自重颈椎牵引装置对颈椎病交感症状的康复效果研究

摘要

目的：观察日常使用自重颈椎牵引装置对颈椎病交感症状康复的效果。方法选取2012年1月—2014年1月于浙江省嘉兴市第二医院疼痛门诊就诊的交感神经型颈椎病或有交感症状的颈型颈椎病患者100例为研究对象。就诊期间颈项疼痛明显的患者，按视觉模拟评分法（ VAS）和现有疼痛强度（ PPI）评分进行不同治疗。按照随机数字表法将患者分为观察组和对照组，各50例。其中观察组患者使用自重颈椎牵引装置进行自我康复，对照组进行常规治疗，仅适当教授患者颈椎病的知识及合理的颈椎保健锻炼方法。治疗后1~3、4~6个月时通过电话、门诊或家庭会见随访，询问并记录患者自重颈椎牵引装置的使用情况、McGill疼痛问卷简化量表（ McGill简化量表）评分及复发次数，对颈椎病再次复发时VAS评分、PPI评分及症状分布、药物治疗情况进行统计，记录患者对自重颈椎牵引装置的综合满意度评分。结果观察组治疗前VAS评分、PPI评分与对照组比较，差异无统计学意义（ P＞0.05）；观察组治疗后1~3个月、4~6个月VAS评分、PPI评分及复发次数均较对照组降低（ P＜0.05）。两组治疗后1~3个月、4~6个月VAS评分、PPI评分均较治疗前降低（P＜0.05）；两组治疗后4~6个月VAS评分、PPI评分、复发次数均较治疗后1~3个月降低（P＜0.05）。两组患者症状分布及药物治疗情况比较，差异均无统计学意义（P＞0.05）。患者对自重颈椎牵引装置的综合满意度评分为（81.2±4.6）分。结论日常使用自重颈椎牵引装置对改善颈椎病患者的交感症状有良好作用。%Objective To observe the effect of self weight traction devicein rehabilitation of sympathetic cervical spondylosis. Methods 100 sympathetic cervical spondylosis patients or cervical spondylosis patients who experienced sympathetic symptoms and came to the pain clinic in Jiaxing Second Hospital of Zhejiang Province from January 2012 to January 2014,were selected as study subjects. According to visual analogue scale( VAS)and present pain intensity( PPI)score,patients with significant neck pain during treatment received individualized treatment. According to the random number table method, the patients were divided into observation group and control group,there were 50 cases in each group. Cases in observation group received self rehabilitation using self weight traction device for cervical vertebra, cases in control group received routine rehabilitation only and were given knowledge about cervical spondylosis and reasonable method of exercise. 1-3 and 4-6 months after treatment,cases were followed up by telephone,outpatient or home visit,the usage of self weight traction device for cervical vertebra,score of simplified McGill pain questionnaire( simplified McGill scale),and the number of relapses of the disease were recorded. The VAS and PPI score, symptom distribution and the use of medicines were statistically analysed, patients overall satisfaction scores with self weight traction device for cervical vertebra were recorded. Results There was no significant difference in VAS score and PPI score between observation group and control group before treatment(P>0. 05). 1-3 months and 4-6 months after treatment,VAS score,PPI score and recurrence times in observation group were significantly lower than those in control group(P<0. 05). For both groups,VAS score and PPI score 1-3 months and 4-6 months after treatment were significantly lower than those before treatment,respectively(P <0. 05). For both groups,VAS score,PPI score and recurrence times 4 -6 months after treatment were significantly lower than those 1 -3 months after treatment ( P <0. 05). There was no significant difference in symptom distribution and the use of medicines between two groups(P>0. 05). Patients overall satisfaction score with self weight traction device for cervical vertebra was(81. 2 ± 4. 6). Conclusion Daily use of self weight traction device for cervical vertebra has a therapeutic effect on improving the sympathetic symptoms in patients with cervical spondylosis.