综合保守治疗神经根型颈椎病的疗效

目的:观察综合保守疗法治疗神经根型颈椎病的临床疗效。方法:回顾分析2007年9月至2008年3月在中国中医科学院望京医院就诊的神经根型颈椎病患者40例,用旋提手法周一到周五隔日治疗一次,牵引、中药离子导入每日一次,口服药物(颈舒颗粒6g po tid,氨糖美辛0.1g po tid,盐酸乙哌立松50mg po tid。)持续治疗3周,症状消失即可停止治疗,然后对治疗前后主次指标症状积分进行统计,并对疗效进行评定分析。结果:四种方法综合治疗结果证实,本组40例神经根型颈椎病患者,临床控制13例,占32.5%;显效17例,占42.5%;有效8例,占20%;无效2例,占5%,总有效率为95%,疗效满意。结论:综合方法治疗神经根型颈椎病可相互协调,互补不足,缩短疗程,达到最佳疗效。

Object:Observe its effect of combination therapy in the treatment of cervical spondylotic radiculopathy. Methods: 40cases of cervical spondylotic radiculopathy from September 2007 to March 2008 in the Wangjing hospital of the China Academy of Chinese Medical Sciences,maneuver from Monday to Friday another day,traction and electro-ionic osmosis every day,oral medication( Jingshu Keli 6g po tid,Glucosamine Indomethacin Entric-coated Tablets 0.1g po tid,Myonal 50mg po tid.),continuing for three weeks.Stop treatment when the symptoms disappeared.And then statistically analyzed the indicators to primary and secondary symptoms before and after the treatment,and therapeutic evaluation analysis.Results: Four methods of comprehensive treatment has confirmed that 40 cases of cervical nerve root disease,13 patients with clinical control,accounting for 32.5%;effectual 17 cases,accounting for 42.5%;effective eight cases,accounting for 20%;invalid two cases,accounting for 5%,and the total efficiency of 95%,satisfactory outcome.Conclusion:Combination therapy in the treatment of cervical spondylotic radiculopathy can be coordinated to shorten the course of treatment and give to the best effect.