魏氏伤科手法治疗神经根型颈椎病的回顾性分析

目的]评价魏氏伤科手法和常规推拿手法治疗神经根型颈椎病的疗效差异.方法]采用回顾性分析方法,收集2019年6月至2020年9月在汕头市中医医院骨伤科就诊并采用手法治疗的179例神经根型颈椎病患者,根据治疗方法的不同将其分为治疗组93例和对照组86例.对照组给予常规推拿手法配合普通针刺疗法治疗,治疗组给予魏氏伤科手法...

Retrospective Analysis of WEI's Traumatology Manipulation in the Treatment of Cervical Spondylotic Radiculopathy

Objective To compare the therapeutic effect between WEI’s traumatology manipulation and routine manipulation in the treatment of cervical spondylotic radiculopathy(CSR). Methods A retrospective analysis was conducted in 179 cases of CSR treated by manipulations in the Department of Orthopedics and Traumatology at Shantou Hospital of Traditional Chinese Medicine from June 2019 to September 2020. The patients were divided into the treatment group(n = 93)and the control group(n = 86)according to the treatment method. The control group was given routine massage manipulation combined with conventional acupuncture therapy,and the treatment group was given WEI’s traumatology manipulation combined with conventional acupuncture therapy,3 times a week and 3 times as a course of treatment. The treatment for the two groups lasted for 2 courses of treatment. The changes of cervical range of motion and pain visual analogue scale(VAS)scores in the two groups were observed before and after treatment,and the clinical efficacy of the two groups was evaluated. Results(1)After 2 courses of treatment,the total effective rate of the treatment group was 90.32%(84/93),and that of the control group was75.58%(65/86). The clinical efficacy of the treatment group was significantly superior to that of the control group,and the difference was statistically significant(P<0.05).(2)After treatment,cervical motion indicators such as anterior flexion,posterior extension,left lateral flexion and right lateral flexion in the two groups were improved compared with those before treatment(P<0.05), and the improvement of the cervical motion in the treatment group was significantly superior to that in the control group, the differences being statistically significant(P<0.05).(3)After treatment,pain VAS scores in both groups were improved compared with those before treatment(P<0.05), and the improvement effect in the treatment group was significantly superior to that in the control group, the difference being statistically significant(P<0.05). Conclusion On the basis of conventional acupuncture treatment,the application of WEI’s traumatology manipulation in treating CSR exerts certain effect,which can effectively relieve the pain symptoms of patients and improve the range of motion of cervical vertebra and the quality of life,and its efficacy is superior to that of the conventional massage therapy.