短杠杆手法治疗颈椎病有效性及安全性临床研究

目的观察短杠杆手法治疗颈椎病的临床疗效及安全性。方法将颈型(60例)、神经根型(60例)、椎动脉型(60例)颈椎病随机分为2组。治疗组90例(3型各30例)予特异性短杠杆手法治疗,对照组90例(3型各30例)予非特异性长杠杆手法治疗。2组均治疗4周,观察2组治疗前后颈椎病治疗成绩评分、颈椎功能障碍指数(NDI)及生活质量评分(SF-36)情况。结果 2组治疗后颈椎病治疗成绩评分、NDI评分、SF-36评分均改善(P0.05),且治疗组改善优于对照组(P0.05)。结论特异性短杠杆手法在治疗颈椎病临床疗效和安全性方面优于长杠杆手法。

Clinical study of effectiveness and safety of short lever technique on the treatment of cervical spondylosis

Objective To observe the clinical effect of short lever technique on the treatment of cervical spondylosis.Methods Cervical spondylosis patients with cervical type (60 cases),nerve-root type (60 cases) and vertebra-artery type (60 cases) were randomly divided into two groups.90 cases (30 cases in each type) in treatment group were treated by non-specific short lever technique.90 cases (30 cases in each type) in control group were treated by non-specific long lever technique.The treatment course was four weeks in two groups.The score evaluation of cervical spondylosis,neck disability index (NDI) and the SF-36 scale were observed before and after treatment in two groups.Results The score evaluation,NDI and SF-36 after treatment were improved in two groups (P ＜ 0.05),and the improvement in treatment group was superior to that in control group (P ＜ 0.05).Conclusion Short lever technique has better curative effect and safety on cervical spondylosis than long lever technique.