水针刀配合脊柱旋转复位法治疗神经根型颈椎病的随机对照试验

目的：观察水针刀配合脊柱旋转复位法治疗神经根型颈椎病（CSR）的临床疗效。方法：72例CSR患者，分为治疗组和对照组，各36例，治疗组采用水针刀配合脊柱旋转复位法治疗，对照组采用牵引治疗，两组治疗后均随访3个月评价疗效。结果：治疗组临床痊愈24例，显效6例，好转4例，无效2例；对照组临床痊愈15例，显效3例，好转10例，无效8例。治疗组的综合疗效以及痊愈患者优于对照组（P〈0．05），两组治疗前后症状量表评分、简化McGill疼痛询问量表评分比较差异有统计学意义（P〈0．001），以治疗组更好（P〈0．01）。结论：水针刀配合脊柱旋转复位的方法治疗CSR，临床疗效优于常规牵引治疗。

Controlled randomized trial on therapeutic effects of acupotomy-injection combined with Feng's spinal manipulation(FSM) for cervical spondylotic radiculopathy

Objective: To evaluate the therapeutic effects of acupotomy-injection with FENG Tian-you spinal manipulation(FSM) for treating cervical spondylotic radiculopathy(CSR). Methods: Seventy-two patients with CSR were randomly divided into two groups(n=36 respectively):treatment and control group. The patients in treatment group were treated with acupotomy-injection combined with FSM,and patients in control group were treated with traction. All the patients were followed up for 3 months after treatment and the therapeutic effects were evaluated. Results: Totally there were 72 patients and 69 completed the treatment and the other 3 patients withdraw from treatment. In treatment group,24 patients were cured,6 patients had remarkable effects,4 effective and 2 ineffective;as well in control group,above data were 15,3,10 and 8 respectively. The comprehensive effects and the cured patients in the treatment group were obviously better than those of control group(P<0.05). The comparison of scales for assessment of symptoms and short-form McGill Pain Questionaire before and after treatment in two groups had significant differences(P<0.001). Conclusion: The method of acupotomy-injection combined with FSM for treating CSR is better than conventional traction method.