中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
26期
128-129
,共2页
颈椎病%神经根型%牵引角度%疗效
頸椎病%神經根型%牽引角度%療效
경추병%신경근형%견인각도%료효
Cervical spondylosis%Nerve root type%Traction angles%Clinical effects
目的：探讨前屈位和中立位两种不同牵引角度对神经根型颈椎病牵引疗效的影响。方法：选取自愿接受牵引治疗的神经根型颈椎病患者72例，随机分为观察组和对照组，每组36例。观察组采用根据颈椎增生部位和颈椎曲度情况，以5～20°前屈位牵引治疗，对照组以中立位（垂直0°）牵引治疗，两组均以2周为1个疗程。比较两组患者治疗1个疗程后的总体疗效。结果：观察组总有效率75.00%，对照组总有效率52.78%，观察组总有效率明显高于对照组，差异有统计学意义（P<0.05）。结论：5～20°前屈位牵引是治疗神经根型颈椎病的较佳牵引体位，临床医生应根据患者X线片及受累神经根定位选取合适的前屈角度。
目的：探討前屈位和中立位兩種不同牽引角度對神經根型頸椎病牽引療效的影響。方法：選取自願接受牽引治療的神經根型頸椎病患者72例，隨機分為觀察組和對照組，每組36例。觀察組採用根據頸椎增生部位和頸椎麯度情況，以5～20°前屈位牽引治療，對照組以中立位（垂直0°）牽引治療，兩組均以2週為1箇療程。比較兩組患者治療1箇療程後的總體療效。結果：觀察組總有效率75.00%，對照組總有效率52.78%，觀察組總有效率明顯高于對照組，差異有統計學意義（P<0.05）。結論：5～20°前屈位牽引是治療神經根型頸椎病的較佳牽引體位，臨床醫生應根據患者X線片及受纍神經根定位選取閤適的前屈角度。
목적：탐토전굴위화중립위량충불동견인각도대신경근형경추병견인료효적영향。방법：선취자원접수견인치료적신경근형경추병환자72례，수궤분위관찰조화대조조，매조36례。관찰조채용근거경추증생부위화경추곡도정황，이5～20°전굴위견인치료，대조조이중립위（수직0°）견인치료，량조균이2주위1개료정。비교량조환자치료1개료정후적총체료효。결과：관찰조총유효솔75.00%，대조조총유효솔52.78%，관찰조총유효솔명현고우대조조，차이유통계학의의（P<0.05）。결론：5～20°전굴위견인시치료신경근형경추병적교가견인체위，림상의생응근거환자X선편급수루신경근정위선취합괄적전굴각도。
Objective: To discuss clinical effects of two different angels on nerve root type cervical spondylosis. Methods: 72 patients were randomly divided into the observation group and the control group, 36 cases for each. The control group was given 5~20° forward flexion traction; while the control group was given 0° central position traction, 2 weeks for one course, clinical effects were compared with one course. Results: The total efficiency(75.00%) in the observation group was significantly better than that (52.78%) in the control (P<0.05). Conclusion: The clinical efficacy of 5~20°forward flexion traction was better, clinical doctors should select the appropriate flexion angle according to the X-ray and position in nerve root involvement.
