| 吴婷,蔡阁,尹帅子,罗华送.持续静力牵引下正骨治疗神经根型颈椎病临床疗效观察[J].浙江中西医结合杂志,2023,33(6): |
| 持续静力牵引下正骨治疗神经根型颈椎病临床疗效观察 |
| Clinical observation of bone setting under continuous static traction in the treatment of cervical spondylotic radiculopathy |
| 投稿时间：2022-06-23 修订日期：2023-03-15 |
| DOI： |
| 中文关键词: 神经根型颈椎病 持续静力牵引下正骨 筋骨平衡 生物力学 |
| 英文关键词:Cervical Spondylotic Radiculopathy Bone setting under continuous static traction Balance on muscles and bones Biomechanics |
| 基金项目:浙江省基础公益研究计划(LGF18H270003)；杭州市医学重点学科建设项目资助(2020SJZDXK05)； |
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| 中文摘要: |
| 目的：探讨持续静力牵引下正骨治疗神经根型颈椎病的临床疗效。方法：选取杭州市中医院推拿科门诊及病房2018年12月至2020年10月就诊的70例神经根型颈椎病患者,采用随机数字表法分为治疗组(n=35)与对照组(n=35),治疗组用持续静力牵引下正骨疗法,对照组采用颈椎定点旋转扳法治疗,2组均每周治疗3次,连续治疗2周。治疗结束后进行疗效评价与分析。结果：治疗组总有效率90.32%优于对照组的78.13%,差异有统计学意义(P<0.05)；两组患者的VAS评分和NDI评分均与治疗前比较,差异均有统计学意义(P<0.05)；在改善疼痛方面,两组比较差异,有统计学意义(P<0.05)；在改善颈椎功能方面比较,治疗组明显优于对照组,差异有统计学意义(P<0.05)。结论：持续静力牵引下正骨在改善患者疼痛、颈椎功能方面优于颈椎定点旋转扳法治疗,可明显减轻患者疼痛,利于颈椎功能的恢复。 |
| 英文摘要: |
| Objective: To explore the clinical effect of bone setting under continuous static traction in the treatment of cervical spondylotic radiculopathy. Methods: A total of 70 patients with cervical spondylotic radiculopathy who were treated in the outpatient department and ward of the Massage Department of Hangzhou Hospital of Traditional Chinese Medicine from December 2018 to October 2020 were selected and divided into a treatment group (n=35) and a control group (n=35) by random number table method. the treatment group was treated with continuous static traction for bone setting, and the control group was treated with cervical vertebra fixed-point rotary pull method. Both groups were treated 3 times a week for 2 consecutive weeks. Efficacy evaluation and analysis were carried out after the treatment. Results: After the course of treatment, the total effective rate of the treatment group was 90.32%, which was better than that of the control group, which was 78.13%, and the difference was statistically significant (P<0.05). The visual analogue scale (VAS) and cervical spine dysfunction index (NDI) scores of the two groups were compared with those before treatment, and the differences were statistically significant (P<0.05). In terms of improving pain, the difference between the two groups was statistically significant (P<0.05). in terms of improving cervical spine function, the treatment group was significantly better than the control group, and the difference was statistically significant (P<0.05).Conclusion: Bone-setting under continuous static traction is superior to cervical fixed-point rotary pulling in improving pain and cervical function of patients, which can significantly reduce pain in patients and is beneficial to the recovery of cervical function. |
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