仰卧位屈颈牵引配合电针、艾灸、推拿、中频脉冲治疗神经根型颈椎病的可行性

Feasibility of Supine Flexion Traction Combined with Electric Acupuncture,Moxibustion,Massage and Intermediate Frequency Pulse in the Treatment of Cervical Spondylotic Radiculopathy

目的:探讨仰卧位屈颈牵引配合电针、艾灸、推拿、中频脉冲治疗神经根型颈椎病(CSR的可行性,为临床提供可靠依据。方法:将本院2015年6月-2017年5月收治的102例单一节段CSR患者,按随机数字表法分为试验组和参照组,各51例。两组均给予电针、艾灸、推拿、中频脉冲治疗,其中参照组采用坐位颈椎牵引配合治疗,试验组采用仰卧位屈颈牵引配合治疗。观察比较两组患者的临床疗效、通过颈椎侧位X线片测量颈椎曲度、视觉模拟评分(VAS)和颈椎临床评价量表(CASCS)评分。结果:治疗后,试验组的总有效率为100%、愈显率为82.35%,均显著高于参照组的88.24%、60.78%(P<0.05)。治疗后,两组患者的颈椎曲度、VAS和CASCS均得到改善(P<0.05),但两组颈椎曲度比较,差异无统计学意义(P>0.05)。试验组治疗后的VAS、CASCS评分均优于参照组,差异均有统计学意义(P<0.05)。结论:采用仰卧位屈颈牵引配合电针、艾灸、推拿、中频脉冲治疗CSR患者临床效果显著,可以减轻患者的疼痛感,提高患者的生命质量。

Objective:To explore the feasibility of supine flexion cervical traction combined with electric acupuncture,moxibustion,massage and intermediate frequency pulse in the treatment of radiculopathic cervical spondylosis(CSR),so as to provide a reliable basis for clinical practice.Method:A total of 102 patients with single-segment CSR admitted from June 2015 to May 2017 in our hospital were selected as research subjects.According to the random number table,the patients were divided into experimental group and control group,with 51 cases in each group.Electroacupuncture,moxibustion,massage and medium frequency pulse treatment were given in both groups.The reference group was treated with sitting cervical traction and the experimental group was treated with supine position and neck traction.The clinical efficacy of the two groups of patients was observed and compared,and the cervical curvature,visual analog scale(VAS)and cervical spine clinical evaluation scale(CASCS)scores were measured by lateral radiographs of the cervical spine.Result:After treatment,the total effective rate was 100%and the cure rate was 82.35%in the experimental group,which were significantly higher than 88.24%and 60.78%in the reference group(P<0.05).After treatment,cervical curvature,VAS and CASCS were improved in both groups(P<0.05),however,there was no significant difference in cervical curvature between the two groups(P >0.05).The VAS and CASCS scores of the experimental group were better than those of the reference group(P<0.05).Conclusion:The supine flexion neck traction combined with electric acupuncture,moxibustion,massage and intermediate frequency pulse therapy has a significant clinical effect on CSR patients,which can reduce their pain and improve their quality of life.