整脊调曲联合牵引及功能锻炼治疗青少年颈椎病效果及对颈椎生理曲度影响

Chiropractic Tune Joint Function Traction and Treatment of Juvenile Exercise Effect of Cervical Disease and Its Effect on the Cervical Lordosis

目的:探讨整脊调曲联合牵引及功能锻炼治疗青少年颈椎病的效果及对颈椎生理曲度的影响。方法:研究对象为2014年1月—2015年5月我院收治的102例青少年颈椎病患者,分为观察组和对照组,各51例,对照组用牵引方法治疗;观察组用整脊调曲联合牵引及功能锻炼治疗。观察两组临床疗效及治疗前后疼痛程度、临床症状评分、生理曲度。结果:观察组总有效率高于对照组,两组差异有统计学意义(P<0.05)。治疗后两组PRI、PPI、VAS评分及MPQ总评分与治疗前比较较低,颈肩部疼痛、颈部活动受限、颈部压痛、上肢麻木疼痛、上肢肌力下降评分与治疗前比较升高,观察组各项评分升高或降低的程度与对照组比较差异有统计学意义(P<0.05)。治疗后两组生理曲度与治疗前比较较高,观察组升高的幅度高于对照组(P<0.05)。结论:整脊调曲联合牵引及功能锻炼治疗青少年颈椎病疗效确切,可有效降低患者的疼痛程度,改善颈椎病的临床症状体征,最大程度的恢复颈椎病患者的颈椎生理曲度,提高生活质量,可在临床推广应用。

Objective：To investigate the effect of cervical spondylosis in adolescents treated with chiropractic tune,traction and exercise and the impact on the cervical lordosis. Methods：102 cases of cervical adolescent patients were selected from January 2014 to May 2015 in our hospital,all of them were divided into two groups,there were 51 cases in the control group and the observation group,respectively,the control group treated with traction method;the observation group was treated with chiropractic tune combined traction and exercise therapy. Clinical efficacy and pain,the clinical symptom score,lordosis of two groups before treatmetn and after treatment were compared. Results：The total effective rate of the observation group was higher than the control group,the difference was statistically significant（P〈0.05）. PRI,PPI,VAS score and MPQ total score of two groups after treatment were higher than before treatment,neck and shoulder pain,limited neck mobility,neck tenderness,upper extremity numbness pain,upper extremity muscle strength decline scores were higher than the control group,there were significant in the degree of the scores increased or decrease between the observation group and the control group（P〈0.05）. lordosis of two groups after treatment was higher than before treatment,the degree of magnitude in the observation group was higher than the control group（P〈0.05）. Conclusion：The effect of cervical spondylosis in adolescents treated with chiropractic Tune,traction and exercise is good,it can effectively reduce the level of pain of patients,improve clinical symptoms and signs of cervical disease,the greatest degree of recovery of cervical spondylosis cervical lordosis,improve quality of life,it can be application in clinical.