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中药热熨联合牵引治疗神经根型颈椎病的临床对照研究:研究方案。

Clinical control study of traditional Chinese medicine hot compress combined with traction in the treatment of cervical spondylotic radiculopathy: Study protocol.

机构信息

Department of Orthopaedics, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, No. 725, Wanping South Road, Fenglin Street, Xuhui District, Shanghai, China.

出版信息

Medicine (Baltimore). 2021 Jan 29;100(4):e23880. doi: 10.1097/MD.0000000000023880.

Abstract

Cervical spondylotic radiculopathy (CSR) is the most common type of cervical spondylosis, accounting for about 60% of the incidence of cervical spondylosis. Both cervical traction and traditional Chinese medicine hot compress are common and effective treatment for CSR. This study will be performed to investigate the effect of a combination of cervical traction and traditional Chinese medicine hot compress on CSR. In this non-blinded, randomized controlled trial, 100 eligible patients will be randomly divided into a treatment group (intermittent cervical traction combines with traditional Chinese medicine hot compress) and a control group (intermittent cervical traction combined with hot compresses). Before and after the intervention, the Visual Analog Scale score, Neck Disability Index score, and 20-score scale of symptoms will be evaluated at baseline and at 7, 14, 21, and 28 days. During the treatment period, any signs of acute adverse events, such as paralysis of aggravated pain, nausea, dizzy, and even syncope, will be recorded at each visit. Although intermittent cervical traction and traditional Chinese medicine hot compress have been used in the treatment of CSR in China for many years, there is no consensus on its effectiveness of combination therapy. This experiment will provide convincing evidence of the efficacy of intermittent cervical traction combined with traditional Chinese medicine hot compress in the treatment of CSR.

摘要

神经根型颈椎病(CSR)是颈椎病最常见的类型,约占颈椎病发病率的 60%。颈椎牵引和中药热敷都是治疗 CSR 的常用且有效的方法。本研究旨在探讨颈椎牵引联合中药热敷治疗 CSR 的效果。这是一项非盲、随机对照试验,将 100 名符合条件的患者随机分为治疗组(间歇性颈椎牵引联合中药热敷)和对照组(间歇性颈椎牵引联合热敷)。在干预前后,将在基线和干预第 7、14、21 和 28 天分别采用视觉模拟评分、颈部残疾指数评分和 20 分症状量表进行评估。在治疗期间,将在每次就诊时记录任何急性不良事件的迹象,如疼痛加重、恶心、头晕,甚至晕厥的瘫痪。尽管间歇性颈椎牵引和中药热敷在中国已用于 CSR 治疗多年,但对于联合治疗的效果尚无共识。本实验将为间歇性颈椎牵引联合中药热敷治疗 CSR 的疗效提供有力证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aadf/7850636/be2cf7e4efd1/medi-100-e23880-g001.jpg

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