矫正关节突关节“骨错缝”手法治疗神经根型颈椎病的有效性研究  

Effectiveness study on correction procedure for zygapophyseal joint in treating cervical spondylotic radiculopathy

作　　者：张明才[1] 石印玉[1] 陈东煜[1] 王翔[1] 黄仕荣[1] 陈博[1] 张开勇[1] 詹红生[1] 

机构地区：[1]上海中医药大学附属曙光医院石氏伤科医学中心上海市中医药研究院骨伤科研究所,上海200021

出　　处：《上海中医药杂志》2011年第12期42-45,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然基金项目(81001528;81073114);中医药行业科研专项(7-17);上海市科委重点项目(09411953400);上海高校"中医脊柱病损研究"创新团队建设项目(2009-26);上海市科委"西部开发"项目(10495801100);上海市卫生局青年科研项目(2010Y131);上海卫生局中医药科研专项(2010QL012B;2010L027A);"中医骨伤科学"国家重点学科项目(100508);上海领军人才项目(041);上海市科委重点项目(09dZ1973800)

摘　　要：目的观察矫正关节突关节"骨错缝"手法治疗神经根型颈椎病的有效性。方法将关节突关节"骨错缝"致椎间孔狭窄的59例神经根型颈椎病患者随机分为手法组(37例)和牵引组(22例),其中手法组采用关节突关节"骨错缝"矫正手法治疗,牵引组采用传统的枕颌布托牵引治疗;两组均治疗3个疗程,观察临床症状、体征和颈椎间孔矢状径变化情况。结果手法组、牵引组临床症状、体征改善率比较,差异有统计学意义(P<0.05)。手法组治疗前后椎间孔矢状径比率差异有统计学意义(P<0.01),牵引组无明显变化(P>0.05);组间治疗后比较,椎间孔矢状径比率差异有统计学意义(P<0.05)。手法矫正关节突关节错缝矫正程度与疗效之间成正相关关系(P<0.01)。结论关节突关节"骨错缝"矫正手法可有效治疗关节突关节"骨错缝"致椎间孔狭窄的神经根型颈椎病。Objective To observe the effectiveness of correction procedure for zygapophyseal joints in treating cervical spondylotic radiculopathy. Methods Fiftynine patients with cervical spondylotic radiculopathy due to zygapophyseal joints were randomly divided into manipulation group and traction group. Thirty-seven patients in manipulation group were treated by correction procedure, and twenty-two patients in traction group were treated by pillow jaws bhutto traction, with three courses. The symptoms, signs and changes of intervertebral foramina sagittal diameter were observed. Results The improvement rate of symptoms and signs in both groups had significant differences （ P 〈 0.05 ）. The intervertebral foramina sagittal diameter in manipulation group had a significant differences between before and after treatment（ P 〈 0.01 ）, but without significant differences in traction group（ P 〈 0.05 ）. The rate of intervertebral foramina sagittal diameter was increased in manipulation group after treatment, with a significant difference between the two groups（ P 〈 0.05 ）. There was positive correlationship between the fissure of displacement and therapeutic effects（P 〈0.01 ）. Conclusion The correction procedure has positive effects on cervical spondylotic radieulopathy due to zygapophyseal joints.

关 键 词：颈椎病 寰枢关节 骨错缝 矫正手法 

分 类 号：R274.9[医药卫生—中西医结合]