[1]李利,刘杰.侧斜角牵引治疗神经根型颈椎病疗效观察[J].新乡医学院学报,2022,39(10):964-967.[doi:10.7683/xxyxyxb.2022.10.012]
　LI Li,LIU Jie.Curative effect of lateral oblique angletraction in the treatment of cervical spondylotic radiculopathy[J].Journal of Xinxiang Medical University,2022,39(10):964-967.[doi:10.7683/xxyxyxb.2022.10.012]
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侧斜角牵引治疗神经根型颈椎病疗效观察
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
39
期数:
2022年10
页码:
964-967
栏目:
临床研究
出版日期:
2022-10-05

文章信息/Info

Title:
Curative effect of lateral oblique angletraction in the treatment of cervical spondylotic radiculopathy
作者:
李利; 刘杰
（河南省洛阳正骨医院颈肩腰腿痛二科，河南　洛阳　471000）
Author(s):
LI Li; LIU Jie
（Department of Neck,Shoulder,Waist and Leg Pain,Luoyang Orthopedic-Traumatological Hospital of Henan Province，Luoyang 471000，Henan Province,China）
关键词:
侧斜角牵引; 神经根型颈椎病; 疗效
Keywords:
lateral oblique angletraction; cervical spondylotic radiculopathy; curative effect
分类号:
R274.9
DOI:
10.7683/xxyxyxb.2022.10.012
文献标志码:
A
摘要:
目的　探讨侧斜角牵引治疗神经根型颈椎病的临床疗效。方法　选择河南省洛阳正骨医院2020年3月至2021年2月收治的60例神经根型颈椎病患者为研究对象，根据牵引方式将患者分为观察组和对照组，每组30例。对照组患者给予仰卧前屈位牵引，观察组患者给予仰卧前屈位+健侧屈位牵引，2组患者每日牵引后均给予中药熏洗和中药塌渍治疗，共治疗14 d。分别于治疗前和治疗14 d后采用疼痛视觉模拟评分（VAS）评估患者的疼痛程度，采用Northwick Park颈痛量表（NPQ）评估患者的症状和生活质量，采用神经根型颈椎病临床症状、体征积分量表评估患者的整体病情。结果　治疗前2组患者的VAS、NPQ评分及症状、体征积分总分比较差异无统计学意义（P>0.05）。2组患者治疗后VAS、NPQ评分显著低于治疗前，症状、体征积分总分显著高于治疗前（P<0.05）。治疗后，观察组患者VAS、NPQ评分显著低于对照组，症状、体征积分总分显著高于对照组（P<0.05）。结论　侧斜角牵引治疗神经根型颈椎病的疗效优于前屈位牵引。
Abstract:
Objective　To observe the clinical curative effect of lateral oblique angletraction in the treatment of cervical spondylotic radiculopathy.Methods　Sixty patients with cervical spondylotic radiculopathy admitted to Luoyang Orthopedic-Traumatological Hospital of Henan Province from March 2020 to February 2021 were selected as the research objects.The patients were divided into the observation group and the control group according to the traction mode,with 30 patients in each group.The patients in the control group were given supine forward flexion position traction,the patients in the observation group were given supine forward flexion + contralateral flexion angletraction.After traction,the patients in the both groups were treated with fumigation and sloughing of traditional Chinese medicine for 14 days.Before treatment and after 14 days of treatment,the patient′s pain degree was assessed by the visual analogue scale (VAS),the patient′s symptoms and quality of life was assessed by Northwick Park Neck Pain Questionnaire (NPQ),and the patient′s overall condition was assessed by the clinical symptoms and signs score scale of cervical spondylotic radiculopathy.Results　There was no significant difference in VAS,NPQ scores and total scores of symptoms and signs of patients between the two groups before treatment (P>0.05).The VAS，NPQ scores of patients after treatment were significantly lower than those before treatment in the two groups (P<0.05);and the total scores of clinical symptoms and signs of patients after treatment were significantly higher than those before treatment in the two groups (P<0.05).After treatment,the VAS,NPQ scores of patients in the observation group were significantly lower than those in the control group (P<0.05);and the total scores of clinical symptoms and signs of patients in the observation group were significantly higher than those in the control group (P<0.05).Conclusion　The curative effect of lateral oblique angletraction is better than forward flexion traction in the treatment of cervical spondylotic radiculopathy.

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更新日期/Last Update: 2022-10-05