Treatment of 98 cases of cervical spondylopathy in teenagers by acupuncture plus manual manipulations

针刺天柱、风池、完骨和夹脊穴，推拿颈肩部肌肉，揉按重点穴位风池、缺盆、肩井，配合扳颈法．治疗了98例青少年颈椎病患者，1个疗程后症状缓解89例，2个疗程后症状消失94例。     

推拿治疗青年期神经根型颈椎病的随机对照研究(英文)

目的:探讨手法对青年期神经根型颈椎病患者的近期和远期治疗效果。方法:将120例患者随机分为观察组和对照组。观察两组患者治疗后即时疗效和治疗后6个月的复发率。结果:观察组近期疗效优于对照组(P<0.05),6个月后的复发率明显低于对照组(P<0.05)。结论:手法治疗对青年期神经根型颈椎病患者有较好的近期和远期效果。     

Clinical observation on treatment of cervical spondylotic radiculopathy with combined electroacupuncture tuina and traction

目的：观察电针、推拿结合牵引治疗神经根型颈椎病的临床疗效。方法：将120例患者根据初诊时间,按随机数字表随机分为治疗组60例,采用电针、推拿结合牵引治疗：对照组60例,采用电针、推拿治疗,两组均每天治疗1次,5次为1个疗程,疗程间休息2d,治疗6个疗程后评价疗效。结果：治疗组总有效率及治愈率分别为93．3％和61．7％,对照组为78．3％和31．7％,两组总有效率、治愈率比较,差异有统计学意义。结论：电针、推拿、牵引三者结合治疗神经根型颈椎病疗效较好。     

Clinical Study on Treatment of Cervical Spondylotic Radiculopathy by Electroacupuncture plus Tuina简

Objective： To observe the clinical effects of electroacupuncture（EA） plus tuina for cervical spondylotic radiculopathy. Methods： One hundred and twenty cases with cervical spondylotic radiculopathy were divided randomly by the digital table into the observation group and control group. The patients in an observation group were treated by EA plus tuina techniques. The patients in the control group were treated by simple tuina techniques. Results： The total effective rate was 91.7% in the observation group and 78.3% in the control group. The effective rates in the two groups were statistically different（P〈0.05）. Conclusion： EA plus tuina therapy is better than simple tuina therapy in the treatment of cervical spondylotic radiculopathy.     

Action of Tuina on Retro-positioning of Skull Spatial Offset in Patients with Cervical Vertigo

目的：从颈部本体觉角度探讨颈性眩晕的发病机制，为手法治疗颈性眩晕提供临床依据。方法：符合颈椎病诊断标准的颈性眩晕患者121例。旋颈试验阴性，经颅多普勒检查证实无明显血管因素的颈性眩晕患者70例，设为观察组；旋颈试验阳性，经颅多普勒检查证实椎基底动脉痉挛或供血不足的颈性眩晕患者51例，设为对照组。两组患者均行相同的推拿治疗，每天治疗1次，5天为1个疗程，1个疗程后统计结果。结果：两组患者头颅三轴向空间偏移度较治疗前均有明显减少，差异有统计学意义（P〈0．01）；治疗后两组患者头颅三轴向空间偏移度的比较，差异无统计学意义（P〉0．05），尚不能认为两组患者经手法治疗1个疗程后的疗效有所差异。结论：推拿手法治疗可以改善患者头颅的空间偏移回复能力。     

Treatment of cervical spondylopathy in nerve root pattern by electroacupuncture plus Tuina therapy

In the treatment of 126 cases of cervical spondylopathy by electroacupuncture on Jiaji (Ex-B 2), Jianyu (LI 15), Quchi (LI 11) and Hegu (LI 4), in combination with Tuina therapy, the results showed cure in 74 cases, improvement in 49 cases, failure in 3 cases and the total effective rate in 97.6%, after four courses of the treatment. Author: GAO Jian-zhong (1969-), male, attending physician Translator: HUANG Guo-qi     

针灸推拿为主治疗神经根型颈椎病60例临床研究

目的：观察探究针灸推拿为主治疗神经根型颈椎病的临床疗效。方法：选择2009年3月-2013年3月我院收治的120例神经根型颈椎病患者,按照随机的方法分为治疗组和对照组,每组60例。对照组给予针灸推拿为主的治疗;治疗组给予针灸配合药物为主的治疗。比较两组患者治疗后VAS评分;比较两组患者治疗后的临床疗效。结果：治疗组和对照组治疗后VAS评分均优于治疗前,差异具有统计学意义（P〈0.05）;治疗组治疗后VAS评分优于对照组,差异具有统计学意义（P〈0.05）;治疗组总有效率为93.3%,对照组总有效率为80.0%,治疗组显著优于对照组,具有统计学意义（P〈0.05）。结论：针灸推拿为主治疗神经根型颈椎病,可显著改善患者疼痛情况,提高患者临床疗效,值得临床推广使用。     

Role of Cervical Soft Tissue Lesion in Cervical Spondylosis and Tuina Intervention

Cervical spondylosis is markedly characterized by degenerative changes. The studies in recent years on the role of cervical soft tissue lesion in cervical spondylosis indicated that cervical soft tissue lesion runs through the whole process of cervical spondylosis and is dominantly responsible for varieties of clinical symptoms. Cervical osseous lesion can be regarded as a result of soft tissue lesion and subordinated to soft tissue lesion in the course of cervical spondylosis.     

