生理型颈枕颈椎牵引治疗神经根型颈椎病的疗效

Efficacy of physiological cervical traction with neck pillow in the treatment of patients with cervical spondylopathy of nerve root type

目的观察生理型颈枕颈椎牵引治疗神经根型颈椎病的临床疗效。方法神经根型颈椎病180例，随机分为生理型颈枕颈椎牵引治疗组（Ⅰ组）和垂直颈椎牵引治疗组（Ⅱ组），各组90例。分别采用生理型颈枕颈椎牵引治疗与垂直颈椎牵引治疗，两组患者每次牵引重量均为3．0～7．0kg，牵引时间均为20min。牵引10次为1个疗程，2个疗程后判定疗效。结果Ⅰ组的优效率61．1％（55／90例）和总有效率93.3％（84／90例）分别高于Ⅱ组的优效率42．2％（38／90例）和总有效率72．2％（65／90例），差异有统计学意义（P〈0．05）。结论生理型颈枕颈椎牵引治疗神经根型颈椎病疗效确切，较垂直牵引效果好。

Objective To observe the clinical efficacy of physiological cervical traction with neck pillow in the treatment of cervical spondylopathy of nerve root type. Methods One hundred and eighty patients with nerve root type cervical spondylopathy were randomly divided into group Ⅰ and Ⅱ, 90 cases in each group. Patients were received the treatment with physiological type neck pillow cervical traction in the group Ⅰ, while received vertical cervical traction in the group Ⅱ. The tractive weight was 3-7 kg and the tractive time was 20 minute in all patients every time, 10 times for a course. The efficacy was evaluated after 2 courses. Results The excellent effect and total effective rates in the group Ⅰ were significantly higher than those in the group Ⅱ respectively （61.1%, 55/90 cases vs 42.2%, 38/90 cases ; 93.3%, 84/90 cases vs 72.2%, 65/90 cases） （P 〈 0.05）. Conclusion The efficacy of physiological type cervical traction with neck pillow is definite and superior to the vertical traction in the treatment of patients with nerve root type cervical spondylopathy.