牵引加手法治疗神经根型颈椎病60例临床分析

Clinical analysis of traction and manipulation in the treatment of 60 cases with cervicalspondylotic radiculopathy

目的探讨药物加针灸联合牵引和手法治疗神经根型颈椎病的临床效果。方法 2010年12月～2012年10月收治120例神经根型颈椎病患者,随机分成实验组60例和对照组60例,对照组采用药物加针灸治疗,实验组在药物加针灸治疗的基础上外加牵引和手法治疗。经过常规治疗后,对两组的治疗情况进行记录和对比分析。结果经过常规治疗后,两组症状均有所改善,实验组症状改善更加明显,两组比较差异有统计学意义(P<0.05)。结论本次临床观察对比治疗显示,药物加针灸联合牵引和手法治疗神经根型颈椎病能有效改善患者症状,恢复功能,比单纯使用药物和针灸治疗疗效更加明显,整体有效性比较高,值得临床推广应用。

Objective To discuss the clinical effect of drug combined with acupuncture,traction and manipulation in the treatment of eervicalspondylotie radiculopathy. Methods 120 eases with eerviealspondylotic radiculopathy selected from December 2010 to October 2012 were divided into experimental group（60 cases） and control group（60 cases） randomly.The control group were given drug combined with acupuncture treatment,while experimental group were given traction combined with manipulation treatment on the basis of control group.The treatment situation of two groups were recorded and compared after conventional therapy. Results The symptoms of two groups improved after conventional therapy,but the symptoms of experimental group improved more obvious,the difference was statistical signifieance（P 〈 0.05）. Conclusion Drug combined with acupuncture,traction and manipulation in the treatment of eervicalspondylotic radiculopathy can significantly improve the symptoms of patients, restore functions,which is better than single drug combined with acupuncture,and it is worthy of clinical popularization and application.