Treatment of 116 cases of vertebral artery type of cervical spondylopathy by electroacupuncture plus tuina

电针风池穴和C2-5夹脊穴,然后拔罐,并配合端提旋转扳法,治疗了116例椎动脉型颈椎病患者.结果治愈89例,好转21例,无效6例.总有效率94.8%.     

Therapeutic Effect of Acupuncture plus Tuina on Cervical Spondylosis

目的：观察针刺配合推拿治疗颈椎病的，临床疗效。方法：将146例颈椎病患者随机分为针刺配合推拿组（观察组）70例，针刺组（对照Ⅰ组）38例，推拿组（对照Ⅱ组）38例。结果：观察组痊愈率为92．1％，对照Ⅰ组为68．4％，对照Ⅱ组为65．8％；观察组与对照Ⅰ组、对照Ⅱ组相比，差异有统计学意义（P〈0．01）；对照Ⅰ组与对照Ⅱ组间差异无统计学意义（P〉0．05）。结论：针刺配合推拿治疗颈椎病能够较快较好地缓解患者病情。     

Treatment of 50 cases of cervical spondylopathy by acupuncture plus Tuina

根据辨证分型针刺四肢远端穴位留针期间对患处进行推拿,治疗50例颈椎病患者,2个疗程后痊愈35例,显效28例,好转6例,无效1例.     

何锦添主任治疗神经根型颈椎病相关经验介绍

何锦添主任医师系西关李氏正骨的第四代传人,在常年从事中医骨伤的临床、科研工作,在临床工作中积累了丰富的临床经验,深入发掘和发展了中医经典理论的学术思想。在八纲辨证的基础上,结合经络辨证、重视督脉的作用,灵活运动手法治疗,通过指导生活的调摄及康复锻炼,做到医患合作,从根本上解决患者的病痛,在临床工作中取得显著效果。     

Clinical analysis of acupuncture combined with tuina in treating cervical vertigo

Objective： To investigate the clinical efficacy of acupuncture combined with tuina in treating patients with cervical vertigo. Methods： According to the principle of randomization, 258 cases with cervical vertigo who met the inclusion criteria for the study were randomly divided into an observation group and a control group, with 129 cases in each. The patients in the observation group received acupuncture combined with tuina therapy, while those in the control group were just treated by the same acupuncture therapy as in the observation group. After 10-day continuous treatments, the clinical efficacies of the two groups were analyzed and compared. Results： The total effective rate of the observation group was 100%, versus 86.0% of the control group, and the difference was significant（P〈0.05）. After treatment, cervical range of motion（ROM） scores in both groups were statistically significantly different from those before treatment（all P〈0.05）; in addition, there was a statistically significant difference in inter-group comparison of ROM score（P〈0.05）. Conclusion： Compared with simple acupuncture treatment, acupuncture combined with tuina therapy has a better effect in improving the ROM of cervical vertigo patients, with higher clinical efficacy.     

中药配合牵引治疗神经根型颈椎病疗效观察

目的：观察中药结合牵引治疗神经根型颈椎病的临床疗效。方法：将96例神经根型颈椎病患者随机分为两组,口服中药结合牵引治疗组50例,单纯牵引对照组46例。两组均于治疗两个疗程（4周）后行疗效评定。结果：治疗组总有效率为92%,对照组78.3%。经统计学分析,两组比较差异有统计学意义（P〈0.05）。治疗组的疗效明显优于对照组。结论：中药结合牵引治疗神经根型颈椎病有确切疗效。     

针灸结合通络饮治疗神经根型颈椎病临床研究

目的:探讨针灸结合通络饮治疗神经根型颈椎病的临床效果。方法:本次医学研究选择2011年1月-2012年12月在我院就诊的200例神经根型颈椎病患者为观察对象,随机将其分为对照组和实验组,对照组患者接受针灸治疗,实验组患者接受针灸结合通络饮治疗,对比两组患者临床疗效。结果:实验组临床治疗的总有效率明显高于对照组,且疼痛程度明显低于对照组(P<0.05)。结论:由本次医学研究结果可知,针灸结合通络饮是一种较为有效的神经根型颈椎病临床治疗方法,因而临床推广和应用价值较高。     

