王氏颈椎调整术治疗神经根型颈椎病颈部活动受限的临床观察

发布时间：2018-06-07 22:31

本文选题：王氏颈椎调整术 + 颈椎病　；参考：《河南中医药大学》2016年硕士论文

【摘要】：目的:本研究立足临床实践,选取神经根型颈椎病患者为研究对象,运用两组随机对照试验的方法,观察王氏颈椎调整术治疗组与传统手法对照组患者在接受治疗前后颈椎活动度及临床症状、工作和生活能力、体症的变化及生存质量的改变,以此评价王氏颈椎调整术治疗神经根型颈椎病的疗效及安全性,尤其在颈椎活动度方面的改善,并且整理出较完善的技术规范,为推拿治疗神经根型颈椎病的活动受限提供新思路。方法:本研究所采用病例选取在2015年4月至2016年3月范围内在河南中医学院第三附属医院推拿科门诊就诊的患者,并且符合神经根型颈椎病的典型症状,能够接受推拿手法治疗与相关检查的患者。一共纳入研究的病例为60例。将纳入研究的病例按照试验设计随机分配为治疗组和对照组,每组各30例。治疗组患者采用王氏颈椎调整术疗法,对照组患者采用传统推拿疗法。两组患者的治疗均为隔日1次,每周治疗3次,10次为一个疗程,一个疗程后再进行疗效统计。研究数据统一使用SPSS18.0统计软件进行分析。结果:1.在改善神经根型颈椎病活动活动受限方面,王氏颈椎调整术和传统推拿手法均有明显的效果,经过秩和检验均显示,P0.05,但是,王氏颈椎调整术在改善颈椎后伸、侧弯和旋转活动度方向上,其活动度数值改善是明显高于传统手法组。2.神经根型颈椎病在关于田中靖久量表的评分中,和整体疗效评价上,经统计学分析,王氏颈椎调整术组和传统手法组在治疗上均有良好的效果,其中王氏颈椎调整术的总有效率是100%,传统手法治疗的总有效率是92.86%,说明王氏颈椎调整术是优于传统手法。结论:王氏颈椎调整术治疗神经根型颈椎病要优于传统推拿手法,能显著改善患者因颈椎病而引起的活动受限以及工作和生活能力,并且该手法在操作过程中病人可接受强,安全性高,疗效好,还具有可复制性,能够显著的改善病人活动受限的程度,提高病人的生存质量,为神经根型颈椎病的治疗提供了新方法。
[Abstract]:Objective: based on clinical practice, this study selected patients with cervical spondylopathy of nerve root type as research objects, and used two groups of randomized controlled trials. To observe the changes of cervical movement, clinical symptoms, work and life ability, body disease and quality of life of the patients in the Wang's cervical spine adjustment treatment group and the traditional manipulation control group before and after the treatment. To evaluate the efficacy and safety of Wang's cervical spine adjustment in the treatment of radicular cervical spondylopathy, especially the improvement of cervical mobility, and to sort out more perfect technical specifications. To provide a new idea for massage treatment of nerve root cervical spondylopathy. Methods: the patients selected from April 2015 to March 2016 in the Department of Tuina of the third affiliated Hospital of Henan Institute of traditional Chinese Medicine were selected, and the patients were in accordance with the typical symptoms of cervical spondylosis of nerve root type. The patient who can accept massage manipulation treatment and related examination. A total of 60 cases were included in the study. The patients in the study were randomly assigned to the treatment group and the control group with 30 cases in each group according to the experimental design. The patients in the treatment group were treated with Wang's cervical spine adjustment and the patients in the control group were treated with traditional massage therapy. Two groups of patients were treated once every other day, 3 times a week for 10 times as a course of treatment, one course of treatment and then the curative effect statistics. The data were analyzed by SPSS 18.0 statistical software. The result is 1: 1. Wang's cervical vertebra adjustment and traditional massage have obvious effects on improving the limited activity of cervical spondylopathy of nerve root type. The rank sum test shows that P0.05. however, Wang's cervical spine adjustment can improve the posterior extension of cervical vertebrae. In the direction of lateral bend and rotation activity, the value improvement of the range of motion is obviously higher than that of the traditional manipulation group. 2. According to the score of Tianzhong Jingjiu scale and the evaluation of the overall curative effect of cervical spondylopathy of nerve root type, by statistical analysis, the group of Wang's cervical vertebra adjustment and the group of traditional manipulation have good effect on treatment. The total effective rate of Wang's cervical vertebra adjustment is 100 and that of traditional manipulation is 92.86, which indicates that Wang's cervical spine adjustment is superior to traditional manipulation. Conclusion: Wang's cervical spine adjustment is superior to traditional massage in the treatment of radicular cervical spondylosis. It can significantly improve the limited activity and work and life ability of the patients caused by cervical spondylosis, and the manipulation can be well accepted by the patients during the operation. It has the advantages of high safety, good curative effect and replicability. It can significantly improve the degree of limited activity and improve the quality of life of patients. It provides a new method for the treatment of cervical spondylosis of nerve root type.
【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】：R249;R274.9

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