Objective To compare the curative effect of rotary dial up provided bonesetting combined with acupuncture method and acupuncture combined with oral medicine for treatment of mixed type cervical spondylosis.Methods Five hundred patients with mixed cervical spondylosis in the Department of Rehabilitation,the Chinese Medicine Hospital of Jiyuan from January 2015 to December 2016 were selected and divided into observation group (n =320) and control group (n =180).The patients in the observation group were treated with rotary dial up provided bonesetting combined with acupuncture method;the patients in the control group were treated with acupuncture and oral medicine.The curative effect of patients in the two groups was observed and analysed by ordered logistics regression.Results The effective rate of patients in the observation group (94.06％,301/320)was significantly higher than that in the control group (83.89％,151/180) (x2 =13.68,P ＜0.01).Ordinal logistics regression results showed that the regression coefficient of treatment methods was 1.38 and the curative effect of treatment group was better.The odds rate of exp(1.380) was 3.975,so effect advantage of the observation group was 3.975 times higher than the control group (P ＜ 0.05).Conclusion The curative effect of rotary dial up provided bonesetting combined with acupuncture method for treatment of mixed type cervical spondylosis is better than acupuncture combined with oral medicine.%目的 比较旋提推拨正骨复位法配合理筋点穴法与针灸联合口服药物治疗混合型颈椎病的疗效.方法 选择2015年1月至2016年12月济源市中医院康复科收治的500例混合型颈椎病患者为研究对象,根据治疗方法将其分为观察组320例和对照组180例,观察组患者采用旋提推拨正骨复位法配合理筋点穴治疗,对照组患者采用针灸配合口服药物治疗,观察2组患者的疗效,并对治疗效果进行有序logistics回归分析.结果 观察组患者治疗总有效率为94.06％(301/320),对照组患者治疗总有效率为83.89％(151/180),观察组患者治疗总有效率显著高于对照组(x2=13.68,P＜0.01).有序logistics回归分析结果显示,治疗方法对应的回归系数为1.38,观察组患者治疗效果更好;优势比为3.975,观察组患者的治疗效果优势是对照组的3.975倍.结论 旋提推拨正骨复位法配合理筋点穴法治疗颈椎病疗效明显,优于针灸配合口服药物治疗.
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