于天源教授治疗神经根型颈椎病的临床经验

神经根型颈椎病有其明确的病因、明显的体征、典型的症状。近年来,在人群中呈高发及年轻化趋势,目前的治疗方案以保守治疗为主,包括药物、牵引、针灸推拿、功能锻炼等。于天源教授从事推拿学的临床与教学20余年,在神经根型颈椎病的治疗方面积累了扎实的基础理论知识与丰富的临床诊疗经验,并在此之上,总结出四步六法治疗神经根型颈椎病的理论方法,疗效显著。于天源教授的四步六法从中西医结合角度深刻剖析了神经根型颈椎病的病因、病灶部位,并提出了针对性的治疗方案,同时为推拿学理论的研究总结提供了一种思路。     

Tuina plus Traction for Cervical Distortion in Teenagers： A Report of 40 Cases

目的：观察推拿结合牵引治疗青少年颈椎反弓的,临床疗效。方法：对40例青少年颈椎反弓患者进行推拿结合牵引的治疗。隔天治疗1次,10天为1个疗程,治疗2个疗程后评价疗效。结果：治疗前后颈椎曲度有显著改变,治疗后颈椎反弓纠正15例,明显改善20例,好转5例。结论：推拿结合牵引是治疗青少年颈椎生理曲度异常的有效方法。     

医用臭氧水穴位注射治疗神经根型颈椎病的临床观察

目的:观察医用臭氧水穴位注射治疗神经根型颈椎病的临床疗效。方法:将64例神经根型颈椎病患者随机分为治疗组和对照组,每组32例,治疗组采用医用臭氧水穴位注射(以下简称臭氧水组),穴位选取对应夹脊穴、风池、肩井、天宗、天鼎、曲池(均为双侧),每3天治疗1次,共治疗5次;对照组采用针刺治疗,取穴同上,每日1次,6次为1个疗程,中间休息一天,共治疗2个疗程。两组患者均在治疗前、所有治疗结束后(以下简称治疗后)行视觉模拟评分表(Visual Analogue scale,VAS)和神经根型颈椎病的症状、体征与功能量表进行疼痛和症状功能评分。结果:两组治疗后的VAS评分均较治疗前明显降低,症状功能评分均较治疗前明显提高,治疗前后比较,差异均具有统计学意义(均P<0.05);治疗后,VAS评分臭氧水组较针刺组下降更明显,症状功能评分臭氧水组较针刺组提高更明显,差异均具有统计学意义(均P<0.05)。结论:医用臭氧水穴位注射治疗神经根型颈椎病能明显减轻患者疼痛、改善患者的症状功能,具有临床推广价值。     

Clinical study on tuina combined with auricular point sticking for cervical radiculopathy

Objective： To observe the clinical effect of tuina combined with auricular point sticking on cervical radiculopathy and evaluate in health economics. Methods： Using randomized single-blind controlled clinical design, a total of72 cases with cervical radiculopathy were randomly allocated into an observation group or a control group by the ratio of 1：1, 36 in each group. Cases in the observation group were treated with tuina combined with auricular point sticking, whereas cases in the control group were treated with tuina alone. Then the clinical effects in the two groups were observed and the cost of health economics was evaluated. Results： The drop-out, recovery, improvement and failure cases, recovery rate and total effective rate in the observation group were 1, 15, 20, 0, 42.9% and 100% respectively, versus 2, 6, 23, 5, 17.6% and 85.3% in the control group, showing significant differences in recovery rate and total effective rate （P〈0.05）. As for health economics, the cost-effect in the observation group was better than that in the control group. Conclusion： Compared with tuina alone, tuina combined with auricular point sticking can obtain better effect and lower cost in health economics for cervical radiculopathy.     

点穴治疗神经根型颈椎病疗效观察

目的:观察点穴治疗神经根型颈椎病的临床疗效.方法:将400例患者随机分为点穴组和药物组,各200例.点穴组以手法点按缺盆、肩井、天宗等穴位,每日1次;药物组常规口服根痛平药物,每日2次.治疗3个疗程后,比较疼痛、麻木症状及压顶试验、臂丛牵拉试验、上肢肌力体征和日常生活能力积分的改善情况.结果:两组治疗后麻木积分、压顶试验积分、臂丛牵拉试验积分、上肢肌力试验、日常生活能力积分比较均明显高于治疗前(均P<0.01);治疗后两组间各症状、体征积分比较,差异均有统计学意义(均P<0.01),点穴组优于药物组.点穴组治愈率、总有效率分别为78.0%、99.0%,均优于药物组的61.0%、87.0%(均P<0.01).结论:点穴疗法能较好地改善神经根型颈椎病的症状体征,疗效优于根痛平药物治疗.