomly divided into treatment group and control group with 32 cases in each group. All the patients were treated with the tendon-regulation massage and the treatment group was treated with the rotating and reconstructive manipulation in addition. The course of treatment was4 weeks,with 2 times per week. The clinical efficacy and safety were observed,and the degree of pain was evaluated by Mc Gill Pain Questionnaire( MPQ). Results: The total effective rates of treatment group and control group were 90. 0% and 69. 0%respectively,and the clinical efficacy of treatment group was better than that of the control group( P < 0. 05). After treatment,the total scores of sensory dimension and affective dimension of MPQ and VAS scores were decreased significantly( P < 0. 05),and the scores of treatment group were lower than those of the control group( P < 0. 05). There were no adverse events in both groups in the course of treatment. Conclusion: The rotating and reconstructive manipulation can correct the joint semidislocation and sinews off-position,which has better clinical effect and is safe in treating nerve root cervical spondylopathy.更多还原