牵引及推拿的力学作用对颈椎病的疗效(英文)  

Mechanical effects of traction and massage therapy on cervical spondylopathy

作　　者：张益珍[1] 王晓红[2] 幸浩洋[1] 张黎明[2] 

机构地区：[1]四川大学物理科学与技术学院医学物理研究室,四川省成都市610041 [2]四川大学华西医院康复中心,四川省成都市610041

出　　处：《中国临床康复》2005年第42期159-161,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：背景:非手术疗法治疗颈椎病是目前常用的治疗方法。这些方法都涉及到力学作用,尤其是颈椎牵引及推拿按摩的力学性质更加显著。目的:通过比较牵引和推拿按摩与单一牵引对颈椎病患者的干预效果,对不同康复方法中力的依从性进行探讨。设计:病例对比观察。单位:四川大学华西医院康复中心。对象:选择2002-10/2003-07在四川大学华西医院康复中心门诊就诊的符合非手术治疗的颈椎病患者52例,均自愿参加观察。随机分为2组,实验组和对照组各26例。方法:①实验组采用牵引和推拿按摩术相结合的方法。牵引1次/d,30min/次,5次为1个疗程,治疗一两个疗程。推拿按摩8～10min/次,1次/d,5次为1个疗程,治疗一两个疗程。②对照组则采用单纯的牵引方法。采用颈椎疾患治疗成绩评分表,选用表中临床症状、临床检查、日常生活3大项目作为评分标准。根据治疗前后评分计算改善指数:改善指数=(治疗后评分-治疗前评分)/治疗后评分。治疗后由医师进行评定改善指数。显效:临床症状、体症明显改善,对工作、学习和日常生活影响小;有效:临床症状、体症有改善,工作、学习部分受影响;无效:临床症状、体症无改善,工作、学习和日常生活同治疗前。主要观察指标:①两组患者治疗前后的颈椎疾患治疗成绩评分。②两组患者治疗后的干预效果。结果:颈椎病患者52例全部进入结果分析,无脱落。①两组患者治疗前后的颈椎疾患治疗成绩评分比较:治疗后实验组患者的颈椎治疗评分明显高于对照组[16.431±3.212,13.147±3.036(t=4.676,P<0.01)],且实验组患者颈椎功能改善指数也明显高于对照组[0.505±0.163,0.368±0.145(t=3.860,P<0.01)]。②两组患者治疗后的干预效果比较:实验组的显效率高于对照组(80.8%,46.2%)。结论:牵引和推拿按摩术相结合对颈椎病患者的干预效果优于单纯牵引疗法。不同的康BACKGROUND：Non-operation therapies are commonly used in the treatment of cervical spondylopathy. All of these therapies involve biological mechanics; especially for traction and massage of the cervical vertebrae, they have an obvious property of biological mechanics in rehabilitation of the cervical vertebrae. OBJECTIVE： To probe into the biological mechanics of different rehabilitation methods through comparing the intervention effects between traction and traction combined with massage on cervical spondylopathy.DESIGN： A case-controlled observation. SETTING： Rehabilitation Center of West China Hospital of Sichuan University. PARTICIPANTS： Among the patients who came to the Rehabilitation Center of West China Hospital of Sichuan University between October 2002 and July 2003 for the treatment of spondylopathy, totally 52 patientsmet the criteria for non-operation therapy. They participated in the experiment voluntarily and were randomly divided into 2 groups： the experimental group and the control group, with 26 patients for each. METHODS： ①The patients in the experimental group were treated by traction in combination with massage. Traction was performed once a day,30 minutes each time, 5 times as a course of treatment, and one or two courses of treatment in total. Massage was performed for 8 to 10 minutes each time, once a day, 5 times as a course of treatment, and one or two courses in total. ② The patients in the control group were treated with traction only. Cervical Spondylopathy Therapeutic Effect Rating Scale was adopted to evaluate the effects, three items were selected to set as our scoring criterion, which included clinical symptoms, physical examinations and activities of the daily life （ADL）. The improvement index was figured out on the basis of the pre-treatment score and post-treatment score. The improvement index is worked out by the following equation： improvement index = （The post-treatment score-pre-treatment score） / the post-treatment score. The improvement index wa

关 键 词：颈椎病 牵引术 推拿 按摩疗法 生物力学 

分 类 号：R681.53[医药卫生—骨科学]