非手术脊柱减压系统牵引治疗神经根型颈椎病的临床效果及其机制

发布时间：2018-01-18 08:22

本文关键词：非手术脊柱减压系统牵引治疗神经根型颈椎病的临床效果及其机制　出处：《山东医药》2016年48期 　论文类型：期刊论文

【摘要】：目的探讨非手术脊柱减压系统牵引治疗神经根型颈椎病的临床疗效其作用机制。方法选择神经根型颈椎病患者60例,随机分为观察组和对照组,各30例。两组均予常规治疗;观察组在此基础上行非手术脊柱减压系统牵引治疗,对照组在此基础上行传统的颌枕带坐位颈椎牵引治疗;均治疗20次,分4周完成。治疗4周评价临床疗效;记录两组治疗前及治疗4周时的疼痛视觉模拟评分(VAS),采用Keypoint肌电图仪检测刺激患侧肘部、腕部时正中神经和尺神经的F波传导速度,采用ELISA法检测血清TNF-α、IL-6。结果观察组治愈17例、显效9例、有效3例、无效1例,总显效率为86.7%;对照组分别为11、10、5、4例和70.0%;观察组总显效率明显高于对照组(P0.05)。与治疗前比较,两组治疗后刺激肘部、腕部时正中神经和尺神经的F波传导速度均升高,但观察组升高更明显(P均0.05)。与治疗前比较,两组治疗后血清TNF-α、IL-6水平和VAS均降低,但观察组降低更明显(P均0.05)。结论非手术脊柱减压系统牵引治疗神经根型颈椎病的效果较好;改善正中神经和尺神经的传导功能、减轻炎症反应可能是其作用机制。
[Abstract]:Objective to investigate the mechanism of nonoperative spinal decompression system traction in the treatment of cervical spondylopathy of nerve root type. Methods 60 patients with cervical spondylosis of nerve root type were randomly divided into observation group and control group. 30 cases in each group were treated with routine therapy. On this basis, the observation group was treated with non-operative spinal decompression system traction, and the control group was treated with traditional cervical traction treatment in the position of maxillary occipital band. All patients were treated 20 times, divided into 4 weeks. Visual analogue scores of pain were recorded before treatment and 4 weeks after treatment. F-wave conduction velocities of median nerve and ulnar nerve were measured by Keypoint electromyography. Results in the observation group, 17 cases were cured, 9 cases were effective, 3 cases were effective, and 1 case was ineffective. The total effective rate was 86.7%. In the control group, there were 4 cases and 70.0% respectively. The total effective rate in the observation group was significantly higher than that in the control group (P 0.05). Compared with before treatment, the F wave conduction velocity of median nerve and ulnar nerve in the median nerve and ulnar nerve increased after treatment in both groups. But the increase of serum TNF- 伪 IL-6 and VAS in the observation group were significantly higher than that before treatment. Conclusion Non-operative spinal decompression system traction is effective in the treatment of cervical spondylopathy of nerve root type. Improving the conduction function of median nerve and ulnar nerve and reducing inflammation may be its mechanism.
【作者单位】：安徽医科大学第一附属医院;
【分类号】：R681.55
【正文快照】： 神经根型颈椎病是颈椎病常见类型之一,其临床表现多为颈肩臂疼痛,常伴上肢放射痛、烧灼感、麻木等。非手术方法是临床治疗神经根型颈椎病的重要方法,非手术脊柱减压系统作为一种新型的牵引治疗方法,具有定位准确、智能化可变参数调节、安全舒适等优点。但非手术脊柱减压系统在

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