脊柱微调手法对神经根型颈椎病患者临床疗效、颈椎功能及影像学指标的影响  

Effects of Spinal Fine-tuning Manipulation on Clinical Efficacy,Cervical Spine Function and Imaging Indicators in Patients with Cervical Spondylotic Radiculopathy

作　　者：陈田钢 洪艳飞 张烽 杨素莲 CHEN Tiangang;HONG Yanfei;ZHANG Feng;YANG Sulian(Department of Traditional Chinese Medicine,the First Affiliated Hospital of Dali University,Dali 671000,China;不详)

机构地区：[1]大理大学第一附属医院中医科,云南大理671000 [2]大理市第二人民医院中医科,云南大理671000 [3]大理大学第一附属医院放射科,云南大理671000 [4]大理大学第一附属医院感染管理科,云南大理671000

出　　处：《中国医学创新》2025年第1期16-20,共5页Medical Innovation of China

基　　金：云南省教育厅科学研究基金项目(2021J0402)。

摘　　要：目的:探讨给予神经根型颈椎病(CSR)患者脊柱微调手法对临床疗效、颈椎功能及影像学指标的影响。方法:选取2020年11月—2022年11月大理大学第一附属医院收治的CSR患者90例,以随机数字表法分为治疗组(n=30)、针刺组(n=30)、推拿组(n=30)。治疗组采用脊柱微调手法治疗,针刺组采用针刺治疗,推拿组采用传统推拿手法治疗。比较三组临床疗效、颈椎功能及影像学指标。结果:治疗组治疗总有效率(96.67%)较针刺组(73.33%)、推拿组(70.00%)均高(P<0.05);三组治疗30 d后的颈椎功能障碍指数(NDI)均降低,治疗组较针刺组、推拿组均低(P<0.05);三组治疗30 d后的颈椎曲度、椎间孔面积均增大,椎体水平位移均减小,治疗组颈椎曲度、椎间孔面积较针刺组、推拿组均大,椎体水平位移较针刺组、推拿组均小(P<0.05)。结论:给予CSR患者脊柱微调手法治疗,能够提高临床效果,改善颈椎功能及影像学指标。Objective:To explore the effects of spinal fine-tuning manipulation on clinical efficacy,cervical spine function and imaging indicators in patients with cervical spondylotic radiculopathy(CSR).Method:A total of 90 patients with CSR admitted to the First Affiliated Hospital of Dali University from November 2020 to November 2022 were selected and divided into treatment group(n=30),acupuncture group(n=30)and massage group(n=30)by random number table method.The treatment group was treated with spinal fine-tuning manipulation,the acupuncture group was treated with acupuncture,and the massage group was treated with traditional massage.The clinical efficacy,cervical spine function and imaging indicators of the three groups were compared.Result:The total effective rate in the treatment group(96.67%)was higher than that in the acupuncture group(73.33%)and the massage group(70.00%)(P<0.05).After 30 days of treatment,the neck disability index(NDI)of the three groups decreased,and that in the treatment group was lower than that of acupuncture group and massage group(P<0.05).After 30 days of treatment,the cervical curvature and intervertebral foramen area of the three groups increased,the horizontal displacement of the vertebral body decreased,and the cervical curvature and intervertebral foramen area of the treatment group were larger than those of the acupuncture group and the massage group,and the horizontal displacement of the vertebral body was smaller than that of the acupuncture group and the massage group(P<0.05).Conclusion:Spinal fine-tuning manipulation for patients with CSR can improve clinical effect,improve cervical spine function and imaging indicators.

关 键 词：神经根型颈椎病 脊柱微调手法 颈椎功能 影像学 

分 类 号：R681.55[医药卫生—骨科学]