安徽医药
安徽醫藥
안휘의약
ANHUI MEDICAL AND PHARMACEUTICAL JOURNAL
2015年
7期
1302-1305
,共4页
脊柱减压%非手术治疗%颈椎牵引%颈椎间盘突出%神经根型颈椎病
脊柱減壓%非手術治療%頸椎牽引%頸椎間盤突齣%神經根型頸椎病
척주감압%비수술치료%경추견인%경추간반돌출%신경근형경추병
spinal decompression%non-surgical treatment%cervical traction%cervical intervertebral disc herniation%cervical spondylotic radiculopathy
目的:研究颈椎—非手术脊柱减压系统对颈椎间盘突出所致神经根型颈椎病的治疗作用及效果。方法将符合标准的52例患者随机分成治疗组和对照组各26例,在常规治疗的基础上,治疗组予以非手术脊柱减压治疗,对照组予以传统牵引治疗,比较治疗前后两组患者的 VAS 评分、20分法量化评分及椎间盘突出的横截面积的变化。结果两组患者经治疗后, VAS 评分、20分法量化评分及椎间盘突出的横截面积均较治疗前有改善,而治疗组的改善较为显著,且临床疗效明显高于对照组,上述差异均具有统计学意义(P <0.05)。结论对于颈椎间盘所致神经根型颈椎病治疗,非手术脊柱减压能够较大程度地使突出的椎间盘还纳,从根本上缓解对神经根的压迫,疗效显著,优于传统牵引治疗,值得临床进一步研究和推广应用。
目的:研究頸椎—非手術脊柱減壓繫統對頸椎間盤突齣所緻神經根型頸椎病的治療作用及效果。方法將符閤標準的52例患者隨機分成治療組和對照組各26例,在常規治療的基礎上,治療組予以非手術脊柱減壓治療,對照組予以傳統牽引治療,比較治療前後兩組患者的 VAS 評分、20分法量化評分及椎間盤突齣的橫截麵積的變化。結果兩組患者經治療後, VAS 評分、20分法量化評分及椎間盤突齣的橫截麵積均較治療前有改善,而治療組的改善較為顯著,且臨床療效明顯高于對照組,上述差異均具有統計學意義(P <0.05)。結論對于頸椎間盤所緻神經根型頸椎病治療,非手術脊柱減壓能夠較大程度地使突齣的椎間盤還納,從根本上緩解對神經根的壓迫,療效顯著,優于傳統牽引治療,值得臨床進一步研究和推廣應用。
목적:연구경추—비수술척주감압계통대경추간반돌출소치신경근형경추병적치료작용급효과。방법장부합표준적52례환자수궤분성치료조화대조조각26례,재상규치료적기출상,치료조여이비수술척주감압치료,대조조여이전통견인치료,비교치료전후량조환자적 VAS 평분、20분법양화평분급추간반돌출적횡절면적적변화。결과량조환자경치료후, VAS 평분、20분법양화평분급추간반돌출적횡절면적균교치료전유개선,이치료조적개선교위현저,차림상료효명현고우대조조,상술차이균구유통계학의의(P <0.05)。결론대우경추간반소치신경근형경추병치료,비수술척주감압능구교대정도지사돌출적추간반환납,종근본상완해대신경근적압박,료효현저,우우전통견인치료,치득림상진일보연구화추엄응용。
Objective To study the therapeutic effect and outcome of non-surgical spinal decompression in treating the cervical spon-dylotic radiculopathy(CSR)due to cervical intervertebral disc herniation.Methods Fifty-two cases conforming to standards were ran-domized into treatment group and control group with 26 cases in each.On the basis of conventional treatment,the treatment group was treated by non-surgical spinal decompression while the control group was given traditional traction treatment.Before and after the treat-ment,the two groups'VAS score,20 points quantitative score and the cross-sectional area of intervertebral disc herniation were ob-served and compared.Results The VAS score,20 points quantitative score and the cross-sectional area of intervertebral disc hernia-tion in two groups were improved after treatment,while the improvement of the treatment group was significant,and the clinical curative effect was significantly higher than the control group,and these differences were statistically significant(P <0.05).Conclusions For treatment on CSR caused by cervical intervertebral disc herniation,non-surgical spinal decompression can greatly make the hernia-ted disc's return and fundamentally release the pressure on nerve root,whose efficacy was significantly and better than the traditional traction treatment.It is worthy of further research and wide application in clinic.