推拿配合阻力对抗功能锻炼治疗颈椎病随机对照临床研究

[目的]观察推拿配合阻力对抗功能锻炼治疗颈椎病的疗效。[方法]采用随机、对照的方法,将234例患者随机分为两组,治疗组121例采用推拿治疗并进行阻力对抗功能锻炼;对照组113例单纯推拿治疗。两组均以10次为1个疗程,治疗2个疗程进行疗效判定,随访2年观察复发情况。[结果]治疗组总有效率97.50%,对照组总有效率90.30%,治疗组临床疗效优于对照组(P<0.05);随访2年内复发情况,观察组复发17例(14.10%),对照组复发28例(24.70%),治疗组复发率低于对照组(P<0.05)。[结论]推拿配合阻力对抗功能锻炼能提高推拿治疗颈椎病的疗效,阻力对抗功能锻炼对预防颈椎病复发有积极作用。

Traditional Chinese Medicine Ironing, Microwave, Frequency Pulsed with Western Medicine for Treatment of Osteoarthritis Randomized Controlled Study

[ Objective ] To explore the Traditional Chinese medicine ironing , microwave, frequency pulsed with by western medicine for treatment of osteoarthritis effective method. [ Methods ] The use of randomized controlled method, 110 cases of hospitalized patients divided into two groups by random number table . The control group of 50 cases （ 1 ） bed rest , non - weight - bearing ; （2） Effect of Erigeron Injection 40mL, Lu- gua peptide needle 6mL, infusion, 1 / day ; pain was to diclofenac sustained - release capsules 50mg, 2 times/day. Treatment group, 60 cases in the control group on the basis of traditional Chinese medicine iron- ing, microwave, medium frequency pulse therapy. Observe the clinical score, 15d course of treatment, treat- ment regimen , follow - up of 12 months, to determine efficacy. [Results] Visit 6 to 12 months, with an av- erage follow - up of 8.3 months, the treatment group and no recurrence ; control group after treatment, two cases of recurrence after treatment , seven months and nine months. The basic treatment group, markedly ef- fective 12 cases, excellent 15 cases, effective 27 cases, noneffective 6 cases, the total efficiency of 90.00%. In control group, markedly effective 8 cases, excellent 10 cases, effective 20 cases, noneffective 12 cases, the total efficiency of 76.00%. Treatment group than the control group （P 〈0.05） . Symptoms, signs points to improve the treatment group than the control group （ P 〈 0.05 ） . [ Conclusion ] Traditional Chinese medicine i- roning, microwave, frequency pulsed with by western medicine for treatment of osteoarthritis better than pure western conventional treatment.