整颈三步九法治疗神经根型颈椎病的临床研究

目的：观察整颈三步九法治疗神经根型颈椎病的临床治疗效果。方法：将72例神经根型颈椎病患者随机分成治疗组和对照组，每组36例，治疗组采用“整颈三步九法”进行治疗，对照组采用传统的牵引治疗。两组患者在治疗前采集病史，并进行临床疗效、VAs疼痛评分、颈残疾评分等评定，共治疗6次，每次治疗后记录改善情况及不良反应，治疗6次后进行VAS疼痛评分、颈残疾评分评定其疗效。治疗后1个月、3个月、6个月分别进行随访，并收集各项数据，记录合并用药情况、复发情况，观察其临床疗效，结果：治疗结束后统计，治疗组、对照组总有效率分别为94．44％、77．78％，2组间疗效比较，差异有统计学意义（P〈0．05）；治疗组与对照组治疗前、治疗后疼痛评分，治疗前与治疗后组内比较，差异有统计学意义（P〈0．01），治疗后的组间比较，差异有统计学意义（P〈0．01），两组治疗前与治疗后1个月、3个月组内比较，差异有统计学意义；治疗前与治疗后6个月组内比较，治疗组有统计学意义（P〈0．01），对照组无统计学意义（P〉0．05）。治疗组与对照组治疗前、后颈残疾指数评分，治疗前后与治疗后组内比较差异有统计学意义（P〈0．01），治疗后组间比较差异有统计学意义，（P〈0．01）；治疗前与治疗后1个月、3个月、6个月组内比较，差异有统计学意义。结论：整颈三步九法与牵引治疗神经根型颈椎病均具有临床疗效，但是整颈三步九法治疗效果优于牵引治疗，值得推广。

Clinical Observation on Three Steps and Nine Methods for Treatment of the Cervical Spondylotic Radiculopathy

Objective：To observe clinical effect on three steps and nine methods for treatment of the cervical spondylotic radiculopathy. Methods：72 patients were randomly divided into treatment group and control group. The patients in the treatment group treated with three steps and nine methods, and the patients in the control group treated with traction. Medical histories of patients in two groups were collected before treatment. Clinical efficacy, VAS pain scores, neck disability score, and quality of the score were assessed before treatment and after treatment, all patients treated six times. The improvement and adverse reactions were recorded after each treatment. All patients were followed up respectively at one month, three months, and six months. The various data, combined medication, and clinical efficacy were collected each time. The outcome of statistical analyses was concluded using SPSS17.0 software. Results：After treatment, the total effective rate were 94.44%and 77.78% respectively in treatment group and control group （P〈0.05）. The pain index were significantly different in both groups before and after treatment （P〈0.01） ; and was significantly different between the two groups after treatment （P〈0. 01） ; There was significantly different in both groups before treatment, one month and three months after treatment respectively; there was significant difference in treatment group （P〈0. 01）, no significant difference in control group （P〉0.05） after six months treatment. The differences of neck disability score in both groups were significant difference before treatment, one month, 3 months, 6 months after treatment respectively （P〈0.01） ; There was significantly different between the two groups before and after treatment （P〈0. 01）. Conclusion ： Three steps and nine methods and traction are both positive ways to treat cervical spondylotic radiculopathy, the former is better than the latter and it is worthy for promotion.