[1]卜献忠,钟远鸣,卜保献,等.中医三联法联合“四方抗阻”训练治疗神经根型颈椎病临床研究[J].西部中医药,2024,37(11):149-152.[doi:10.12174/j.issn.2096-9600.2024.11.33]
　BU Xianzhong,ZHONG Yuanming,BU Baoxian,et al.Clinical Study on Triple Therapy of TCM Combined with "Four-way Resistance" Training in the Treatment of Cervical Spondylotic Radiculopathy[J].Western Journal of Traditional Chinese Medicine,2024,37(11):149-152.[doi:10.12174/j.issn.2096-9600.2024.11.33]
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中医三联法联合“四方抗阻”训练治疗神经根型颈椎病临床研究
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年11期
页码:
149-152
栏目:
特色医疗
出版日期:
2024-11-15

文章信息/Info

Title:
Clinical Study on Triple Therapy of TCM Combined with "Four-way Resistance" Training in the Treatment of Cervical Spondylotic Radiculopathy
作者:
卜献忠1,2, 钟远鸣3, 卜保献4, 卜若晨5, 王奕鑫4, 杨汉立1, 王微微1, 韩富富1
1.广西中医药大学，广西 南宁 530001
2.河南中医药大学第一附属医院，河南 郑州 450099
3.广西中医药大学第一附属医院，广西 南宁 530023
4.河南省洛阳正骨医院（河南省骨科医院），河南 洛阳 471002
5.海南医学院，海南 海口 571199
Author(s):
BU Xianzhong1,2, ZHONG Yuanming3, BU Baoxian4, BU Ruochen5, WANG Yixin4, YANG Hanli1, WANG Weiwei1, HAN Fufu1
1.Guangxi University of Chinese Medicine, Nanning 530001, China
2.The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450099, China
3.The First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, China
4.Luoyang Orthopedic-Traumatological Hospital of Henan Province, Luoyang 471002, China
5.Hainan Medical University, Haikou 571199, China
关键词:
颈椎病; 神经根型; 电针; 牵引; 推拿; “四方抗阻”训练
Keywords:
cervical spondylopathy;  radiculopathy; acusector; traction; massage; "four-way resistance" training
分类号:
R274.9
DOI:
10.12174/j.issn.2096-9600.2024.11.33
文献标志码:
B
摘要:
目的探讨中医三联法联合“四方抗阻”训练治疗神经根型颈椎病（cervical spondylotic radiculopathy，CSR）的有效性、安全性及复发率。 方法将50例CSR患者随机分为观察组和对照组，各25例。对照组给予中医三联法（推拿+牵引+电针）治疗，观察组在对照组基础上予“四方抗阻”训练治疗，均以连续治疗5天为1个疗程，疗程间休息2天，共治疗4个疗程。治疗结束后比较两组总有效率、颈椎功能障碍量表（neck disability index，DNI）评分、视觉模拟量表（visual analogue score，VAS）评分、现有疼痛强度（present pain intensity，PPI）评分，并观察两组不良反应发生情况及复发率。 结果观察组总有效率［92.0%（23/25）］高于对照组［80.0%（20/25）］（P＜0.05）；治疗后两组DNI、VAS及PPI评分均降低（P＜0.05），且观察组降低程度大于对照组（P＜0.05）；观察组复发率［8.0%（2/25）］低于对照组［20.0%（5/25）］（P＜0.05）。 结论中医三联法联合“四方抗阻”训练能够有效地提高颈椎稳定性，缓解颈肩部疼痛，改善颈功能障碍，降低复发率。
Abstract:
ObjectiveTo survey the effectiveness, safety and recurrence rate of TCM triple therapy and "four-way resistance" training in the treatment of cervical spondylotic radiculopathy (CSR). MethodsAll 50 CSR patients were randomized into the observation group and the control group with 25 cases in each group. The control group was treated with TCM triple therapy (massage+traction+acusector), and the observation group with "four-way resistance" training based on the therapy the control group accepted, five days were one course of the treatment, and the interval was two days, and both groups were treated for four courses. By the end of the treatment, to compare total effective rate, the scores of DNI, VAS and PPI between both groups, and to observe the incidences of adverse reaction and the recurrence rate between both groups. ResultsTotal effective rate of the observation group was [92.0%(23/25)], higher than [80.0%(20/25)] of the control group (P<0.05); after the treat-ment, the scores of DNI, VAS and PPI reduced in the two groups (P<0.05), and the decrease of the observation group was greater than that of the control group (P<0.05); the recurrence rate of the observation group was [8.0%(2/25)], lower than [20.0%(5/25)] of the control group (P<0.05). ConclusionTCM triple therapy and "four-way resis-tance" training could effectively enhance cervical stability, relieve neck and shoulder pain, improve cervical dysfunction with low recurrence rate.

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备注/Memo

备注/Memo:
卜献忠（1989—），男，博士学位，在读博士后，助理研究员，主治医师。研究方向：脊柱脊髓损伤、脊柱相关疾病的基础与临床研究。国家自然科学基金（81760874）；国家自然科学基金青年科学基金（82405439）；广西重点研发计划（桂科AB20159018）；河南省中医药科学研究专项课题（20-21ZY2083）；河南省中医药科学研究专项课题（2023ZXZX1003）；河南中医药大学第一附属医院博士启动基金（KY-B0367-36）；广西中医药大学2021年博士研究生科研创新项目（YCBXJ2021009
更新日期/Last Update: 2024-11-15