疏筋活络推拿法治疗神经根型颈椎病的临床探究.pdfVIP

提 要 目的：本研究以神经根型颈椎病患者症状、体征积分为客观指标，观察运用“舒 筋活络推拿法”为主治疗神经根型颈椎病的临床疗效，并探讨其作用机理。方法：将 入选的 60 例患者随机分为治疗组和对照组，其中治疗组 30 例，对照组 30 例。治疗 组采用“舒筋活络推拿法”为主进行治疗，对照组采用口服颈复康颗粒治疗。治疗后 根据两组症状与主诉、工作和生活能力、手的功能与体征前后积分值的变化进行综合 评价。结果：治疗组总有效率为 100.0%，对照组总有效率为 90.0%，两组有效率之 间差异无显著性意义（P0.05 ）；但两组治愈率（分别为 23.33%和 3.33% ）之间差异 有显著性意义（P0.05 ）。结论：“舒筋活络推拿法”为主治疗比口服颈复康颗粒治疗 在疗效方面优势明显；在症状与主诉、工作和生活能力方面有非常显著的改善 （P0.01 ），在手的功能方面改善显著（P0.05 ）。“舒筋活络推拿法”治疗效果优于 口服颈复康颗粒治疗。 关键词 舒筋活络推拿法；神经根型；颈椎病；临床研究 Clinical Research on the Treatment of radicular type of cervical spondylosis by “Relieve muscle adjustabie massage method ” Specialty：Tuina of TCM Author ： Wang Lingling Tutor ：P Professor Wang Daoquan Abstract Objective ：To study the influence of “relieve muscle adjustabie massage method ” on the therapeutic effect and mechanism studies in radicular type of cervical spondylosis patients and explore the mechanism. Methods ：60 patients diagnosed as radicular type of cervical spondylosis were divided into two groups at random. Among them ,the test group(30) treated by “relieve muscle adjustabie massage method ”；the control group(30) treated by jingfukangkeli Medicine Treatment .The difference in improvement of symptoms and physical signs was observed between the patients of two groups after therapy. Results ： The total effective rate is 100% in the test group while 90.0% in the control group, so there are no differences between them .The total cure rate is 23.33% in the test group while 3.33% in the control group. The differences are obvious. Meanwhile the group of “relieve muscle adjustabie massage method ” improved very obviously in both “symptoms and complains” and “work and skills” (P0.001).And in th