麦肯基疗法联合神经松动术治疗神经根型颈椎病疼痛与颈椎活动受限的疗效

Effects of Mekenzie therapy combined with nerval mobilization on pain and cervical motion limitation in patients with cervical spondylotic radiculopathy

目的 探讨麦肯基(Mekenzie)疗法联合神经松动术对神经根型颈椎病(CSR)疼痛与颈椎活动受限的治疗效果.方法 选择2015年9月至2017年3月在甘肃省中医医院疼痛科诊治的CSR疼痛患者158例,按随机数字表法分成麦肯基组和联合组,每组79例.麦肯基组给予常规物理治疗联合麦肯基疗法,联合组在麦肯基组治疗基础上联合神经松动术治疗,全部患者均治疗两个疗程.采用视觉模拟评分(VAS)评估疼痛程度,颈椎功能障碍指数(NDI)评估颈椎功能.结果 两组患者治疗前VAS评分差异无统计学意义(P>0.05),治疗后7d时联合组患者VAS评分显著降低,且低于麦肯基组(P<0.05);治疗后14d时,较治疗前、治疗后7d时两组患者VAS评分均显著降低,且联合组VAS评分显著低于麦肯基组(P<0.05);治疗结束后,两组颈椎活动度均显著升高,联合组显著高于麦肯基组(P<0.05);治疗结束后联合组和麦肯基组颈椎功能障碍指数(NDI)评分均显著降低,联合组显著低于麦肯基组,联合组总有效率显著高于麦肯基组(P<0.05).结论 麦肯基疗法联合神经松动术治疗CSR疼痛患者,能够有效缓解其疼痛程度,改善颈椎活动能力,利于颈椎功能恢复.

Objective To observe the effects of Mekenzie therapy combined with nerval mobilization on pain and cervical motion limitation in patients with cervical spondylotic radiculopathy(CSR)pain.Methods One hundred and fifty-eight patients with CSR pain were randomly divided into Mekenzie group and combined group in Traditional Chinese Medicine Hospital of Gansu Province from September 2015 to March 2017,with seventy-nine cases in each group.The patients were given routine physical therapy combined with Mekenzie therapy in Mekenzie group,while Mekenzie therapy combined with neural mobilization in combined group.All patients were treated for two courses.VAS and NDI were all evaluated.Results The VAS in combined group was decreased significantly at 7 d after the treatment,and even lower in Mekenzie group(P<0.05).Compared with pretreatment and at 7 d after treatment,the VAS in the two groups was significantly decreased at 14 d after treatment(P<0.05),and the VAS was significantly lower in combined group than that in the Mekenzie group(P<0.05).The cervical motion degree was significantly increased in the two groups after treatment(P<0.05),and the cervical motion degree was significantly higher in combined group than that in the Mekenzie group(P<0.05).The NDI was significantly decreased in the combined group and the Mekenzie group after treatment(P<0.05),and the NDI was significantly lower in the combined group than that in the Mekenzie group(P<0.05).The total effective rate was significantly higher in the combined group than that in the Mekenzie group after treatment(P<0.05).Conclusion Mekenzie therapy combined with nerval mobilization can effectively relieve the degree of pain,improve the activity of the cervical spine,and is conducive to the recovery of cervical function in the treatment of patients with CSR pain.