旋转复位与牵引治疗神经根型颈椎病的随机对照疗效分析

Randomized controlled analysis of rotatory reduction and physical therapy in treatment of cervicalspondylotic radiculopathy

目的:探讨旋转复位手法治疗神经根型颈椎病的效果。方法:选择100例神经根型颈椎病患者,随机分为手法组和牵引组,两组均加物理因子治疗(超短波和电脑中频)。治疗4周及8周后评定疗效。结果:在4周后手法组有效43例,总有效率为86.0%;牵引组有效29例,总有效率为58.0%,两组差异有显著性意义(χ2=5.49,P<0.05);在8周后手法组总显效例数42例,总显效率为84.0%;牵引组总显效例数27例,总显效率54.0%,两组差异有显著性意义(χ2=5.79,P<0.05),说明手法组有效率较牵引组高。结论:旋转复位手法较颈椎牵引疗效佳。

AIM: To explore the effect of rotatory reduction and physical therapy in patients with cervicalspondylotic radiculopathy. METHODS: One hundred cervicalspondylotic radiculopathy patients were randomized into two groups: rotatory reduction manipulation plus physical therapy group and traction group. Both of them received physical agent therapy (ultrashort wave therapy and medium frequency electrotherapy). Effect was assayed 4 and 8 weeks after treatment. RESULTS: 86.0%(43) cases of the rotatory reduction manipulation plus physical therapy group showed effective at the 4th week, and 58.0%(29) cases of the traction group showed effective. There was a significant difference between the two groups(χ2=5.49,P< 0.05).84.0%(42) cases of the rotatory reduction manipulation plus physical therapy group,54.0%(23) cases of the traction plus physical therapy group showed good result at the 8th week. There were significant differences between the two groups(χ2=5.79,P< 0.05).It manifested that efficiency of manipulation plus physical therapy group was higher than that of traction group. CONCLUSION:Effect of rotatory reduction manipulation plus physical therapy is better than that of traction.