前屈并健侧屈治疗下颈椎病变所致神经根型颈椎病的临床研究

发布时间：2018-06-08 05:21

本文选题：神经根型颈椎病 + 特定角度牵引　；参考：《河南中医药大学》2016年硕士论文

【摘要】：目的:比较常规中立位牵引、特定角度牵引治疗神经根型颈推病的临床疗效。分析探讨特定角度牵引治疗神经根型颈椎病的作用机理及疗效,为临床广泛推广本治疗方法提供临床依据。方法:将符合纳入标准的60例神经根型颈椎病患者按照随机分组的方法分为2组,每组各30例,分别采用基础治疗方法+常规中立位牵引以及基础治疗方法+特定角度牵引进行治疗,所有患者在治疗前后均采用神经根型颈椎病症状、体征积分表(26分)、疼痛视觉模拟量表(VAS)作为临床观察指标,颈椎椎间孔双斜位值测量作为影像学观察指标。运用统计学软件SPSS18.0将各项评分结果进行数据处理,最终得出结论。结果:经治疗后两组患者的有效率分别为23.3%,60.0%。显效率分别为83.3%,86.7%。组间总体疗效比较:特定角度牵引组的总体疗效要优于常规中立位牵引组。在所有患者治疗后对其症状、体征积分,弓弦值、VAS评分均较前改善。对上述各项指标的比较中特定角度牵引组的改善情况要优于常规中立位牵引组。两组患者治疗期间均未见明显不良反应。结论:特定角度牵引能有效缓解神经根型颈椎病所引起的的症状、体征,并能够扩大椎间孔径,且要优于常规中立位牵引治疗组,效价比较高。
[Abstract]:Objective: to compare the clinical effect of routine neutral traction and specific angle traction in the treatment of nerve root type cervical herniation. To analyze the mechanism and curative effect of specific angle traction in treating cervical spondylopathy of nerve root type, and to provide clinical basis for popularizing this treatment widely. Methods: sixty patients with cervical spondylopathy of nerve root type were randomly divided into two groups, 30 cases in each group. The patients were treated with routine neutral traction and basic treatment with specific angle traction respectively. All patients were treated with cervical spondylopathy of nerve root type before and after treatment. The score of physical sign (26 points), visual analogue scale of pain (VASs) was used as clinical observation index, and the measurement of double oblique position of cervical intervertebral foramen was used as imaging observation index. The statistical software SPSS 18.0 was used to process the data of each score, and the final conclusion was drawn. Results: after treatment, the effective rates of the two groups were 23. 3% and 60. 0%, respectively. The apparent effect rates were 83.3% and 86.7%, respectively. Comparison of total curative effect between groups: the total curative effect of specific angle traction group was better than that of routine neutral position traction group. After treatment, the scores of symptoms, signs, bow strings and VAS were improved. The improvement of specific angle traction group was better than that of conventional neutral traction group. There were no obvious adverse reactions during treatment in both groups. Conclusion: the specific angle traction can effectively relieve the symptoms and signs caused by cervical spondylopathy of nerve root type and can enlarge the intervertebral aperture. It is superior to the conventional neutral position traction treatment group and its titer is higher.
【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R681.55

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