颈椎定位旋提扳法治疗神经根型颈椎病临床研究

Clinical Study of Cervical Spine Positioning Rotary Pulling Therapy for Cervical Spondylotic Radiculopathy

目的:观察颈椎定位旋提扳法治疗神经根型颈椎病的临床疗效。方法:将120例神经根型颈椎病患者按就诊顺序随机分为2组各60例,治疗组行颈椎定位旋提扳法治疗,对照组行传统推拿手法治疗。采用简化McGill疼痛问卷量表评价患者的疼痛情况,比较2组临床疗效。结果:治疗后,2组简化McGill疼痛问卷量表中疼痛分级指数(PRI)感觉分、情感分、总分,视觉模拟评分(VAS),现时疼痛强度(PPI)均较治疗前降低,差异均有统计学意义(P<0.05);2组间比较,差异均有统计学意义(P<0.05)。2组临床疗效比较,总有效率治疗组100%,对照组86.7%,差异有统计学意义(P<0.01),治疗组疗效优于对照组。治疗期间,治疗组出现1例一过性头晕、心慌、恶心(无呕吐),平躺5 min后症状消失。其他患者未发现不良反应。结论:颈椎定位旋提扳法能明显缓解神经根型颈椎病临床症状,优于传统推拿手法治疗。

Objective： To observe the clinical effect of cervical spine positioning rotary pulling method for cervical spondylotic radiculopathy. Methods：Divided 120 cases of patients with cervical spondylotic radiculopathy into two groups according to visiting sequence, 60 cases in each group. The treatment group was given cervical spine positioning rotary pulling therapy for treatment, while the control group received traditional techniques of massage. Evaluated the pain of patients with simplified McGill pain questionnaire,and compared the curative effect between the two groups. Results：After treatment, senses, emotions and total scores of pain rating indexes（PRI） in simplified McGill pain questionnaire were decreased; scores of visual analogue scales（VAS） and present pain intensity（PPI） were decreased as well when compared with those before treatment, differences being significant（P〈0.05）. The comparisons of the above indexes between the two groups showed significance in differences（P〈0.05）. The total effective rate was 100% in the treatment group and was 86.7%in the control group,differences being significant（P〈0.01）;the curative effect in the treatment group was better than that in the control group. During treatment, one patient in the treatment group suffered from transient dizziness, palpitation and nausea（no vomiting）,but these symptoms disappeared after lying on the back for five minutes. No adverse reactions were found in other patients. Conclusion： Cervical spine positioning rotary pulling therapy can obviously relieve the clinical symptoms of cervical spondylotic radiculopathy,which is superior to traditional techniques of massage.