神经根型颈椎病机械牵引程度与疗效的关系（附100例疗效分析）  

The relationship between mechanical traction degree and ther apeutic effects

作　　者：隋孝忠 于文青 

机构地区：[1]青岛工人温泉疗养院

出　　处：《中医正骨》1995年第5期8-9,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：为探讨神经根型颈椎病机械牵引程度与疗效的关系，根据病人牵引过程中患肢是否麻木消失，并出现灼热感、脉搏加快、掌心出汗等表现，随机抽取Ａ组（牵引过程中麻木消失，并出现上述后３种表现）５０例，与Ｂ组（牵引过程中可有麻木消失，但无上述后３种表现）５０例，进行回顾性比较与分析。结果显示，Ａ组痊愈率高、疗程短、疗效显著优于Ｂ组（Ｐ＜０．０１），表明牵引程度与疗效有密切关系．结合复习有关文献，认为将上述表现作为牵引达到最佳程度的临床标志较为合理；其发生机理可能与牵引牵拉刺激患病节段椎动脉交感神经丛、窦椎神经、粘连神经根，使局部交感神经兴奋有一定关系。In order to study the relationship between mechannical traction degree and therapeutic effects in nerve root type cervical spondylopathy,the during-traction manifestations,such as numbness disappearance,burning heat sensations,pulse speeding up,palmar sweating and so on,were retrospectively compared and analysed in two groups:group A and group B. Each of them was composed of 50 cases randomly selected. Group A had all the above manifestations, while group B had only numbness disappearance but no other three. The results showed that group A had a higher curative rate .shorter treatment course and better therapeutic effects than group B(P<0. 001 ),showing a closed realionship between traction degree and therapeutic effects. After reviewing the literature, the authors recommended the above manifestations as the clinical signs for the optimum traction ;the mechanism may be related to the traction stimulus to vertebral arterial plexus sympathici,sinus vertebral nerve and adhesed nerve root in the diseasded segment that the local sympathetic nerve could be excited.

关 键 词：颈椎病 神经根型 治疗 牵引 

分 类 号：R681.550.5[医药卫生—骨科学]