推拿配合角度牵引综合治疗神经根型颈椎病77例临床研究

目的:观察推拿配合角度牵引治疗神经根型颈椎病的临床疗效。方法:将符合纳入标准的226例神经根型颈椎病患者,随机分为3组:治疗组77例,给予角度牵引与推拿综合治疗;推拿组74例,给予推拿治疗;牵引组75例,给予角度牵引治疗。各组均每日治疗1次,l0次为1个疗程,休息2d后,进行下一个疗程。3个疗程后,评估疗效。结果:治疗组、推拿组与牵引组总有效率分别为97.4%、87.8%和77.3%,治疗组与推拿组及牵引组比较有显著性差异(P<0.05,P<0.01)。3组患者治疗前后中医症状积分比较,治疗组有非常显著性改善(P<0.01),推拿组与牵引组则有显著性改善(P<0.05);在治疗前后中医症状积分差上,综合治疗组与推拿组及牵引组比较有显著性差异(P<0.05,P<0.01)。提示综合治疗疗效优于单纯推拿或牵引治疗。结论:推拿配合角度牵引综合治疗神经根型颈椎病疗效确切,值得在临床中推广。

Clinical observation on 77 cases of cervicalspondylotic radiculopathy treated by combination of massage and angle-traction

Objective:To observe the therapeutic effects of treatment of both massage and adjusting angle traction for cervicalspondy-lotic radiculopathy.Methods:226 nerve root type cervical cases were divided randomly into three groups:the treatment group(receiving treatment of both angle traction and massage,77 cases),the massage group(74 cases) and the traction group(74 cases).We treated them once a day,and ten days were one course,while they have two days rest between each course.After three courses treatment,the therapeutic effects were analyzed.Results:The total effective rate of the treatment group,the massage group and the traction group was 97.4%,87.8% and 77.3%.There was significant difference between the total effective rate of the treatment group and the massage group(P<0.05,P<0.01),and also significant difference between that of the treatment group and the traction group(P<0.01).There was significant difference between that of the massage group and the traction group(P<0.05).There was significant difference of traditional Chinese symptoms between the treatment group and the massage group(P<0.05),and also between that of the treatment group and the traction group(P<0.05,P<0.01).In addition,the therapeutic effects of the treatment group were better than that of the massage group or traction group.Conclusions:Massage and adjusting angle traction treatment is an effective therapy for the cervicalspondy-lotic radiculopathy who deserves spreading in clinic.