个体化颈椎刚柔保健枕防治上颈段颈型颈椎病临床研究

目的：观察个体化颈椎刚柔保健枕防治上颈段颈型颈椎病的临床疗效。方法：2008年11月—2010年1月在本院门诊就诊的上颈段颈型颈椎病患者50例,按照治疗方法分为治疗组（29例）与对照组（21例）,分别采用枕颌带牵引与个体化颈椎刚柔保健枕治疗,治疗3周后评价临床疗效与疼痛评分,并观察治疗6个月前后的颈部残障指数评分的改变。结果：治疗3周后,治疗组的疗效与对照组相比较,差异有统计学意义（P〈0.05）,两组的疼痛评分均明显下降（均P〈0.01）,但治疗组优于对照组（P〈0.01）。两组治疗前的颈部残障指数评分之间比较无统计学意义（P〉0.05）。6个月后,治疗组的颈部残障指数与对照组比较,有统计学意义（均P〈0.01）。结论：个体化颈椎刚柔保健枕防治上颈段颈型颈椎病疗效满意,值得临床推广。

Clinical Study on Curative Effect of Individualized Health Care Pillow Coupled Hardness with Softness on Prevention and Treatment of Upper Neck Type Cervical Spondylosis

Objective：To explore the effect of individualized health care pillow coupled hardness with softness on the prevention and treatment of the upper neck type cervical spondylosis.Methods：50 cases with the upper neck type cervical spondylosis were divided into control group（n=21）and treatment group（n=29）.The patients in control group received cervical traction and the ones in treatment group were treated with individualized health care pillow coupled hardness with softness.The curative effect and the pain scores of the patients in two groups after 3 weeks’ treatment and the neck disability index of the patients in two groups before and after 6 months were observed.Results：After three weeks’ treatment,among the patients in control group,2 patients got an excellent result,16 good,3 fair,and 0 poor.In the treatment group,11 patients got an excellent result,17 good,1 fair,and 0 poor.The ridit analysis showed there was a significant difference（P〈0.05）.Before treatment the pain scores and the neck disability index in two groups had no significant difference.The pain scores after 3 weeks’ treatment and the neck disability index after 6 months’ treatment were reduced significantly compared with the ones treated before（P〈0.01）.So did the pain scores after 3 weeks’ treatment and the neck disability index after 6 months’ treatment of the patients in treatment group with the ones in control group（P〈0.05,P〈0.01）.Conclusion：Individualized health care pillow coupled hardness with softness is a simple,no expense and effective method for the prevention and treatment of the upper neck type cervical spondylosis.