Mckenzie方法配合电针和牵引治疗神经根型颈椎病的临床观察

Clinical observation of Mckenzie method in combination with electroacupuncture and traction therapy in Treating cervical spondylotic radiculopathy

目的观察Mckenzie方法配合电针和牵引治疗神经根型颈椎病的疗效。方法 96例确诊为神经根型颈椎病的患者随机分为治疗组和对照组各48例,治疗组采用Mckenzie方法配合电针和牵引治疗,对照组仅采用电针和牵引治疗。治疗前、后用视觉模拟评分法(VAS)评定疼痛程度、Mckenzie运动功能缺失程度评定以及治疗后的临床疗效评定。结果两组治疗后临床有效率均提高,VAS评分显著降低(P<0.01),颈椎活动范围明显增加(P<0.05):治疗组效果优于对照组,两组之间差异具有统计学意义(P<0.05)。结论 Mckenzie方法配合电针和牵引治疗神经根型颈椎病能显著提高其康复疗效。

Objective To observe the effectiveness of Mckenzie method in combination with electroacupuncture and traction in treating cervical spondylotic radiculopathy（CSR）.Methods A total of 96 cases of CSR patients were randomly average divided into treatment group,and control group.The treatment group were treated with Mckenzie method,assisted with electroacupuncture and traction treating,the control group were treated with electroacu Puncture and traction treating only.Measurements were done before and after the treatment,including pain visual analog scale（VAS）,cervical range of motion in Mckenzie mechanical assessment form（ROM）,and clinical efficacy evaluation after treatment.Results Both groups got a good therapeutic effect,and the relief of pain was in evidence after the treatment（P0.01）,and the ROM was significantly improved after the treatment（P0.05）.As well as the improvement index,treatment group was distinctly higher than that in the control group（P0.05）.Conclusion Mckenzie method in combination with electroacupuncture and traction therapy could significantly improve the rehabilitation efficacy of CSR.