上颈段颈椎病的治疗方法观察  

Treatment of Cervical Spondylosis in the Upper Cervical Spine

作　　者：谢青[1] 熊键 鲍勇[3] 施捷健[3] 顾琳[3] 丁旭[3] 

机构地区：[1]上海交通大学医学院附属瑞金医院康复科,上海200025 [2]武汉市一医院康复科,武汉430000 [3]上海交通大学医学院附属瑞金医院卢湾分院康复科,上海200020

出　　处：《中国康复》2009年第4期255-256,共2页Chinese Journal of Rehabilitation

摘　　要：目的:探讨上颈段颈椎病的简便有效治疗方案。方法:上颈段颈椎病患者45例,分为2组,观察组21例采用甲钴胺椎旁注射加颈椎操,每周1次,共3次;对照组24例采用超声波、手法及自我牵伸治疗,每周5次,共3周。治疗后2组进行疗效评定,并观察复发率和患者对治疗方式的满意度、安全性。结果:治疗3周后,2组患者临床疗效、复发率和安全性比较均差异无显著性意义;但在治疗方式的满意度上,观察组优于对照组(P<0.05)。结论:疗效明确且治疗时间少的颈椎病治疗方案更易使患者接受。Objective： To investigate the convenient and effective treatment for cervical spondylosis in the upper cervical spine. Methods： Forty patients with cervical spondylosis were divided into two groups. The patients in control and observation groups were treated with the routine rehabilitation treatments, and those in observation group were subjected to the neck muscle exercise and paravertebral injection of mecobalamin additionally. Results： There was no significant difference in the curative effectiveness, safety and recurrence between two groups. However, the satisfaction of treatment modality in observation group was superior to that in control group （P〈0.05）. Conclusion： The paravertebral injection with mecobalamin combined with routine rehabilitation training can be a convenient and effective treatment for cervical spondylosis.

关 键 词：颈椎病 上颈段 甲钴胺 椎旁注射 

分 类 号：R681.5[医药卫生—骨科学]