颈椎卧式整脊法治疗神经根型颈椎病的临床研究

Clinical study on the horizontal cervical spine consolidation treatment of cervical spondylotic radiculopathy

目的:探讨颈椎卧式整脊法对神经根型颈椎病患者疗效的影响。方法:选择医院2015年2月-2019年8月收治的128例神经根型颈椎病患者作为研究对象,随机分成两组,每组64例,对照组采用《推拿治疗学》中“颈椎病”的治疗方法;治疗组在对照组的治疗基础上采用颈椎卧式整脊法。比较两组临床疗效及主要症状体征评分变化情况。结果:治疗组治疗总有效率为90.63%(58/64),显著高于对照组的68.75%(44/64)(P<0.05);治疗前,两组颈臂疼痛、手臂麻木、颈部活动受限、脊旁压痛、臂丛神经牵拉五项症状体征评分比较,差异无统计学意义(P>0.05);治疗后,两组症状体征评分均显著降低(P<0.05),且治疗组评分显著低于对照组(P<0.05)。结论:颈椎卧式整脊法治疗显著改善了神经根型颈椎病患者临床症状和体征,提高了治疗效果。

Objective:To investigate the effect of horizontal cervical spine adjustment on the curative effect of cervical spondylotic radiculopathy.Method:128 patients with radicular cervical spondylosis who were admitted to Qingdao Massage Rehabilitation Hospital from February 2015 to August 2019 were randomly divided into two groups,with 64 cases in each group.The control group was treated by the therapy of treating cervical spondylosis recorded in Massage Therapeutics,and the treatment group was treated by horizontal cervical spine adjustment more.The clinical effect and main symptoms and signs of the two groups were compared.Results:The total effective rate of the treatment group was 90.63%(58/64),which was significantly higher than that of the control group,68.75%(44/64)(P<0.05);before the treatment,there was no significant difference between the two groups in the scores of neck and arm pain,arm numbness,neck movement limitation,paraspinal tenderness and brachial plexus traction(P>0.05);After the treatment,the scores of symptoms and signs in the two groups were significantly lower(P<0.05),and the score of the treatment group was significantly lower than that of the control group(P<0.05).Conclusion:The horizontal cervical spine consolidation treatment can significantly relieve the clinical symptoms and signs of cervical radicular cervical spondylosis and improve the therapeutic effect.