CAJ | 학술논문

目的：探讨颈椎牵引联合颈部康复操训练在颈椎病患者康复治疗中的应用及疗效。方法选取2013年6月至2014年7月信宜市人民医院收治的颈椎病患者共66例为研究对象，采用随机数字表法将其分为观察组和对照组，各33例。对照组仅给予颈椎牵引，观察组采用颈椎牵引联合颈部康复操训练，每个病例均连续治疗20 d，比较两组疼痛视觉模拟评分（ VAS）、颈部残障指数（ NDI）、颈肌力学及临床疗效。结果治疗后，观察组 VAS、NDI评分（3.2±1.1）分、（5.8±2.4）分均显著低于对照组（6.8±2.3）分，（10.5±3.2）分，差异有统计学意义（P＜0.01）。观察组峰力距、平均功率及关节活动度[（9.7±1.8） Nm，（2.6±0.9） W，（96.2±4.4）°]均显著高于对照组[（7.8±1.6） Nm，（1.5±0.8） W，（85.8±8.6）°]，差异有统计学意义（P＜0.01）。观察组治疗总有效率（81.8％）高于对照组（57.5％），差异有统计学意义（P＜0.05）。结论颈椎牵引联合颈部康复操训练治疗颈椎病安全、有效，可改善颈部肌肉群做功能力。
목적：탐토경추견인연합경부강복조훈련재경추병환자강복치료중적응용급료효。방법선취2013년6월지2014년7월신의시인민의원수치적경추병환자공66례위연구대상，채용수궤수자표법장기분위관찰조화대조조，각33례。대조조부급여경추견인，관찰조채용경추견인연합경부강복조훈련，매개병례균련속치료20 d，비교량조동통시각모의평분（ VAS）、경부잔장지수（ NDI）、경기역학급림상료효。결과치료후，관찰조 VAS、NDI평분（3.2±1.1）분、（5.8±2.4）분균현저저우대조조（6.8±2.3）분，（10.5±3.2）분，차이유통계학의의（P＜0.01）。관찰조봉력거、평균공솔급관절활동도[（9.7±1.8） Nm，（2.6±0.9） W，（96.2±4.4）°]균현저고우대조조[（7.8±1.6） Nm，（1.5±0.8） W，（85.8±8.6）°]，차이유통계학의의（P＜0.01）。관찰조치료총유효솔（81.8％）고우대조조（57.5％），차이유통계학의의（P＜0.05）。결론경추견인연합경부강복조훈련치료경추병안전、유효，가개선경부기육군주공능력。
Objective To evaluate the application and effect of cervical traction combined with cervical vertebra rehabilitation gymnastics on patients with cervical spondylosis .Methods A total of 66 patients with cervical spondylosis from Xinyi People′s Hospital( from Jun.2013 to Jul.2014 ) were randomly divided into control group(n=33) and observation group(n=33) according to random number table method.The cervi-cal traction combined with cervical vertebra rehabilitation gymnastics were used in the observation group and cervical traction alone was used in the control group.Each patient was continuously treated for 20 days.The visual analogue scale(VAS) of pain,neck disability index(NDI),musculi colli mechanics and clinical effi-cacy were compared between the two groups.Results After treatment,the score of VAS and NDI in the ob-servation group(3.2 ±1.1,5.8 ±2.4) were lower than control group(6.8 ±2.3,10.5 ±3.2),with statisti-cally significant difference(P<0.01).The peak torque,average power and range of motion in the observa-tion group[(9.7 ±1.8) Nm,(2.6 ±0.9) W,(96.2 ±4.4)°]were higher than control group[(7.8 ± 1.6) Nm,(1.5 ±0.8) W,(85.8 ±8.6)°],with statistically significant difference(P <0.05).The effi-ciency of clinical treatment was 81.8%in the observation group,which compared with those of 57.5%in the control group,showed significant differences(P<0.05).Conclusion Cervical traction combined with cer-vical vertebra rehabilitation gymnastics treatment for cervical spondylosis is safe and effective , which can improve the work ability of neck muscles.