孙氏旋转手法治疗神经根型颈椎病临床研究

目的：观察孙氏旋转手法治疗神经根型颈椎病的临床疗效。方法：采用电脑随机数字表法进行随机分配,将60例患者分为2组,每组30例。治疗组采用孙氏旋转手法治疗,对照组采用颈部牵引治疗。两组疗程均为2周。评定2组临床疗效,疼痛评分。结果：2组疗效比较差异有统计学意义（P〈0.05）,治疗组优于对照组。2组治疗前、后症状体征积分自身差值比较：治疗组在颈肩部的疼痛与不适、上肢疼痛与麻木、远端感觉、肌力、spurlnig试验自身积分差值的改善与对照组相比较差异有统计学意义（P〈0.05）,治疗组明显优于对照组;在工作和生活能力受影响、上肢腱反射减弱或消失方面比较差异无统计学意义（P〉0.05）。结论：孙氏旋转手法改善神经根型颈椎病疗效优于牵引疗法。

Randomized Controlled Clinical Study of the Clinical Efficacy of the Sun Manipulation of Rotating Treatment to Cervical Spondylotic Radiculopathy

Objective:To observe the clinical efficacy of the Sun manipulation of rotating treatment to cervical spondylotic radiculopathy.Methods:60 patients were randomly divided into two groups,30 patients in each group.The patients in experimental group were treated by the Sun manipulation of rotating;patients in control group were treated by cervical traction.All patients were treated for 2 weeks.Clinical efficacy and pain score were evaluated.Results:There were significant differences in the score of symptoms and signs,pain and discomfort of the shoulder and neck,the pain and numbness of upper limb,distal sensory and strength and the improvement of the scores by spurlnig test between the two groups(P<0.05);there were no significant differences in the ability of work and live and the upper limb tendon reflexes between the two groups(P>0.05).Conclusions:The clinical efficacy of the Sun manipulation of rotating treatment to cervical spondylotic radiculopathy was better than traction therapy.