心理干预联合塞来昔布联合理疗治疗椎动脉型颈椎病的临床研究

Clinical research of psychological intervention combined with celecoxib and physiotherapy on vertebral artery type of cervical spondylosis

目的分析心理干预联合塞来昔布联合理疗治疗椎动脉型颈椎病的临床疗效。方法 134例椎动脉型颈椎病患者随机分为2组。2组均给予理疗加塞来昔布,观察组另进行心理干预。结果观察组总有效率高于对照组（P〈0.05）。治疗后,观察组症状得分和CASCS得分均优于对照组（均P〈0.05）,观察组左椎动脉、右椎动脉和基底动脉的平均血流速度均高于对照组（均P〈0.05）,观察组血清TNF-α和IL-6水平均低于对照组（均P〈0.05）。治疗期间,2组均未见明显不良反应。结论心理干预可提高椎动脉型颈椎病治疗效果。

Objective To analyse effects of psychological intervention combined with celecoxib and physiotherapy on vertebral artery type of cervical spondylosis. Methods 134 patients with vertebral artery type of cervical spondylosis were grouped into two groups. Two groups were treated with physiotherapy and celecoxib,observation group was treated another with psychological intervention. Results Total efficiency of observation group was higher than that of control group（ P〈 0. 05）. After treatment,symptom score,CASCS score,mean blood flow velocity in left vertebral artery and right vertebral artery,TNF-α and IL-6 level of observation group were better than that of control group（ all P 〈0. 05）. During treatment,there was no obvious adverse reaction in the two groups. Conclusion Sychological intervention can improve the therapeutic effect of patients with cervical spondylosis of vertebral artery type.