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补阳还五汤联合脊柱定点旋转复位手法干预颈型颈椎病的临床研究

李建民 俞莹 吴志伟 张栋 吕凯 王树强 葛志超

吉林中医药2024,Vol.44Issue(7):827-831,5.
吉林中医药2024,Vol.44Issue(7):827-831,5.DOI:10.13463/j.cnki.jlzyy.2024.07.019

补阳还五汤联合脊柱定点旋转复位手法干预颈型颈椎病的临床研究

Clinical study of Buyang Huanwu Tang combined with spinal fixed-point rotation reduction manipulations in the intervention of cervical spondylopathy

李建民 1俞莹 2吴志伟 1张栋 1吕凯 1王树强 1葛志超1

作者信息

  • 1. 上海中医药大学附属岳阳中西医结合医院,上海 200437
  • 2. 同济大学附属上海市第四人民医院,上海 200434
  • 折叠

摘要

Abstract

Objective To explore the effects of Buyang Huanwu Tang combined with spinal fixed-point rotation reduction manipulations on the physiological curvature and inflammatory cytokine levels of cervical spine in patients with cervical spondylopathy.Methods A total of 100 patients with cervical spondylopathy admitted to our hospital from February 2021 to February 2023 were selected and randomly divided into two groups.The control group was treated with traction,while the observation group was treated with a combination of Buyang Huanwu Tang and spinal fixed-point rotation reduction manipulations on the basis of the control group treatment.Both groups were treated continuously for 4 weeks.The improvement of traditional Chinese medicine(TCM)syndrome scores,the Neck Disability Index(NDI)scores,the Visual Analog Scale(VAS)scores,the cervical physiological curvature,the ROM in all directions,and the inflammatory factor indicators were observed before and after treatment in the two groups of patients,and their total effective rate and treatment safety were compared.Results After treatment,the scores of various TCM syndromes,NDI scores,VAS scores,and inflammatory factor indicators were decreased in both groups,and the observation group exhibited lower scores and indicator levels than the control group(P<0.05).The physiological curvature and ROM of the cervical spine were increased in both groups,and the observation group was higher than the control group(P<0.05).The total effective rate of the observation group(92.0%)was higher than that of the control group(76.0%)(P<0.05).Neither group experienced any treatment-related adverse reactions.Conclusion The combination of Buyang Huanwu Tang and spinal fixed-point rotation reduction manipulations can alleviate the clinical symptoms in patients with cervical spondylopathy,inhibit inflammatory responses in them,improve the physiological curvature of cervical spine,enhance cervical mobility,having a clear therapeutic effect and good safety.

关键词

颈型颈椎病/补阳还五汤/脊柱定点旋转复位手法/颈椎生理曲度/炎症因子

Key words

cervical spondylopathy/Buyang Huanwu Tang/spinal fixed-point rotation reduction manipulation/physiological curvature of cervical spine/inflammatory factors

分类

医药卫生

引用本文复制引用

李建民,俞莹,吴志伟,张栋,吕凯,王树强,葛志超..补阳还五汤联合脊柱定点旋转复位手法干预颈型颈椎病的临床研究[J].吉林中医药,2024,44(7):827-831,5.

基金项目

2024年上海市卫生健康委员会中医药科研项目(24J020) (24J020)

吉林中医药

OACSTPCD

1003-5699

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