针灸牵引结合颈椎运动疗法治疗神经根型颈椎病提高疗效及生活质量的运用

Effects of acupuncture and traction plus cervical vertebra motion therapy on cervical spondylotic radiculopathy and its quality of life

目的:对纳入的神经根型颈椎病患者进行针灸牵引和颈椎运动疗法治疗,观察对临床疗效及生活质量的改善效果。方法:纳入我门诊部2015年1月-2017年9月进行治疗的神经根型颈椎病患者共96例,将其随机分为对照组和观察组,各48例。对照组采用针灸牵引治疗,患者取坐位后,取合适的穴位进行针灸,电针的频率设置为密波频率,刺激量以患者的耐受能力为主,时间为0.5 h;牵引方法为患者保持坐位,对患者身体进行牵引,重量为3～5 kg,时间为20 min/次,1次/d。观察组在对照组的基础上采用颈椎运动疗法,患者依据主治医生的指导,颈部尽量后伸,后伸程度以患者能达到的最大范围为准,同时在后伸时,需保持体位,将颈部进行旋转、侧屈、伸展等,最大程度的后伸位上保持1 s,后恢复到起始位,上述动作进行重复。用弹力带让颈椎做前屈、后伸、左旋、右旋、左侧屈、右侧屈六个方向的静力抗阻练习,12 s为一次,10次为一组,每天10组,坚持4周。两组患者共治疗1个月。依据《颈椎病的诊断与治疗》进行评估,总有效率=(显效例数+有效例数)/总例数×100%。生活质量采用SF-36健康调查表进行。结果:对照组及观察组的临床总有效率分别为70.83%和91.67%,观察组的临床总有效率高于对照组(P<0.05)。两组患者治疗前的SF-36评分对比差异无统计学意义(P> 0.05),两组患者在经过治疗后SF-36评分较治疗前得到了明显的提高(P <0.05),观察组治疗后的SF-36评分较对照组改善更佳明显(P <0.05),对比差异具有统计学意义。结论:神经根型颈椎病患者采用针灸牵引联合颈椎运动疗法治疗能有效的改善临床疗效及患者生活质量,值得在临床中推广实施。

Objective: To improve the clinical efficacy and quality of life on cervical spondylotic radiculopathy treated by acupuncture and cervical spine motion therapy. Methods: 96 patients were randomly divided into the control group and observation group. The control group was treated by acupuncture and traction. The observation group was given cervical vertebra motion more. The efficacy and SF-36 in groups were observed. Results: The total efficiency in the control group was 70.83%, and higher than 91.67% in the observation group ( P < 0.05). There was no significant difference in SF-36 scores between groups before treatment ( P >0.05). After treatment, the SF-36 scores in two groups were significantly improved ( P < 0.05);that in the observation group was better than the control group ( P <0.05), with a statistically significant difference. Conclusion: Acupuncture, traction plus cervical vertebra motion therapy can effectively improve clinical efficacy and quality of life, is worthy of promotion in clinical practice.