[1]马军虎,胡沛铎,周伟,等.基于平乐正骨之推拿手法治疗神经根型颈椎病效果观察[J].西部中医药,2021,34(04):122-126.[doi:10.12174/j.issn.2096-9600.2021.04.30]
　MA Junhu,HU Peiduo,ZHOU Wei,et al.Study on Massage Manipulation in Treating Cervical Spondylotic Radiculopathy Based on Pingle Bone Setting[J].Western Journal of Traditional Chinese Medicine,2021,34(04):122-126.[doi:10.12174/j.issn.2096-9600.2021.04.30]
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基于平乐正骨之推拿手法治疗神经根型颈椎病效果观察
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
34
期数:
2021年04期
页码:
122-126
栏目:
出版日期:
2021-04-15

文章信息/Info

Title:
Study on Massage Manipulation in Treating Cervical Spondylotic Radiculopathy Based on Pingle Bone Setting
作者:
马军虎1, 胡沛铎2, 周伟1, 周钰1
1.新疆医科大学第一附属医院，新疆 乌鲁木齐 830054
2.新疆医科大学附属中医医院
Author(s):
MA Junhu1, HU Peiduo2, ZHOU Wei1, ZHOU Yu1
1.The First Teaching Hospital of Xinjiang Medical University, Urumqi 830054, China
2.Affiliated Traditional Chinese Medicine Hospital of Xinjiang Medical University
关键词:
颈椎病; 神经根型; 平乐正骨; 平衡理论; 推拿正骨; 筋滞骨错
Keywords:
cervical spondylosis; bone setting; balance theory; massage and bone setting; tendon stagnation and bone dislocation
分类号:
R681.5+3
DOI:
10.12174/j.issn.2096-9600.2021.04.30
摘要:
目的探究基于平乐正骨“筋滞骨错”平衡理论指导的推拿正骨手法治疗神经根型颈椎病的临床疗效。 方法选取神经根型颈椎病患者108例，按随机数表法分观察组和对照组，每组54例。对照组给予中药熏蒸+中成药内服治疗，观察组在对照组基础上给予基于平乐正骨“筋滞骨错”平衡理论指导的推拿正骨手法治疗，均治疗2个疗程。比较两组疼痛评分（visual analogue score，VAS）、颈椎功能评分（clinical assessment scale for cervical spondylosis，CASCS）、血液流变学指标［全血低切黏度（whole blood low shear viscosity，WBLSV）、全血高切黏度（whole blood high shear viscosity，WBHSV）］水平、临床疗效。 结果治疗后，观察组VAS评分、WBLSV、WBHSV水平低于对照组，CASCS评分中的症状、体征、工作和生活能力、手功能评分均高于对照组，差异有统计学意义（P＜0.05）。总有效率观察组为98.15%（53/54），高于对照组的83.33%（45/54）（P＜0.05）。 结论基于平乐正骨“筋滞骨错”平衡理论指导的推拿正骨手法治疗神经根型颈椎病可显著缓解患者疼痛症状，改善颈椎功能，提高治疗效果，其机制可能与改善血液流变学指标有关。
Abstract:
ObjectiveTo explore clinical effects of massage and bone setting manipulation in the treatment of cervical spondylotic radiculopathy based on Pingle bone setting "tendon stagnation and bone dislocation" balance theory. MethodsAll 108 patients were allocated to the observation group and the control group in light of random number table method, 54 cases in each group. The control group was given herbal fumigation and oral administration of Chinese patent drugs, and the observation group massage and bone setting manipulation based on Pingle bone setting "tendon stagnation and bone dislocation" balance theory, both groups were treated for two courses. To compare VAS and CASCS between both groups, to detect the levels of WBLSV and WBHSV, and clinical effects. ResultsAfter treating, VAS scores and the levels of WBLSV and WBHSV of the observation group were lower than these of the control group, the scores of the symptoms, body signs, ability to work and live, hand function in CASCS scores were higher than these of the control group, and the difference had statistical meaning (P<0.05). Total effective rate of the observation group was 98.15% (53/54), higher than 83.33% (45/54) of the control group (P<0.05). ConclusionMassage and bone setting manipulation in the treatment of cervical spondylotic radiculopathy based on Pingle bone setting "tendon stagnation and bone dislocation" balance theory could notably relieve pain, improve cervical function, and raise therapeutic effects, and its mechanism might be related to improving hemorheology.

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备注/Memo

备注/Memo:
马军虎（1978—），男，主治医师。研究方向：脊椎病及脊椎相关性疾病的诊治。新疆维吾尔自治区自然科学基金（2018D01C211）。
更新日期/Last Update: 2021-04-15