双向交替牵引手法治疗伴有椎体半失稳的颈椎病  

TREATMENT OF TWO-WAY ALTERNATE TRACTION ON CERVICAL SPONDYLOPATHY WITH CENTRAL SEMI-DESTA-BILIZATION

作　　者：金建明[1] 周沈贤[2] 周东辉 严伟[1] 

机构地区：[1]浙江省人民医院,杭州310024 [2]浙江大学医学院第二附属医院 [3]杭州市萧山区中医医院

出　　处：《中医正骨》2007年第6期9-10,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：为观察双向交替牵引手法治疗伴有椎体半失稳的颈椎病的疗效,选择伴有椎体半失稳的颈椎病患者68例,随机分为治疗组和对照组,治疗组35例采用双向交替牵引手法,对照组33例采用颈椎牵引和颈部常规手法,治疗前后测量颈椎生理曲度与颈椎椎间位移距离,及用目测类比法(VAS)评定疼痛程度,并于2个疗程后观察两组的临床疗效。结果显示,治疗组临床疗效明显优于对照组(P<0.01);治愈率明显高于对照组(P<0.05);治疗组VAS的评分较对照组显著降低(P<0.05);治疗组颈椎生理曲度改善明显优于对照组(P<0.05);治疗组颈椎椎间位移矫正明显好于对照组(P<0.05)。表明双向交替牵引手法是治疗伴有椎体半失稳的颈椎病的有效方法,其治疗机制与矫正半失稳椎体和恢复脊柱稳定性有关。In order to study the effect of treating cervical spondylopathy with central semi-destabilization(CSCS)by two-way alternate traction(TAT),68 cases of CSCS were divided into 2 groups:group A(35 cases,treated by TAT),group B(33 cases,treated under common therapy)The physiological curvature and interepinal displacement of cervical vertebra of pre-treatment and post-treatment was measured,the pain degree was evaluated by VAS,the 2-course treatment clinical effect was observed and compared.The results showed that the clinical effect of group A had an advantage significantly over group B(P<0.01),so as in the cure rate(P<0.05)and the VAS score of group A was lower than its of group B(P < 0.05),the improvement degree of curvature and rectification degree of interepinal displacement of group A was better than group B's,suggesting that TAT is a good effect on treating CSCS,the mechanism might be rectify central semi-destabilization and recover the stability of spine.

关 键 词：颈椎病/治疗 椎体半失稳/治疗 牵引 手法 临床研究 

分 类 号：R274[医药卫生—中医骨伤科学]