复元舒筋汤结合颌枕牵引治疗寰枢关节半脱位的疗效观察
发布时间：2018-08-01 14:24
【摘要】：目的 观察复元舒筋汤结合颌枕牵引治疗寰枢关节半脱位患者的临床疗效,分析复元舒筋汤治疗寰枢关节半脱位的临床功效。方法 收集2014年9月至2016年6月于苏州市中医医院诊治的45例寰枢关节半脱位患者,随机分为治疗组及对照组。治疗组予复元舒筋汤+领枕牵引治疗,对照组予单纯领枕牵引治疗,分别从疼痛、功能、活动度、影像学指标评估患者病情,并通过观察记录患者治疗前、治疗14日后NDI指数、VAS评分、颈椎屈伸旋转活动度、影像学(VBLADS、ADI)四项指标,对复元舒筋汤的临床疗效进行分析评估与研究。结果 (1)治疗组与对照组治疗前两组比较,NDI指数、VAS评分、颈椎屈伸旋转活动度、影像学指标(VBLADS、ADI)无统计学差异(P0.05)。(2)治疗组与对照组治疗后比较,NDI指数、VAS评分有统计学差异(P0.05),颈椎屈伸旋转活动度、影像学指标(VBLADS、ADI)无统计学差异(P0.05)。(3)治疗组与对照组各自治疗前后自身比较,NDI指数、VAS评分、颈椎屈伸旋转活动度、VBLADS均有统计学差异(P0.05),ADI无统计学差异(P0.05)。结论 (1)复元舒筋汤结合领枕牵引治疗寰枢关节半脱位,在缓解颈部疼痛、改善颈椎功能方面优于单纯颌枕牵引的治疗。(2)复元舒筋汤结合颌牵引在改变寰枢关节半脱位患者的颈椎屈曲旋转活动度、影像学指标(VBLADS、ADI)方面,并没有发现有较单纯领枕牵引更有临床意义的改变。(3)复元舒筋汤有助于缓解寰枢关节半脱位的疼痛症状。
[Abstract]:Objective to observe the clinical effect of Fuyuan Shujin decoction combined with maxillary pillow traction in the treatment of atlantoaxial subluxation and to analyze the clinical efficacy of Fuyuan Shujin decoction in the treatment of atlantoaxial subluxation. Methods from September 2014 to June 2016, 45 patients with atlantoaxial subluxation were randomly divided into treatment group and control group. The treatment group was treated with Fuyuan Shujin decoction and the control group was treated with simple neck traction. The patients' condition was evaluated from pain, function, activity and imaging index, and the patients were observed and recorded before treatment. After 14 days of treatment, the clinical efficacy of Fuyuan Shujin decoction was evaluated and evaluated by NDI index and VAS score, cervical flexion and extension rotation, and imaging (VBLADS). Results (1) compared with the control group before treatment, the NDI index and VAS score were compared between the treatment group and the control group. There was no significant difference in imaging index (VBLADS) (P0.05) between the treatment group and the control group (P0.05). There was significant difference in VAS score between the treatment group and the control group (P0.05). There was no significant difference in imaging indexes (P0.05) between the treatment group and the control group before and after treatment. There was no significant difference between the treatment group and the control group before and after treatment (P0.05). There was no significant difference between the treatment group and the control group (P0.05). Conclusion (1) Fuyuan Shujin decoction combined with neck pillow traction in the treatment of atlantoaxial subluxation can relieve neck pain. (2) Fuyuan Shujin decoction combined with maxillary traction can change the cervical flexion and rotation and imaging index (VBLADS ADI) in patients with atlantoaxial subluxation. There were no clinical significance changes compared with simple neck traction. (3) Fuyuan Shujin decoction was helpful to relieve the pain symptoms of atlantoaxial joint subluxation.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R274.2
本文编号：2157864
[Abstract]:Objective to observe the clinical effect of Fuyuan Shujin decoction combined with maxillary pillow traction in the treatment of atlantoaxial subluxation and to analyze the clinical efficacy of Fuyuan Shujin decoction in the treatment of atlantoaxial subluxation. Methods from September 2014 to June 2016, 45 patients with atlantoaxial subluxation were randomly divided into treatment group and control group. The treatment group was treated with Fuyuan Shujin decoction and the control group was treated with simple neck traction. The patients' condition was evaluated from pain, function, activity and imaging index, and the patients were observed and recorded before treatment. After 14 days of treatment, the clinical efficacy of Fuyuan Shujin decoction was evaluated and evaluated by NDI index and VAS score, cervical flexion and extension rotation, and imaging (VBLADS). Results (1) compared with the control group before treatment, the NDI index and VAS score were compared between the treatment group and the control group. There was no significant difference in imaging index (VBLADS) (P0.05) between the treatment group and the control group (P0.05). There was significant difference in VAS score between the treatment group and the control group (P0.05). There was no significant difference in imaging indexes (P0.05) between the treatment group and the control group before and after treatment. There was no significant difference between the treatment group and the control group before and after treatment (P0.05). There was no significant difference between the treatment group and the control group (P0.05). Conclusion (1) Fuyuan Shujin decoction combined with neck pillow traction in the treatment of atlantoaxial subluxation can relieve neck pain. (2) Fuyuan Shujin decoction combined with maxillary traction can change the cervical flexion and rotation and imaging index (VBLADS ADI) in patients with atlantoaxial subluxation. There were no clinical significance changes compared with simple neck traction. (3) Fuyuan Shujin decoction was helpful to relieve the pain symptoms of atlantoaxial joint subluxation.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R274.2
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