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周志华,徐印坎.中西医结合治疗颈椎病104例临床分析[J].中国中西医结合杂志,1987,(5):282-284,261
中西医结合治疗颈椎病104例临床分析
Combined TCM-WM Therapy in Treating Cervical Spondylosis—A Clinical Analysis of 104 Cases
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DOI:
中文关键词:  颈椎病  手法按摩治疗  临床体征  椎动脉型  神经根型  血流图  综合疗法  统计学处理  手法治疗  治疗后
英文关键词:
基金项目:
作者单位
周志华 第二军医大学附属长征医院骨科 
徐印坎 第二军医大学附属长征医院骨科 
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中文摘要:
      应用以手法按摩为主的综合疗法治疗颈椎病104例,并对26例作了手法按摩前、后椎动脉血流图的波型变化、童搏波变化和两侧相对波幅差的对比,经统计学处理,t 值为6.25,P<0.005。治疗后均较手法前有显著改善,临床体征也有减轻和缓解,经六年多随访,总有效率88.46%,无效率11.54%,复发率12.5%。并对颈椎病的分型和手法按摩机理等问题,进行了分析。
英文摘要:
      This paper reports 104 cases of cervical spondylosis treated with TCM-WM.According to the clinical symptoms and signs the patients were divided into 3 types:nerve root type 78 cases,vertebral arterial type 23 cases and mixed type 3 cases.The various types of cervical spondylosis were mainly treated with manual manipulation as well as combined therapy(traction,block therapy,collar protection therapy,traditional Chinese drugs and physical exercise).Pre- and post-manipulatorily,the change of wave pattern,of dicrotic wave and the difference between amplitudes of both sides measured with vertebral arterial blood flow oscillogram on 26 cases was observed,t= 6.25,P<0.005,the difference being significant.The result obtained after manipulation was much better than that of pre-manipulation.The total effective rate was 88.46% after follow-up for 1.5 to 6 years.The typing and pathogenesis of cervical spondylosis were discussed.
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