低温冲击疗法联合推拿牵引治疗神经根型颈椎病疗效观察

Clinical Efficacy of Cold Shock Therapy Combined with Massage and Traction in the Treatment of Cervical Spondylotic Radiculopathy

目的:研究低温冲击疗法联合推拿牵引治疗神经根型颈椎病(CSR)的疗效及对患者颈椎功能和生活质量的影响。方法:选取2017年1月至2019年9月我院收治的CSR患者68例,随机按1:1比例分为两组各34例,两组均给予常规角度牵引和推拿治疗,观察组在此基础上采用低温镇痛仪进行治疗,单个疗程10d,比较3个疗程后两组临床疗效、疼痛程度、神经功能、颈椎活动度以及患者生活质量。结果:两组患者年龄性别等一般资料统计无明显差异,具有可比性。两组治疗有效率分别为94.12%和85.29%(P>0.05),显效率分别为70.59%和49.06%(P<0.05),观察组治疗效果较对照组具有明显优势(P<0.05)。与治疗前比,治疗后两组患者VAS评分均明显降低(P<0.05),JOA评分明显升高(P<0.05),且观察组VAS评分低于对照组(P<0.05),JOA评分高于对照组(P<0.05);治疗后两组患者颈椎前屈后伸、左右侧屈及左右旋转角度较治疗前均明显增大(P<0.05),且观察组前屈后伸、左右侧屈及左右旋转角度均大于对照组(P<0.05);两组患者GQOLI-74量表躯体健康、心理健康及社会功能评分均明显升高(P<0.05),且观察组躯体健康和心理健康评分均高于对照组;差异均有统计学意义(P<0.05)。结论:低温镇痛联合推拿和牵引治疗CSR有利于缓解颈肩部疼痛、改善神经功能和颈椎活动度,可有效提升临床疗效和患者生活质量。

Objective:To study the therapeutic effect of low temperature shock therapy combined with massage and traction on cervical spondylotic radiculopathy(CSR)and its effect on the cervical spine function and quality of life.Methods:A total of 68 CSR patients admitted to our hospital from January 2017 to September 2019 were randomly divided into two groups of 34 patients at a 1:1 ratio.Both groups were given conventional angle traction and massage therapy.The observation group is here On the basis of treatment,a low-temperature analgesic instrument was used for a single course of treatment for 10 days.The clinical efficacy,pain level,nerve function,cervical spine mobility and quality of life of the two groups were compared after the three courses.Results:There is no significant difference in the general statistics of age and sex between the two groups of patients,and they are comparable.The effective rates of treatment in the two groups were 94.12%and 85.29%(P>0.05),and the significant efficiencies were 70.59%and 49.06%(P<0.05),respectively.The observation group had a significant advantage over the control group(P<0.05).Compared with before treatment,the VAS scores of the two groups of patients were significantly reduced(P<0.05),the JOA score was significantly increased(P<0.05),and the VAS score of the observation group was lower than that of the control group(P<0.05),and the JOA score was high In the control group(P<0.05);after treatment,the cervical spine flexion and extension,left and right lateral flexion,and left and right rotation angles were significantly increased than before treatment(P<0.05),and the observation group flexion and extension,left and right sides The flexion and leftright rotation angles are greater than the control group(P<0.05);the physical health,mental health and social function scores of the GQOLI-74 scale in both groups were significantly increased(P<0.05),and the physical and mental health of the observation group The scores are higher than the control group;the differences are statistically significant(P<0.05).Conclusion:Low temperature analgesia combined with massage and traction for CSR is beneficial to relieve neck and shoulder pain,improve nerve function and cervical spine mobility,and can effectively improve clinical efficacy and patient quality of life.