加味葛根汤联合龙氏治脊疗法、PNF技术治疗神经根型颈椎病的疗效观察

发布时间：2018-01-04 01:38

本文关键词：加味葛根汤联合龙氏治脊疗法、PNF技术治疗神经根型颈椎病的疗效观察　出处：《河北医药》2017年09期 　论文类型：期刊论文

【摘要】：目的加味葛根汤结合龙氏治脊疗法、神经肌肉本体感觉促进(PNF)技术治疗神经根型颈椎病的临床疗效。方法收治的神经根型颈椎病160例,按就诊顺序,采用双盲法分为观察组和对照组,每组80例。观察组采用加味葛根汤联合龙氏治脊疗法、PNF技术治疗;对照组采用牵引加传统按推、穴位点按手法。均治疗2个疗程。比较2组患者臂丛牵拉试验、视觉摸拟评分(VAS)和颈椎功能障碍指数(NDI)情况,对比2组疗效情况。结果 2组治疗后在疼痛、臂丛牵拉试验、颈椎功能障碍指数(NDI)较治疗前改善(P0.05),且观察组各项观察指标明显优于对照组(P0.05)。观察组治愈率和总有效率明显优于对照组(P0.05)。结论加味葛根汤联合龙氏治脊疗法、PNF技术治疗神经根型颈椎病疗效显著,优于牵引加传统按推、穴位点按手法。
[Abstract]:The purpose of Jiawei Gegen decoction combined with dragon's chiropractic, proprioceptive neuromuscular facilitation (PNF) technology for clinical treatment of nerve root type cervical spondylosis. 160 cases of nerve root type cervical spondylosis methods were selected, randomly, divided into observation group and control group by using double blind method, 80 cases in each group. The observation group was treated with Jiawei Gegen decoction combined with dragon's chiropractic, PNF treatment; control group treated by traction combined with traditional push, acupuncture point pressing manipulation. All 2 courses of treatment. Compared 2 groups of patients with brachial plexus traction test, visual analogue scale (VAS) and neck disability index (NDI), compared the efficacy of 2 groups. The 2 groups after treatment in pain, brachial plexus traction test, neck disability index (NDI) improved compared with before treatment (P0.05), and the observation index of observation group was significantly better than the control group (P0.05). The observation group cure rate and the total efficiency was significantly better than the control group (P0.05). Conclusion: Gegen decoction combined with dragon's chiropractic, the curative effect of PNF technique in the treatment of nerve root type cervical spondylosis was better than traditional, traction and push, acupuncture point pressing manipulation.

【作者单位】：河北省邢台市第三医院;河北省邢台市桥东区疾病预防控制中心;
【基金】：邢台市科学技术研究与发展支撑计划项目(编号:2016ZC278)
【分类号】：R274.9
【正文快照】： 颈部肌肉劳损和内外动态平衡控制能力缺失是颈椎病的主要发病原因,由于长期伏案,坐姿不正确及中老年肝肾不足、气血减亏、筋脉失养等因素造成,同时可伴有头、颈、肩、背部胀痛不适和患侧上肢无力麻木等症状[1]。笔者运用加味葛根汤联合龙氏治脊疗法、神经肌肉本体感觉促进(PNF

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