非手术综合疗法优化方案治疗神经根型颈椎病临床观察

Clinical Observation on the Treatment of Cervical Spondylotic Radiculopathy with Optimized Scheme of Comprehensive Non-operative Therapy

目的:观察非手术综合疗法优化方案治疗神经根型颈椎病的临床疗效。方法:将300例神经根型颈椎病患者分为治疗组和对照组,每组150例。治疗组以旋提手法为主,配合中药熏蒸、牵引等治疗,对照组采用中药熏蒸、牵引治疗。两组均连续治疗15d。结果:治疗组脱落5例,临床控制57例,显效60例,有效18例,无效10例,有效率为93.10%;对照组脱落10例,临床控制40例,显效48例,有效32例,无效20例,有效率为85.70%。两组比较,差异有统计学意义(P<0.05)。治疗后,两组VAS评分均有改善,且治疗组优于对照组,差异有统计学意义(P<0.05)。结论:非手术综合疗法优化方案治疗神经根型颈椎病疗效显著。

Objective：To observe the curative effect on optimized scheme of comprehensive non-operative therapy in the treatment of cervical spondylotic radiculopathy.Methods：300 cases of cervical spondylotic radiculopathy were divided into a treatment group and a control group,150 cases in each.The treatment group were treated with rotating and lifting manipulation combined with herbal fumigation and traction therapy,while the control group were treated with herbal fumigation and traction therapy.Two groups were treated for 15 days. Results：In the treatment group,5 cases fell off,57 cases were clinical control,60 cases were markedly effective, 18 cases were effective and 10 cases were invalid,the effective rate being 93.10%;while in the control group,10 cases fell off,40 cases were clinical control,48 cases were markedly effective,32 cases were effective,and 20 cases were invalid,with efifciency being 85.70%.Comparing the two groups,the difference was statistically signiifcant（P〈0.05）. After treatment,VAS of two groups was improved,and the treatment group was better than that of the control group,the difference being statistically signiifcant（P〈0.05）.Conclusion：Comprehensive non-operative therapy has evident effects on optimized scheme of cervical spondylotic radiculopathy.