推拿联合神经松动术治疗神经根型颈椎病疗效观察  

Effect of neurodynamics combined with manipulation on cervical spondylotic radiculopathy

作　　者：任扬[1] 

机构地区：[1]无锡市中医医院,无锡214000

出　　处：《内蒙古中医药》2017年第21期178-180,共3页Inner Mongolia Journal of Traditional Chinese Medicine

摘　　要：目的:观察推拿结合神经松动术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三组,分别是推拿结合神经松动术治疗组(治疗组)22例,推拿治疗组(推拿组)18例,神经松动术治疗组20例(神经松动术组)。三组均于治疗前、治疗后分别采用视觉模拟评分法(VAS)、颈椎病临床评价量表(Clinical Assessment Scale for Cervical Spondylosis,CASCS)评价颈椎的疼痛及整体功能改善情况以及临床疗效。结果:治疗前三组VAS及CASCS评分差异无统计学意义(P>0.05);三组治疗后VAS及CASCS评分明显改善(P<0.01),且治疗组显著优于推拿组及神经松动术组,差异有统计学意义(P<0.05)。结论:推拿结合神经松动术治疗神经根型颈椎病具有显著的临床疗效,值得推广。Objective：To observe the effect of neurodynamics combined with manipulation on cervical spondylotic radiculopathy（CSR）.Methods：A total of 60 patients with CSR were randomly divided into the observation group,neurodynamics group and manipulation group. The observation group was treated with neurodynamics combined with manipulation,while the rest 2 groups were treated with neurodynamics and manipulation separately. Before and after treatment,the visual analogue scale（VAS）and clinical assessment scale for cervical spondylosis（CASCS）were measured. Meanwhile,the outcome of clinical efficacy was evaluated. Results：There were no statistically significant differences in VAS and CASCS between the 3 groups before therapy（P0.05）.All 3 groups got good therapeutic effect in VAS and CASCS after treatment for 2 weeks（P0.01）,and the effect of the observation group was significantly better than other 2 groups（P0.05）. Conclusion：The efficacy of neurodynamics combined with manipulation in the treatment of CSR patients is good it is worthy of clinical application.

关 键 词：神经根型颈椎病 推拿 神经松动术 

分 类 号：R681.55[医药卫生—骨科学]