整脊手法联合牵引治疗仪在神经根型颈椎病患者康复中的应用效果

Application effects of spinal manipulation combined with traction therapy instrument in rehabilitation of patients with cervical spondylotic radiculopathy

目的:观察整脊手法联合牵引治疗仪在神经根型颈椎病(CSR)患者康复中的应用效果。方法:选取2019年1月至2021年1月该院收治的100例CSR患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各50例。对照组应用牵引治疗仪治疗,观察组在对照组基础上联合整脊手法治疗,比较两组临床疗效、治疗前后疼痛[简易麦吉尔疼痛问卷(SF-MPQ)]评分、颈椎功能[颈椎功能障碍指数(NDI)、日本骨科协会(JOA)颈椎病量表评估]评分。结果:观察组治疗总有效率为94.00%,高于对照组的80.00%,差异有统计学意义(P<0.05);治疗后,两组现有疼痛强度、视觉模拟评分、疼痛评级指数等各维度SF-MPQ评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组NDI评分均低于治疗前,且观察组低于对照组,两组JOA评分高于对照组,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:整脊手法联合牵引治疗仪治疗CSR患者,可提高临床疗效,减轻患者疼痛,改善患者颈椎功能,其效果优于单纯牵引仪治疗。

Objective:To observe application effects of spinal manipulation combined with traction therapy instrument in rehabilitation of patients with cervical spondylotic radiculopathy(CSR).Methods:A prospective study was conducted on 100 CSR patients admitted to the hospital from January 2019 to January 2021.They were divided into control group and observation group according to the random number table method,50 cases in each group.The control group was treated with traction therapy instrument,while the observation group was treated with spinal manipulation on the basis of that of the control group.The clinical efficacy,the pain[short form McGill pain questionnaire(SF-MPQ)]scores before and after treatment,the cervical function[neck disability index(NDI)],the Japanese Orthopaedic Association(JOA)cervical spondylosis scale evaluation score were compared between the two groups.Results:The total effective rate of treatment in the observation group was 94.00%,which was higher than 80.00% in the control group,and the difference was statistically significant(P<0.05).After the treatment,the SF-MPQ scores of Available pain intensity,visual analog score,pain rating index and other dimensions in the two groups were lower than those before the treatment,those in the observation group were those in lower than the control group,and the differences were statistically significant(P<0.05).Further,the NDI scores of the two groups were lower than those before the treatment,and that in the observation group was lower than that in the control group;the JOA scores of the two groups were higher than those of the control group,and that in the observation group was higher than that in the control group;and the differences were statistically significant(P<0.05).Conclusions:Spinal manipulation combined with traction therapy instrument in the treatment of the CSR patients can improve the clinical efficacy,reduce the pain of these patients and improve the cervical function.Moreover,it is superior to single traction instrument treatment.