Abstract：【Objective】To investigate the clinical efficacy of Chinese medicine hot compress combined with tendon and bone setting traction therapy in the treatment of severe cervical radiculopathy patients. 【Methods】A total of 98 patients with severe cervical radiculopathy who were admitted to our hospital from January 2018 to January 2020 were selected and divided into the observation group (n=49) and the control group (n=49) by random number table method. The control group was treated with Chinese medicine hot compress, while the observation group was treated with Chinese medicine hot compress combined with tendon and bone setting traction. After 3 months of treatment, the clinical symptom scores and pain rating index(PBI ) scores of the two groups were compared. 【Results】The scores of cervical pain, upper limb numbness, dizziness, and nerve root compression in the observation group were significantly lower than those in the control group, with statistically significant differences (P<0.05); the scores of stabbing pain, tearing pain, burning pain, jumping pain, and pulling pain in the PBI of the observation group were lower than those in the control group, with statistically significant differences (P<0.05). 【Conclusion】The combined treatment of Chinese medicine hot compress with tendon and bone setting traction therapy for severe cervical radiculopathy patients can improve the clinical symptoms and reduce pain in the lesion and surrounding areas. It is worth clinical promotion and application.
李欢, 相洁, 陈慧. 中药热敷联合理筋正骨牵引法治疗重度神经根颈椎病患者的临床疗效[J]. 医学临床研究, 2024, 41(10): 1537-1539.
LI Huan, XIANG Jie, CHEN Hui. Evaluation of TCM Hot Compress Combined with Tendon and Bone Setting Traction in Patients with Severe Cervical Radiculopathy. JOURNAL OF CLINICAL RESEARCH, 2024, 41(10): 1537-1539.
[1] SAUERSCHNIG M , STOLBERG-STOLBERG J , SCHMIDT C , et al. Effect of COX-2 inhibition on tendon-to-bone healing and PGE2 concentration after anterior cruciate ligament reconstruction[J].Eur J Med Res,2018 ,23(1):1.
[2] 郭辉, 吴致力, 支满霞. 颈椎旁注射脉络宁复合液配合仰卧位手法牵引治疗神经根型颈椎病临床观察[J].世界中西医联合杂志, 2018, 13(8):113-116.
[3] LEE H S , KIM E K , KIM S J . Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with rotator cuff tendon tear: A prospective, non-randomized, comparative, single-blind study[J].Ann Phys Rehabil Med,2018, 61(12):115-119.
[4] 蒋学余, 张婷, 任祥,等. 三维正骨推拿手法治疗神经根型颈椎病的临床研究[J].湖南中医药大学学报, 2020, 40(3):337-341.
[5] 马军虎, 方丽娜, 牛相来,等. 针刀联合牵引下正骨治疗神经根型颈椎病的临床观察[J].新疆医科大学学报, 2018, 41(8):1029-1032.
[6] 陈朝晖, 张文娣. 理筋正骨手法联合运动训练治疗慢性颈痛的临床观察[J].中国中西医联合杂志, 2018, 38(11):48-52.
[7] KIM S J , KIM E K , KIM S J , et al. Effects of bone marrow aspirate concentrate and platelet-rich plasma on patients with partial tear of the rotator cuff tendon[J].J Orthop Surg Res,2018, 13(1):1.
[8] 李贞晶, 瞿昱, 孟宪忠. 针刺联合家庭锻炼对神经根型颈椎病患者疼痛及生活质量的影响[J].国际中医中药杂志, 2019, 41(12):1323-1326.
[9] 洪秋阳, 王世广, 邓越,等. 牵引动气针法联合体应法治疗神经根型颈椎病疗效观察[J].现代中西医联合杂志, 2018,27(1):49-52.
[10] 杨勇, 陈文静, 郑伟,等. 理筋正骨手法联合中药热敷治疗神经根型颈椎病临床观察[J].湖北中医药大学学报, 2020, 22(1):98-101.
[11] 刘超, 郭亮. 牵引、中药外敷配合推拿治疗重度神经根型颈椎病的临床研究[J].中国中医急症, 2018, 27(1):54-56.
[12] 田华卫, 熊春梅, 党腾飞. 毫火针联合正骨推拿治疗神经根型颈椎病近远期疗效分析[J].临床和实验医学杂志, 2018,17(12):1311-1315.
[13] 卜岗,孙欣,杨娜,等.中医颈椎牵引联合内服、外敷对神经根型颈椎病患者的临床分析[J].世界中医药,2018,13(4):885-888.
[14] 杨超洁,陈丹萍,冯龙浩,等.理筋正骨调颅三步法对颈源性头痛的疗效观察及机理分析[J].广州中医药大学学报,2019,36(2):80-85.
[15] 郭里春,朱鹏,吕海波.平乐郭氏正骨理筋法配合骨伤中药方在中老年桡骨远端骨折患者术后康复中的应用研究[J].河北中医药学报, 2018, 33(5):42-47.
2024, Vol. 41 
