二种非手术疗法治疗神经根型颈椎病疗效的对照研究

Two Kinds of Non-operative Methods in the Treatment of Cervical Spondylosis

目的:评价二种非手术疗法治疗神经根型颈椎病疗效。方法:对270例颈椎病患者分为对照组和观察组,对照组(A组)128例,男60例,女68例;观察组(B组)142例,男74例,女68例。对照组颈椎牵引,观察组使用干扰电治疗+颈椎牵引。对治疗前及治疗后分别以日本骨科学会(JOA)颈椎病疗效评定标准上肢的感觉评分+躯干感觉评分结合国家中医药管理局发布的疗效评定标准评定二组的疗效,对评测结果进行比较分析。结果:治疗结束后A组疗效评分与B组疗效评分比较差异有统计学意义(P<0.05)。B组疗效优于A组。结论:干扰电+牵引治疗治疗神经根型颈椎病优于牵引+药物疗法,神经根型颈椎病的保守治疗宜先行干扰电治疗,然后再行颈椎牵引。

Objective：To evaluate the effect of two kinds of non-operative methods for the treatment of cervicalspondylotic radiculopathy. Methods：Two hundred and seventy cases were divided into control group （group A,128 cases with 60 males and 68 females） and treatment group （group B,142 cases with 74 males and 68 females）. The patients in group A were treated with cervical traction,while the patients in group B were treated with electric intervention therapy and cervical traction. The clinical results were assessed by the Japanese Orthopedic Association （JOA） score as well as the standards of State Administration of Traditional Chinese Medicine of the People＇s Republic of China. Results：There was significant difference in the scores between the two group,with obviously better effect in group B than that in group A （P〈0.05）. Conclusion：The combination of electric intervention therapy and cervical traction is an effective method in the treatment of cervical spondylosis.