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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:

34

期数:

2017年1

页码:

039-42

栏目:

临床研究

出版日期:

2017-01-05

文章信息/Info

Title:

Efficacy of improved non-surgical spinal decompression system in treatment of cervical spondylosis

作者:

徐筱潇¹; 韩秀兰¹; 李小金²; 许　轶¹

（1.中山大学附属第一医院东院康复医学科，广东　广州　510700；2.中山大学附属第一医院东院护理部，广东　广州　510700）

Author(s):

XU Xiao-xiao¹; HAN Xiu-lan¹; LI Xiao-jin²; XU Yi¹

（1.Department of Rehabilitation Medicine，the Eastem Affiliated Hospital of Sun Yat-sen University，Guangzhou 510700，Guangdong Province，China；2.Department of Nursing，the First Affiliated Hospital of Sun Yat-sen University，Guangzhou 510700，Guangdong Province，China）

关键词:

非手术脊柱减压系统; 表面肌电图; 椎间隙; 颈椎病

Keywords:

non-surgical spinal decompression system; surface electromyogram; intervertibral space; cervical spondylopathy

分类号:

R605

DOI:

10.7683/xxyxyxb.2017.01.011

文献标志码:

A

摘要:

目的　评估改进的颈椎非手术脊柱减压系统治疗颈椎病的临床效果。方法　将2015年11月至2016年5月中山大学附属第一医院东院收治的60例颈椎病患者随机分为改进组和对照组，改进组患者采用改进的颈椎非手术脊柱减压系统进行治疗，对照组患者采用改进前的颈椎非手术脊柱减压系统进行牵引；分别测定2组患者在牵引前、牵引中和牵引后的颈棘旁肌表面肌电图，测量治疗前及治疗后病变节段椎间隙高度，观察颈部疼痛视觉模拟（VAS）评分和颈椎功能障碍指数（NDI）评分并进行比较。结果　2组患者肌电波幅变化趋势较为相似，牵引中和牵引后的波幅较牵引前均显著降低（P<0.05），且牵引中波幅最低；改进组患者牵引中、牵引后的肌电波幅均低于对照组（P<0.05）。2组患者治疗后病变节段椎间隙高度明显增大，VAS评分及NDI评分均较治疗前明显改善（P<0.05），且改进组患者优于对照组（P<0.05）。结论　改进的颈椎脊柱减压系统可更好地放松颈部肌肉，缓解减压过程中椎旁肌肉紧张，并且可将牵引力集中于颈椎病变部位，从而将椎间隙拉开。

Abstract:

Objective　To observe the clinical therapeutic effect of improved non-surgical decompression system in treating cervical spondylosis.Methods　Sixty patients with cervical spondylosis were selected in the Eastem Affiliated Hospital of Sun Yat-Sen University from November 2015 to May 2016,then the patients were randomly divided into the modified group and the control group，with 30 patients in each group.The patients in modified group was treated with improved non-surgical spinal decompression system，while the patients in control group was treated with no improved non-surgical spinal decompression system.The electromyogram （EMG） of affected side cervical paraspinal muscle surface of patients was measured before traction，at traction and after traction in the two groups.The intervertibral space height of the lesion segment before and after treatment was measured；the visual analogue scales （VAS） and neck disability index （NDI） scores after treatment were observed and compared between the two groups.Results　The EMG amplitude change trend of patients in the two groups is similar；compared with before traction，the muscle EMG amplitude during and after the traction was significantly lower（P<0.05）and the muscle EMG amplitude during the traction was lowest.The muscle EMG amplitude of patients during and after the traction in the modified group was significantly lower than that in the control group（P<0.05）.Compared with before treatment，the intervertibral space，VAS scores and NDI of patients after treatment in the two groups were improved（P<0.05）.The therapeutic effect of patients in modified group was better than control group（P<0.05）.Conclusion　The improved non-surgical spinal decompression is superior in relaxing neck muscles and reducing muscle tension during treatment.Moreover，it can hold more strength on lesion distribution and draw the intervertibral space.

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更新日期/Last Update: 2017-01-05