角度牵引下不同时间与重量对颈椎病疗效影响的临床研究

Clinical Observation of Traction Time and Weight on the Effects of Nerve Root Cervical Spondylosis

目的观察角度牵引下应用不同的牵引时间及牵引重量治疗神经根型颈椎病,并观察其疗效。方法选择90例神经根性颈椎病患者,随机分小重量组,中重量组,大重量组,治疗后进行三组的疗效及疼痛积分比较。结果大重量组与中、小重量组总有效率及治疗后疼痛积分比较,均有显著性差异(P<0.05);中重量组与小重量组总有效率及治疗后疼痛积分比较,无显著性差异(P>0.05);大重量组优于中、小重量组。结论角度牵引下大重量,短时间牵引更符合生物力学原理,较传统的牵引时间及重量更有利于神经根型颈椎病的治疗。

Objective To observe the effects of different traction time and traction weight in the treatment of nerve root cervical spondylosis. Methods 90 cases of patients with nerve root cervical spondylosis were randomized into light weight group, middle weight group, and heavy weight group. Compare the efficacy score and pain score of the three groups after treatment. Results The total effective rate and pain score of the heavy weight group had obvious difference compared with that of the middle and light weight group （ P 〈 0.05 ）. The total effective rate and pain score of the middle and light weight group had no obvious difference （ P 〉 0.05 ）. The result of the heavy weight group was better than that of the middie and light weight groups. Conclusion In angle traction, heavy weight, short time traction accord with the principles of biolomechanics more, and is more favorable for the treatment of nerve root cervical spondylosis than traditional traction time and weight.