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投稿时间：2019-11-05 网络发布日期：2020-08-20
投稿时间：2019-11-05 网络发布日期：2020-08-20
中文摘要: 目的 观察石氏伤科颈椎旋扳法联合微针刀治疗神经根型颈椎病的临床疗效。方法 将2017年11月至2018年12月收治的符合纳入标准的64例患者随机分为观察组和对照组,每组32例,观察组采用微针刀联合旋扳法治疗,对照组采用常规针灸联合牵引手法治疗,分别在治疗前、第1次治疗后和第2次治疗后对患者进行NPQ量表评估,并观察比较两组患者的治疗效果。结果 观察组与对照组患者治疗总有效率分别为96.87%、78.12%,差异无统计学意义(P>0.05)。两组治疗前NPQ评分比较无统计学差异(P>0.05)。在第1次和第2次治疗后,两组NPQ评分均低于治疗前,且观察组NPQ评分均低于对照组,差异有统计学意义(P<0.01)。结论 对神经根型颈椎病患者采用颈椎旋扳法结合微针刀治疗方式能够显著改善患者NPQ评分,对恢复患者颈椎功能具有显著作用,且操作较为简单。
Abstract:ObjectiveTo investigate the method and clinical effect of Shi′s traumatology rotation manipulation combined with micro needle knife in the treatment of cervical radiculopathy.MethodsA total of 64 patients who met the inclusion criteria from November 2017 to December 2018 were randomly divided into observation group and control group (n=32,each).The observation group was treated with micro needle knife combined with rotation manipulation,while the control group was treated with conventional acupuncture combined with traction manipulation.Northwick Park Neck Pain Questionnaire (NPQ) scale was used to evaluate the patients before treatment,after the first treatment and after the second treatment.The therapeutic effects of the two groups were observed and compared.ResultsThere was no significant difference in the total effective rate between the observation group and the control group (96.87% vs 78.12%,P>0.05).There was no significant difference in NPQ score between the two groups before treatment (P>0.05).After the first and second treatment,the NPQ scores of the two groups were lower than those before treatment,and the NPQ scores of the observation group were lower than those of the control group (P<0.01).ConclusionFor patients with cervical radiculopathy,rotation manipulation combined with micro needle knife therapy can improve the NPQ score of patients,and has a significant effect on the recovery of cervical function of patients,and the operation is relatively simple.
keywords: Shi′s traumatology Cervical radiculopathy Micro needle knife Rotation manipulation Acupuncture
文章编号： 中图分类号： 文献标志码：B
基金项目:“中医骨伤科学”国家重点学科(100508);上海市重中之重临床重点学科建设项目“中医骨伤科学”(2017ZZ02024)
| Author Name | Affiliation |
| CAO Jing-lei,CHENG Xin | Department of Orthopedics,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China |
引用文本：
曹晶蕾,程鑫.石氏伤科手法联合微针刀治疗神经根型颈椎病的效果[J].中国临床研究,2020,33(8):1111-1114.
曹晶蕾,程鑫.石氏伤科手法联合微针刀治疗神经根型颈椎病的效果[J].中国临床研究,2020,33(8):1111-1114.