脉冲射频联合颌枕牵引治疗神经根型颈椎病的临床研究

Clinical Study of Pulse Radio Frequency Combined with Maxilloccipital Traction on the Treatment of Cervical Spondylotic Radiculopathy

目的:探讨脉冲射频联合颌枕牵引治疗神经根型颈椎病(CSR)的效果。方法:选择2020年5月至2023年3月收治的136例神经根型颈椎病患者,并采用抽签法随机分成牵引组(68例,实施颌枕牵引)和脉冲组(68例,在牵引组基础上开展脉冲射频治疗)。于治疗前及治疗4周后采用数字评价量表(NRS)和颈椎功能障碍指数(NDI)分别评定两组患者疼痛及颈部功能,同时测定椎基底动脉平均血流速度、阻力指数等血流指标及颈椎曲度、前屈后伸活动度。结果:治疗4周后,两组患者NRS、NDI评分及椎基底动脉阻力指数均低于治疗前,且脉冲组均低于牵引组,差异有统计学意义(P<0.05);两组患者椎基底动脉血流速度、颈椎曲度及前屈后伸活动度均高于治疗前,且脉冲组均高于牵引组,差异有统计学意义(P<0.05)。结论:对神经根型颈椎病患者实施脉冲射频联合颌枕牵引治疗,可明显减轻疼痛和改善椎基底动脉血流,显著提高颈部功能及活动度。

Objective:To investigate the efficacy of pulse radio frequency combined with maxilloccipital traction on the treatment of cervical spondylotic radiculopathy(CSR).Methods:A total of 136CSR patients from May 2020to March 2023were selected and randomly grouped into traction group(68cases,with maxilloccipital traction)and pulse group(68 cases,performed pulse radio frequency therapy on top of the traction group)using a lottery method.The Numerical Rating Scale(NRS)and Neck Dysfunction Index(NDI)before and after 4weeks of treatment were applied to assess pain and neck function in both groups,meantime,blood flow indicators such as average blood flow velocity and resistance index(RI)of the vertebral basilar artery,and cervical curvature,flexion and extension activity were measured.Results:The NRS,NDI scores,and vertebral basilar artery RI after 4weeks of treatment in both groups were lower than before treatment,and the pulse group were lower than the traction group,the difference was statistically significant(P<0.05);the vertebral basilar artery average blood flow velocity,cervical curvature,and flexion and extension activity of the two groups were higher than before treatment,and the pulse group were higher than the traction group,the difference was statistically significant(P<0.05).Conclusion:Pulse radio frequency combined with maxilloccipital traction can obviously relieve pain,effectively improve the vertebral basilar artery blood flow,and obviously improve the neck function and mobility in patients with CSR.