颈椎定点伸引手法联合药物治疗颈臂痛症的疗效观察
Effect of cervical local-point traction manipulation plus medication treatment for cervical brachial pain symptom
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摘要: 目的 观察颈椎定点伸引手法联合药物治疗颈臂痛症的临床疗效。方法 选择2012年8月-2018年7月解放军总医院第一医学中心康复医学科门诊诊治的颈臂痛症患者,随机分为颈椎定点伸引手法联合药物治疗组和对照组各100例,治疗组年龄25 ~ 75岁,其中男性55例,女性45例,中位病程12个月;对照组年龄20 ~ 75岁,其中男性54例,女性46例,中位病程11个月。对照组仅采用红药贴膏治疗,2贴/周,连续4周。颈椎定点伸引手法联合药物治疗组在接受红药贴膏治疗的同时,进行颈椎定点伸引手法治疗,1次/周,连续4周。治疗前及治疗3个月后进行颈臂痛评分及患者自觉症状改善率评分。结果 治疗前颈臂痛评分,治疗组(6.9±0.9)分,对照组(7.1±0.8)分,两组差异无统计学意义(P>0.05)。治疗后3个月颈臂痛评分,治疗组(3.3±0.6)分,显著低于对照组(6.9±0.8)分,颈椎定点伸引手法联合药物治疗组颈臂痛评分明显降低(P<0.05),而对照组无明显变化(P>0.05)。治疗后3个月,治疗组的症状改善率为48.20%±0.77%,显著高于对照组的0.25%±0.07%(P<0.05)。结论 颈椎定点伸引手法联合药物治疗可显著改善颈臂放射痛。Abstract: Objective To evaluate the effect of cervical local-point traction manipulation plus medication treatment for cervical brachial pain symptom. Methods Two hundred patients diagnosed with cervical brachial pain and treated in the first medical center of Chinese PLA General Hospital from August 2012 to July 2018 were randomly divided into two groups,with 100 cases in each group.The trial group received cervical local-point traction manipulation combined with Hongyao strapping,and the control group treated with Hongyao strapping only for 4 consecutive weeks.There were 55 males and 45 females in the trial group,aged from 25 to 75 years.The control group had 54 males and 46 females,aged from 20 to 70 years.The disease course of both groups was 1-20 months.The cervical brachial pain and subjective improving rate were evaluated by visual analogue scale (VAS) before and at 3 months after treatment. Results Before treatment,the cervical brachial pain score in the trial group was 6.9±0.9,while it was 7.1±0.8 in the control group,without significant difference (P>0.05).At 3 months after treatment,the cervical brachial pain score markedly decreased to 3.3±0.6 in the trial group (P<0.05);in the control group,it did not change significantly (6.9±0.8);no significant difference was observed between the two groups (P>0.05).Besides,subjective improving rate was remarkably higher in the trial group than that in the control group (48.20%±0.77% vs 0.25%±0.07%,P=0.000). Conclusion The cervical local-point traction manipulation combined with Hongyao strapping has good effect on cervical brachial pain symptom.
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