创新手法结合平牵治疗神经根型颈椎病临床研究

【作者】 罗建；

【导师】 罗才贵；

【作者基本信息】 成都中医药大学 ， 针灸推拿学， 2004， 硕士

【摘要】 目的：观察创新手法对神经根型颈椎病的治疗作用，探讨其作用机制。 方法：采用随机平行对照临床试验，将60例中医辨证为寒凝血瘀证的神经根型颈椎病患者分为传统推拿组和创新推拿组，观察治疗前后的临床症状、体征，红细胞压积、血浆粘度等。 结果：两组临床症状、体征改善以及治疗前后红细胞压积、血浆粘度变化组间对照均存在差异(P＜0.01=。 结论：创新手法治疗寒凝血瘀证神经根型颈椎病确能取得很好的治疗效果，并能提高手法治疗神经根型颈椎病的安全性。其作用机制可能在于有效的改善微循环，有针对性地调整颈椎内外力平衡状态，改变或调整神经根与周围组织之间的关系，恢复颈椎正常解剖结构，从而有效的改善症状。更多还原

【Abstract】 Objective: To observe the effect of creative manipulation on nerve-root cervical spondylosis (CS) and to explore its therapeutic mechanism.Method: The clinical trials are conducted randomly and paralleled to observe the cases’ changes before and after treatment, which TCM’s diagnosis is cold and blood stagnation. Sixty cases were allocated equally to two groups. The controlled group was treated with traditional manipulation and experimental group was treated with creative manipulation. The clinical symptoms, packed-erythrocyte volume and blood plasma viscosity were accessed at the start and the end of treatment.Result: Changes of the clinical symptoms, packed-erythrocyte volume and blood plasma viscosity are obvious in each group and are significantly different between the two.Conclusion: The creative manipulation is an effective and uninjurious method to treat nerve-root CS, which TCM’s diagnosis is cold and blood stasis. The possible therapeutic mechanism lies in that the creative manipulation stimulates the circulation of blood and adjusts dynamic equilibrium between cervical vertebra and cervical muscle. Meanwhile, it also corrects dislocations between vertebrae and loose congestion between spinal nerve-root and the tissue all around it.更多还原