快速后伸牵引治疗椎动脉型颈椎病的疗效观察

Observation on treating vertebral artery type cervical spondylosis by fast traction therapy

目的:观察快速后伸牵引治疗椎动脉型颈椎病的疗效。方法:将100例椎动脉型颈椎病患者根据手法治疗分组,采用快速牵引50例,为治疗组,传统牵引治疗50例,为对照组。治疗后以临床疗效评价以及视觉模拟评分法(Visual Analogue Scale,VAS)评分作为疗效评价指标。分别记录入组患者治疗后1天,14天,28天的临床疗效及VAS评分。结果:两组治疗后显示治疗都有效,以第28天的疗效最为突出,有效率为100%。治疗组的优和良的倒数明显高于对照组,差的倒数明显低于对照组,治疗后第1天,治疗组疗效改善最明显,部分患者临床症状完全好转。VAS评分显示,两组治疗都有明显效果,两组VAS≤3分,最低VAS(0.40±0.76)分;属于轻微疼痛感觉,患者能忍受。两组比较,治疗组的VAS值明显低于对照组,VAS评分显示第28天最低,VAS评分值随治疗时间越长,而疼痛感觉值越低。结论:快速后伸牵引能有效调节颈部力线,改善椎动脉及椎-基底动脉血液循环,缓解临床症状,其疗效较为满意。

Objective:To observe efficacy of fast traction therapy on vertebral artery type cervical spondylosis.Methods:100 cases were divided into two groups,50 cases in each.The control group was given conventional traction therapy,and the treatment group was given fast traction therapy.Results:After treatment,the clinical treatment in both groups was effective,and the evaluation of the efficacy on the 28th day was the most prominent,and efficiency was 100%.The evaluation index of the excellent and good in the treatment group was significantly higher than those in the control group,and the poor evaluation index was significantly lower than the control group.On the first day after treatment,efficacy in the treatment group was improved most obviously,and the clinical symptoms of some patients were completely improved.The VAS scores in both groups were improved.The VAS≤3 points and the lowest VAS was(0.40±0.76)points.The VAS value in the treatment group was significantly lower than that in the control group,and the lowest on the 28th day.The longer the treatment,the lower the pain score.Conclusion:Fast traction therapy on vertebral artery type cervical spondylosis shows good effects,can effectively improve the blood circulation of vertebral artery and vertebrobasilar artery and relieve clinical symptoms.