运动疗法联合口服消炎镇痛药及颈椎牵引治疗神经根型颈椎病  

Therapeutic effect of exercise therapy combined with cervical traction and oral application of anti-inflammatory agents on cervical spondylotic radiculopathy

作　　者：吴燕[1] 姚新苗[1] 徐守宇[1] 

机构地区：[1]浙江中医药大学附属第三医院,浙江杭州310005

出　　处：《中医正骨》2014年第1期24-26,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：国家中医药管理局重点学科建设资助项目(国中医药人教发〔2012〕32号);浙江省科技厅"新苗人才计划"资助项目(2012R410041)

摘　　要：目的:观察运动疗法联合口服消炎镇痛药及颈椎牵引治疗神经根型颈椎病的临床疗效。方法:将60例神经根型颈椎病患者随机分为运动疗法组和常规治疗组,每组30例。运动疗法组采用运动疗法联合口服消炎镇痛药及颈椎牵引治疗,常规治疗组采用口服消炎镇痛药及颈椎牵引治疗。治疗8周后比较2组患者颈椎疼痛变化情况及临床疗效。结果:①颈椎疼痛评分。治疗前2组患者颈椎疼痛视觉模拟评分比较,差异无统计学意义[(7.1±1.5)分,(7.0±1.5)分,t=0.221,P=0.826];治疗8周后两组颈椎疼痛视觉模拟评分均降低[(3.3±1.4)分,(4.1±0.8)分],运动疗法组降低程度大于常规治疗组[(3.8±1.1)分,(2.9±1.3)分,t=2.717,P=0.009]。②临床疗效评分。治疗前2组患者临床疗效评分比较,差异无统计学意义[(8.3±4.6)分,(8.5±4.5)分,t=0.169,P=0.867];治疗8周后两组临床疗效评分均提高[(15.9±4.1)分,(13.2±4.9)分],运动疗法组提高程度大于常规治疗组[(7.6±2.6)分,(4.7±3.1)分,t=3.925,P=0.000]。结论:采用运动疗法联合口服消炎镇痛药及颈椎牵引治疗神经根型颈椎病,可以明显减轻颈椎疼痛,疗效优于单纯采用口服消炎镇痛药及颈椎牵引,且简单易行,值得临床推广应用。Objective：To observe the clinical effects of exercise therapy combined with cervical traction and oral application of anti-in- flammatory agents on cervical spondylotic radiculopathy. Methods：Sixty patients with cervical spondylotic radiculopathy were randomly di- vided into exercise therapy group and conventional treatment group,30 cases in each group. The patients in exercise therapy group were ad- ministrated with exercise therapy combined with cervical traction and oral application of anti-inflammatory agents, while the others in con- ventional treatment group were administrated with anti-inflammatory agents and cervical traction. The pain changes and clinical curative effects were compared between the 2 groups after 8-week treatment. Results：There was no statistical differences in the visual analog scale （VAS） pain scores between the 2 groups before the treatment（7.1 4/- 1.5 vs 7.0 4/- 1.5 points,t =0. 221 ,P =0. 826） ,while the VAS pain scores decreased in both of the 2 groups after 8-week treatment（3.3 4/-1.4 vs 4.1 4/-0.8 points）, and the decreased degree of ex- ercise therapy group was greater than that of conventional treatment group （3.8 ＋/- 1.1 vs 2.9 4/- 1.3 points, t = 2. 717, P = 0. 009 ）. There was no statistical differences in scores on the clinical curative effect between the 2 groups before the treatment （ 8.3 4/- 4.6 vs 8.5 4/-4.5 points,t = 0. 169 ,P = 0. 867 ） ;while the scores on the clinical curative effect increased in both of the 2 groups after 8-week treatment（ 15.9 4/-4.1 vs 13.2 4/-4.9 points） ,and the increasing degree of exercise therapy group was greater than that of conventional treatment group （ 7.6 ＋/- 2.6 vs 4.7 4/- 3. l points, t = 3. 925, P = 0. 000 ）. Conclusion： For patients with cervical spondylosis radiculopa- thy, the combination therapy of exercise therapy and cervical traction combined with oral application of anti-inflammatory agents can relieve the pain in cervical vertebra,and its curative effect is better than that of the mon

关 键 词：颈椎病 神经根病 运动疗法 牵引术 消炎药 非甾类 

分 类 号：R681.55[医药卫生—骨科学]