综合疗法治疗非脊髓型颈椎病的临床研究

Clinical research on cervical spondylosis except for cervical spondylotic myelopathy treated with comprehensive therapy

目的探讨综合疗法治疗非脊髓型颈椎病的临床疗效。方法 210例非脊髓型颈椎病患者分为3组,治疗组70例,行综合疗法(颈椎牵引、推拿、微波、药物、功能锻炼)治疗;对照组70例,行颈椎牵引、电脑中频治疗、功能锻炼;牵引组70例,仅给予颈椎牵引治疗;治疗15天后,采用数字疼痛评分(NRS)、颈部残障指数(NDI)及临床疾病诊断依据治愈好转标准评价临床疗效。结果平均随访8月,三组临床疗效比较,治疗组疗效优于对照组(P<0.05),对照组疗效优于牵引组(P<0.05),治疗组疗效明显优于牵引组(P<0.01)。结论对于非脊髓型颈椎病治疗,选择综合疗法疗效明显优于单一疗法,本综合疗法治疗颈椎病安全简便、疗效显著,是颈椎病理想的治疗方法。

Objective To explore the clinical effect on cervical spondylosis except for cervical spondylotic myelopathy treated with comprehensive therapy.Methods 210 cases of patients with cervical spondylosis except for cervical spondylotic mytlopathy were divided into 3 groups.There were 70 cases in the treatment group,they were treated with comprehensive therapy composed of cervical traction,massage,microwave,medications and functional training.There were 70 cases in the control group,they were treated with cervical traction,computerized mid-frequency electrotherapy and functional training.There were 70 cases in the traction group,they were only treated with cervical traction.After treatment for 15 days,curative effects were evaluated according to numerical rating scales,neck disablility index and the standard of clinical diseases diagnosis and treatment.Results All the patients were follow up for average 8 months.The curative effects of the treatment group were better than the control group（P0.05）.The curative effects of the control group were better than the traction group（P0.05）.The curative effects of the treatment group were much better than the traction group（P0.01）.Conclusion Comprehensive therapy are bettter than simple therapy for the clinical effect on cervical spondylosis.The comprehensive therapy is safe,simple and much effective for cervical spondylosis except for cervical spondylotic myelopathy.