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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:

第26卷

期數(shù):

2014年01期

頁碼:

24-26

欄目:

臨床研究

出版日期:

2014-01-28

文章信息/Info

Title:

Therapeutic effect of exercise therapy combined with cervical traction and oral application of anti-inflammatory agents on cervical spondylotic radiculopathy

作者:

吳燕; 姚新苗; 徐守宇

浙江中醫(yī)藥大學(xué)附屬第三醫(yī)院,浙江 杭州 310005

Author(s):

Wu Yan^*; Yao Xinmao; Xu Shouyu.

^*The Third Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine,Hangzhou 310005,Zhejiang,China

關(guān)鍵詞:

頸椎病 神經(jīng)根病 運(yùn)動療法 牽引術(shù) 消炎藥; 非甾類

Keywords:

Cervical spondylosis;  Radiculopathy;  Exercise therapy;  Traction;  Anti-inflammatory agents; non-steroidal

摘要:

目的:觀察運(yùn)動療法聯(lián)合口服消炎鎮(zhèn)痛藥及頸椎牽引治療神經(jīng)根型頸椎病的臨床療效。方法:將60例神經(jīng)根型頸椎病患者隨機(jī)分為運(yùn)動療法組和常規(guī)治療組,每組30例。運(yùn)動療法組采用運(yùn)動療法聯(lián)合口服消炎鎮(zhèn)痛藥及頸椎牽引治療,常規(guī)治療組采用口服消炎鎮(zhèn)痛藥及頸椎牽引治療。治療8周后比較2組患者頸椎疼痛變化情況及臨床療效。結(jié)果:①頸椎疼痛評分。治療前2組患者頸椎疼痛視覺模擬評分比較,差異無統(tǒng)計(jì)學(xué)意義[(7.1±1.5)分,(7.0±1.5)分,t=0.221,P=0.826]; 治療8周后兩組頸椎疼痛視覺模擬評分均降低[(3.3±1.4)分,(4.1±0.8)分],運(yùn)動療法組降低程度大于常規(guī)治療組[(3.8±1.1)分,(2.9±1.3)分,t=2.717,P=0.009]。②臨床療效評分。治療前2組患者臨床療效評分比較,差異無統(tǒng)計(jì)學(xué)意義[(8.3±4.6)分,(8.5±4.5)分,t=0.169,P=0.867]; 治療8周后兩組臨床療效評分均提高[(15.9±4.1)分,(13.2±4.9)分],運(yùn)動療法組提高程度大于常規(guī)治療組[(7.6±2.6)分,(4.7±3.1)分,t=3.925,P=0.000]。結(jié)論:采用運(yùn)動療法聯(lián)合口服消炎鎮(zhèn)痛藥及頸椎牽引治療神經(jīng)根型頸椎病,可以明顯減輕頸椎疼痛,療效優(yōu)于單純采用口服消炎鎮(zhèn)痛藥及頸椎牽引,且簡單易行,值得臨床推廣應(yīng)用。

Abstract:

Objective:To observe the clinical effects of exercise therapy combined with cervical traction and oral application of anti-inflammatory agents on cervical spondylotic radiculopathy.Methods:Sixty patients with cervical spondylotic radiculopathy were randomly divided into exercise therapy group and conventional treatment group,30 cases in each group.The patients in exercise therapy group were administrated with exercise therapy combined with cervical traction and oral application of anti-inflammatory agents,while the others in conventional treatment group were administrated with anti-inflammatory agents and cervical traction.The pain changes and clinical curative effects were compared between the 2 groups after 8-week treatment.Results:There was no statistical differences in the visual analog scale(VAS)pain scores between the 2 groups before the treatment(7.1+/-1.5 vs 7.0+/-1.5 points,t=0.221,P=0.826),while the VAS pain scores decreased in both of the 2 groups after 8-week treatment(3.3+/-1.4 vs 4.1+/-0.8 points),and the decreased degree of exercise therapy group was greater than that of conventional treatment group(3.8+/-1.1 vs 2.9+/-1.3 points,t=2.717,P=0.009).There was no statistical differences in scores on the clinical curative effect between the 2 groups before the treatment(8.3+/-4.6 vs 8.5+/-4.5 points,t=0.169,P=0.867); while the scores on the clinical curative effect increased in both of the 2 groups after 8-week treatment(15.9+/-4.1 vs 13.2+/-4.9 points),and the increasing degree of exercise therapy group was greater than that of conventional treatment group(7.6+/-2.6 vs 4.7+/-3.1 points,t=3.925,P=0.000).Conclusion:For patients with cervical spondylosis radiculopathy,the combination therapy of exercise therapy and cervical traction combined with oral application of anti-inflammatory agents can relieve the pain in cervical vertebra,and its curative effect is better than that of the monotherapy of cervical traction and oral application of anti-inflammatory agents.Furthermore,it is easy to operate,so it is worthy of popularizing in clinic.

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更新日期/Last Update: 2014-01-20