手法治疗联合电动牵引治疗神经根型颈椎病的疗效分析  

Effect analysis of manual therapy combined with electric traction in the treatment of cervical spondylotic radiculopathy

作　　者：邓婉桦 陈碧玉 陈双妹 DENG Wan-hua;CHEN Bi-yu;CHEN Shuang-mei(Clinical Medical College of Acupuncture Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510000;Department of Acupuncture,Guangdong Integrated Chinese and Western Medicine Hospital,Foshan Guangdong 528000,China;Department of Pharmacy Administration,Guangdong Integrated Chinese and Western Medicine Hospital,Foshan Guangdong 528000,China)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510000 [2]广东省中西医结合医院针灸科,广东佛山528000 [3]广东省中西医结合医院药事管理,广东佛山528000

出　　处：《蚌埠医学院学报》2021年第2期187-190,共4页Journal of Bengbu Medical College

摘　　要：目的:探究手法治疗联合电动牵引治疗神经根型颈椎病(CSR)的临床疗效。方法:选取88例CSR病人,采用数字表随机分为观察组和对照组,各44例。对照组采用常规电动牵引治疗,观察组在此基础上联合Mulligan手法治疗,共治疗4周。比较治疗前后疼痛视觉模拟(VAS)评分、颈椎功能障碍指数(NDI)及颈椎病临床评价量表(CASCS)评分,测量治疗前后颈椎右旋、左旋角度,评价治疗4周后的综合疗效。结果:治疗后2组CASCS评分明显升高,VAS评分和NDI均明显降低(P<0.01);且观察组CASCS评分明显高于对照组,VAS评分和NDI均明显低于对照组(P<0.01)。治疗后2组颈椎右旋、左旋角度均明显增加(P<0.01),且观察组颈椎右旋、左旋角度均明显大于对照组(P<0.01)。观察组治疗总有效率为95.45%,略高于对照组的81.82%,但差异无统计学意义(P>0.05)。结论:在传统电动牵引治疗治疗CSR的基础上开展Mulligan手法治疗能有效改善病人疼痛、眩晕及功能障碍等,提升颈椎活动度。该手法见效快、操作简单,适用于CSR的物理治疗。Objective:To explore the curative effects of manual therapy combined with electric traction in the treatment of cervical spondylotic radiculopathy(CSR).Methods:Eighty-eight patients with CSR were randomly divided into the observation group and control group using number table method(44 cases in each group).The control group was treated with conventional electric traction,and the observation group was treated with Mulligan manual therapy based on the control group for 4 weeks.The pain visual analogue(VAS)score,neck disability index(NDI)and clinical assessment scale cervical spondylosis(CASCS)score in two groups were compared between before and after treatment.The right and left rotation angles of the cervical spine in two groups were measured before and after treatment.The comprehensive curative effects in two groups after 4 weeks of treatment were evaluated.Results:After treatment,the CASCS score significantly increased,and the VAS score and NDI significantly decreased in two groups(P<0.01).After treatment,the CASCS score in observation group was higher than that in control group,and the VAS score and NDI in observation group were significantly lower than those in control group(P<0.01).After treatment,the right and left rotation angles of the cervical spine in two groups significantly increased,and the right and left rotation angles in observation group were significantly larger than those in control group(P<0.01).The total effective rates in the observation group and control group were 95.45%and 81.82%,respectively,but and the difference of which was not statistically significant(P>0.05).Conclusions:The Mulligan technique manual therapy based on traditional electric traction for CSR can effectively improve the pain,dizziness and dysfunction,and improve cervical vertebra activity.This method is quick and easy to operate,and suitable for physical therapy of CSR.

关 键 词：神经根型颈椎病 Mulligan手法治疗 电动牵引 

分 类 号：R493[医药卫生—康复医学]