CAJ | 학술논문

目的：观察经培训后基层医师应用旋提手法配合颈椎康复操防治神经根型颈椎病的临床疗效，促进旋提手法配合颈椎康复操防治神经根型颈椎病的推广应用。方法：采用多中心中央随机将112例患者分为试验组56例，对照组56例，分别给予旋提手法配合颈椎康复操及单独应用旋提手法治疗，观察2组的疗效及3个月内的复发情况。结果：试验组和对照组均可以明显改善神经根型颈椎病患者的总体症状体征，疗效在疗程结束后及疗程结束后1个月时差异无统计学意义，但治疗后3个月时，试验组总有效率为94.44％，对照组总有效率为83.64％，差异有统计学意义（P ＜0.05）。试验组治疗后1个月及3个月的复发率都为2％；对照组治疗后1个月及3个月的复发率分别为4％、10％。结论：试验组（旋提手法＋颈椎康复操）及对照组（单纯旋提手法）对于治疗神经根型颈椎病整体而言均有很好的疗效，试验组总体上疗效更持久，颈椎康复操的锻炼对于预防神经根型颈椎病复发可能有一定作用。
목적：관찰경배훈후기층의사응용선제수법배합경추강복조방치신경근형경추병적림상료효，촉진선제수법배합경추강복조방치신경근형경추병적추엄응용。방법：채용다중심중앙수궤장112례환자분위시험조56례，대조조56례，분별급여선제수법배합경추강복조급단독응용선제수법치료，관찰2조적료효급3개월내적복발정황。결과：시험조화대조조균가이명현개선신경근형경추병환자적총체증상체정，료효재료정결속후급료정결속후1개월시차이무통계학의의，단치료후3개월시，시험조총유효솔위94.44％，대조조총유효솔위83.64％，차이유통계학의의（P ＜0.05）。시험조치료후1개월급3개월적복발솔도위2％；대조조치료후1개월급3개월적복발솔분별위4％、10％。결론：시험조（선제수법＋경추강복조）급대조조（단순선제수법）대우치료신경근형경추병정체이언균유흔호적료효，시험조총체상료효경지구，경추강복조적단련대우예방신경근형경추병복발가능유일정작용。
Objective:To observe clinical effect of rotation-traction manipulation combined with cervical vertebra rehabilitation exercise treating nerve root type of cervical spondylosis,so as to promote the popularization and application of the technique.Methods:One hun-dred and twelve patients were divided into treatment group (n =56)and control group (n =56)in multicenter central randomization. Patients in treatment group were given rotation-traction manipulation with cervical vertebra rehabilitation exercise and the others group on-ly applied with rotation-traction manipulation treatment.The curative effect of two groups and the relapse within three months were ob-served.Results:Both groups obviously improved overall symptoms and signs of patients with nerve root type of cervical spondylosis. There was no significant difference in terms of the curative effect between the end of the treatment and a month after treatment.But three months after treatment,the total effective rate of treatment group was 94.44%,and that of the control group was 83.64%,which showed statistically significant difference (P <0.05).The recurrence rate in treatment group one month after treatment was 2%,and 3 months after treatment was also 2%;the recurrence rate in control group on month after treatment was 4%,and 3 months after treatment was 10%.Conclusion:Both groups for the treatment of nerve root type of cervical spondylosis have good curative effect,and treatment group on the whole,has more durable curative effect with lower recurrence rate and its suitable for primary hospitals.Cervical vertebra rehabilitation exercise might have some effect for the prevention of recurrence on nerve root type of cervical spondylosis.