甩臂耸肩、颈椎操治疗椎动脉型颈椎病42例临床研究

Clinical Study of Swinging Arm and Shrugging Shoulder Combined with Cervical Vertebra Exercises for 42 Cases of Cervical Spondylosis of Vertebral Artery Type

目的:观察甩臂耸肩、颈椎操锻炼治疗椎动脉型颈椎病的临床疗效。方法:选取84例椎动脉型颈椎病患者为研究对象,随机分为观察组和对照组各42例。对照组口服颈舒颗粒和眩晕宁片治疗,观察组在对照组治疗基础上结合甩臂耸肩、颈椎操锻炼干预。对比2组临床疗效,观察2组治疗前后症状积分的变化。结果:观察组临床疗效优于对照组,差异有统计学意义(P <0.05)。治疗前,2组症状积分比较,差异无统计学意义(P> 0.05)。治疗1月、3月及随访1年,2组症状积分均较治疗前降低,差异均有统计学意义(P <0.05)。治疗1月,2组症状积分比较,差异无统计学意义(P> 0.05)。治疗3月及随访1年,观察组症状积分均低于对照组,差异均有统计学意义(P <0.05)。结论:甩臂耸肩、颈椎操对椎动脉型颈椎病有显著的治疗和预防作用。

Objective: To observe the clinical effect of cervical swinging arm and shrugging shoulder combined with vertebra exercises for cervical spondylosis of vertebral artery type. Methods: Selected 84 cases of patients with cervical spondylosis of vertebral artery type as study subjects and randomly divided them into the observation group and the control group, 42 cases in each group. The control group was treated with Jingshu granules and Xuanyunning tablets, and the observation group was additionally combined with the intervention of cervical vertebra exercises and swinging arm and shrugging shoulder. Compared the clinical effect in the two groups, and observed the changes of symptom scores before and after treatment in the two groups. Results: The clinical effect of the observation group was better than that of the control group,difference being significant(P< 0.05). Before treatment, there was no significant difference being found in symptom scores between the two groups(P> 0.05). At one and three months of treatment and one year of follow-up, the symptom scores of the two groups were lower than those before treatment, differences being significant(P < 0.05). There was no significant difference being found in symptom scores between the two groups at one month of treatment(P > 0.05). At three months of treatment and one year of follow-up, the symptom scores in the observation group were lower than that in the control group, differences being significant(P < 0.05). Conclusion: The application of cervical vertebra exercises combined with swinging arm and shrugging shoulder has significant effects in treating and preventing the cervical spondylosis of vertebral artery type.