软组织微创配合牵引下整脊对神经根型颈椎病的镇痛止麻效果  

The relieving pain and numbness effects of minimally invasive therapy of soft tissue combined with traction chiropractic on the treatment of cervical spondylotic radiculopathy

作　　者：沈彤[1] 尹伦辉[1] 章瑛[1] 梁伟坚[1] 敖晓龙[1] 谌凌燕[1] 何巍[1] 

机构地区：[1]广州医学院第一附属医院康复科,广州510120

出　　处：《中国临床保健杂志》2013年第3期260-262,共3页Chinese Journal of Clinical Healthcare

基　　金：广东省中医药管理局资助课题(2010203)

摘　　要：目的观察软组织微创配合牵引下整脊对神经根型颈椎病的镇痛止麻效果。方法选60例合格的神经根型颈椎病患者,随机分为软组织微创配合牵引下整脊治疗组及软组织微创配合单纯牵引对照组各30例。牵引下整脊及单纯牵引各治疗9次,软组织微创治疗3次。分析治疗前后及随访3个月后两组颈肩臂疼痛、颈部压痛及麻木症状体征积分的变化。结果两组治疗后及随访3个月后症状体征积分均有改善(P<0.05),治疗组的症状体征积分改善优于对照组(P<0.05)。结论软组织微创配合牵引下整脊在减轻神经根型颈椎病颈肩臂疼痛、颈部压痛及麻木症状方面疗效显著,操作安全。Objective To observe the effect of relieving pain and numbness of minimally invasive therapy of soft tissue combined with traction chiropractic in the treatment of cervical spondylotic radiculopathy. Methods 60 patients were randomly divided into a minimally invasive therapy of soft tissue combined with traction chiropractic treatment group and minimally invasive therapy of soft tissue combined with pure traction control group with 30 cases in each group. Traction chiropractic and pure traction were all carried out for 9 times. Minimally invasive therapy of soft tissue was carried out for 3 times. The scores of the symptoms and signs of the pain on neck,shoulder and arm,neck tenderness and numbness were compared between two groups before and after treatment and on the 3rd month after treatment. Resuits The scores of the symptoms and signs of two groups were all improved as compared with those before treatment （P 〈 0.05） ,but the total effect in treatment group improved more than those in the conrtrol group （P 〈 0.05 ）. Conclusion Minimally invasive therapy of soft tissue combined with traction chiropractic is a safe method in relieving the symptoms of the pain on neck, shoulder and arm, neck tenderness and numbness.

关 键 词：颈椎病 牵引术 外科手术 微创性 手法 捏脊 

分 类 号：R614[医药卫生—麻醉学]