颈椎(定点)旋转复位法为主治疗神经根型颈椎病的临床分析

Clinical Observation of Treatment based on Rotatory Reduction for Cervical Spondylotic Radiculopathy

目的:分析颈椎(定点)旋转复位法为主治疗神经根型颈椎病的临床意义。方法:选择2005年6月～2009年12月金川集团有限公司职工医院康复科就诊病例,随机分为治疗组160例,对照组160例。治疗组以颈椎(定点)旋转复位法为主,配合脱水、颈椎椎旁肌或颈神经根注射点注射综合治疗,对照组以牵引、按摩治疗。结果:治疗组治愈113例、显效29例、有效17例、无效5例;对照组治愈98例、显效26例、有效17例、无效19例。2组疗效比较差异有统计学意义(P<0.01)。治疗结束6个月后对2组有效病例进行随访,治疗组疗效巩固者136例,复发者19例;对照组疗效巩固者98例,复发者43例。2组比较差异有统计学意义。结论:颈椎(定点)旋转复位法为主治疗神经根型颈椎病,具有疗程短、疗效显著、复发率低的优势,值得进一步推广和深入研究。

Objective： To compare the effect and clinical significance of two kinds of treatments for cervical spondylotic radiculopathy（CSR）.Methods： From June 2005 to December 2009,320 patients with CSR were equally randomized into treatment group and control group.Patients in treatment group received rotatory reduction combined with dehydration and local injection at para-vertebral muscle or cervical nerve root,while patients in control group received traction and massage.Results： In treatment group,113 cases were cured,29 cases showed excellent effect,17 cases were effective,and 5 cases were ineffective.In control group,the corresponding numbers of cases were 98,26,17,and 19,suggesting significant difference between the two groups（P〈 0.01）.Conclusion： Treatment mainly based on rotatory reduction for CSR has the advantages of short course of treatment,good efficacy and low recurrence,which deserves more clinical application and investigation.