仰卧前屈拔伸牵引法治疗中老年神经根型颈椎病临床观察

Clinical Observation on Supine Anterior Flexion and Traction in the Treatment of Cervical Spondylotic Radiculopathy in the Middle-aged and the Elderly

目的对仰卧前屈拔伸牵引法在治疗中老年神经根型颈椎病患者的疗效进行观察。方法选取湖南省浏阳市中医医院2018年6月—2019年6月68例神经根型颈椎病患者作为研究对象。所有患者以随机数字表法分为干预组、常规组。干预组34例采用仰卧前屈拔伸牵引治疗,常规组34例予以常规治疗,比较2组患者治疗效果。结果干预组患者治疗后当天和治疗后1周疼痛评分明显低于常规组,差异有统计学意义(P<0.05)。干预组显效率为91.2%(33/34),对照组为70.6%(30/34),差异有统计学意义(P<0.05)。干预组有2例下颌酸痛病例,1例头晕病例,不良反应发生率为8.8%(3/34);常规组有4例下颌酸痛、2例头晕和1例恶心病例,不良反应发生率为20.6%(7/34),差异有统计学意义(P<0.05)。结论仰卧前屈拔伸牵引能够更好地改善中老年神经根型颈椎病患者病情,效果理想,值得临床推广。

Objective To observe the curative effect of flexion and extension traction in the treatment of patients with cervical spondylotic radiculopathy.Methods From June 2018 to June 2019,68 patients with cervical spondylosis of nerve root type were intercepted and regarded as the object of study.All patients were randomly divided into intervention group and routine group.Thirty-four patients in the intervention group were treated with supine flexion and traction,and the routine group was treated with routine treatment,and the therapeutic effects of the two groups were compared.Results The pain scores of the intervention group on the day after treatment and 1 week after treatment were significantly lower than those of the routine group,and the difference was statistically significant(P<0.05).The significant efficiency was 91.2%(33/34)in the intervention group and 70.6%(30/34)in the control group,and the difference was statistically significant(P<0.05).In the intervention group,there were 2 cases of jaw pain and 1 case of dizziness,and the incidence of adverse reactions was 8.8%(3/34).In the routine group,there were 4 cases of jaw pain,2 cases of dizziness and 1 case of nausea,and the incidence of adverse reactions was 20.6%(7/34),with statistical significance(P<0.05).Conclusion The patients with cervical spondylotic radiculopathy can be better improved in the patients with cervical spondylotic radiculopathy,the effect is ideal,and it is worthy of clinical promotion.