智能脉冲仪治疗颈型颈椎病的临床效果

Clinical effect of impulse IQ intelligent instrument in the treatment of cervical spondylosis

目的观察Impulse IQ智能脉冲仪治疗颈型颈椎病临床疗效及其机理研究。方法将2018年6月至12月40例颈型颈椎病患者按照随机数字表法随机分为脉冲枪组(n=20)和牵引组(n=20),两组均接受常规康复治疗(近红外线),15min/次;脉冲枪组加用Impulse IQ智能脉冲仪,10min/次;牵引组加用颈椎牵引,15min/次;上述所有治疗1次/d,5次/周,共治疗4周。以疼痛量表(McGill)和颈椎残障功能指数(NDI)作为疗效评估指标;采用表面肌电图记录患者患侧斜方肌上束及颈夹肌的肌电信号,以平均肌电值(AEMG)和中位频率(MF)作为表面肌电信号评估指标;通过颈椎X线侧位片Borden法测量颈椎曲度弓深值(D)。结果治疗后,两组患者McGill指数和NDI指数评分均较治疗前显著降低(P<0.01);患侧斜方肌上束和颈夹肌AEMG均较治疗前减小(P<0.05,P<0.01),且两组患侧斜方肌上束AEMG比较有统计学差异(P<0.05);两组患者患侧斜方肌上束和颈夹肌MF均大于治疗前(P<0.01);两组患者颈椎曲度D值较治疗前均有明显改善(P<0.01)。结论智能脉冲治疗仪和颈椎牵引治疗颈型颈椎病均能进一步缓解患者颈部疼痛,改善颈椎残障功能;脉冲治疗仪方便、实用、耗时短。

Objective To observe the clinical effect and mechanism of impulse IQ intelligent instrument in the treatment of cervical spondylosis.Methods Forty patients with cervical spondylosis treated from June to December 2018 were randomly divided into impulse IQ intelligent instrument group(IQ group) and traction group (n = 20,each).Based on the routine rehabilitation therapy (near-infrared ray,15 min /time) performed in both groups,impulse IQ intelligent pulse apparatus was used in IQ group (10 min /time),and the cervical traction was performed in traction group(15 min /time). All the above treatments were given once a day,5 times a week for 4 weeks.McGill pain questionnaire (MPQ) and neck disability index (NDI) were used to evaluate the curative effect;surface electromyography (SMG) was used to record the EMG signals of the superior trapezius muscle and splenius cervicis muscle of the affected side,and average amplitude of electromyogram(AEMG) and median frequency(MF) were used as evaluation indexes of surface EMG signals;cervical curvature arch depth (D) was measured by cervical X-ray lateral film of Borden method.Results After treatment,the indexes of MPQ and NDI in both groups were significantly lower than those before treatment (P < 0.01);AEMG of superior trapezius muscle and splenius cervicis muscle of the affected side significantly decreased compared with before treatment in both groups(P < 0.05,P < 0.01),and there was a significant difference in AEMG of the superior trapezius muscle of the affected side between two groups (P < 0.05 );MF of the superior trapezius muscle and plenius cervicis muscle were significantly larger than those before treatment in two groups (P < 0.01).D value was significantly improved compared with that before treatment in both groups (P < 0.01).Conclusions Both impulse IQ intelligent therapy instrument and cervical traction can relieve neck pain and improve cervical function in the treatment of cervical spondylosis,and impulse IQ intelligent therapy instrument is more convenient,practical and less time-consuming.