CAJ | 학술논문

目的：探讨中西医结合三步法治疗急性颈椎间盘突出症的临床效果。方法将56例急性颈椎间盘突出症患者按随机数字表法分为治疗组（27例）和对照组（29例）。治疗组采取地塞米松、甘露醇＋超短波和电脑中频物理＋牵引和推拿及手法复位三步叠加法治疗；对照组采取药物、理疗、牵引和推拿联合方式治疗。10 d 为1个疗程，连续治疗2个疗程。疗程结束后，采用疼痛视觉模拟评分法（VAS）对2组患者进行疼痛评估。结果治疗组患者根性神经痛均很快得到明显缓解，优良率为100．00％，对照组优良率为75．86％，2组比较差异有统计学意义（P ＜0．01）。结论中西医结合三步法治疗急性颈椎间盘突出症，有较好的疗效和临床应用价值；选择适宜的综合治疗方案和应用时机，是中西医结合三步法产生协同作用的关键。
목적：탐토중서의결합삼보법치료급성경추간반돌출증적림상효과。방법장56례급성경추간반돌출증환자안수궤수자표법분위치료조（27례）화대조조（29례）。치료조채취지새미송、감로순＋초단파화전뇌중빈물리＋견인화추나급수법복위삼보첩가법치료；대조조채취약물、리료、견인화추나연합방식치료。10 d 위1개료정，련속치료2개료정。료정결속후，채용동통시각모의평분법（VAS）대2조환자진행동통평고。결과치료조환자근성신경통균흔쾌득도명현완해，우량솔위100．00％，대조조우량솔위75．86％，2조비교차이유통계학의의（P ＜0．01）。결론중서의결합삼보법치료급성경추간반돌출증，유교호적료효화림상응용개치；선택괄의적종합치료방안화응용시궤，시중서의결합삼보법산생협동작용적관건。
ABSTRACT:Objective To investigate the clinical efficacy of three-step therapy of integrated tra-ditional Chinese and Western medicine in the treatment of acute cervical disc herniation.Methods Fifty-six patients with acute cervical disc herniation were randomly divided into two groups.The treatment group(27 patients)was treated with three-step overlapping therapy,including drug therapy with dexamethasone and mannitol,physiotherapy with ultrashort wave and intermediate frequency,and traction and massage.The control group(29 patients)was treated with drug thera-py,physiotherapy,traction and massage.Therapeutic effect was evaluated by visual analogue scale (VAS)after treatment for 20 days(2 courses of treatment).Results Radicular neuralgia was ob-viously reduced in treatment group.Compared with control group,the treatment satisfaction rate significantly increased in treatment group(100.00% vs 75.86%,P <0.01).Conclusion Three-step therapy of integrated traditional Chinese and Western medicine is effective and valuable for a-cute cervical disc herniation.The selection of appropriate therapeutic regimen and treatment op-portunity plays a key role in the three-step therapy of integrated traditional Chinese and Western medicine.