目的 探讨上颈段颈椎病中医综合治疗的临床疗效.方法 从2008年4月至2009年3月,共治疗上颈段颈椎病患者65 例,按就诊顺序随机分为三组,手法加牵引组、手法组和西药组分别进行治疗.治疗前、后对患者颈部疼痛、上肢痛麻、头痛头晕、交感神经症状及颈椎活动进行评分,对三组的疗效进行评价.结果 手法加牵引组、手法组能显著改善颈部疼痛、上肢痛麻、头痛头晕、交感神经症状以及颈椎活动受限症状,而西药组能显著改善颈部疼痛、头痛头晕、颈椎活动受限症状,而对上肢痛麻、交感神经症状改善不明显.手法加牵引组总有效率 87.5%,手法组总有效率78.2%,西药组总有效率72.2%.结论 手法结合颈椎牵引治疗上颈段颈椎病,能明显改善颈部疼痛、头痛头晕和颈椎活动障碍,能纠正上肢疼痛麻木以及视力模糊、目胀、耳鸣、多汗、胸闷不适等交感神经症状,是防治颈椎病的有效手段.%Objective To investigate the effects of manipulation and cervical traction in the treatment of upper cervical spondylosis. Methods From April 2008 to March 2009,65 patients with disease of upper cervical spondylosis were treated. As visiting order,randomly contrasted the manipulation and cervical traction group,manipulation group and control group before and after treatment about the neck pain ,upper limb pain or num, headache or dizziness,sympathetic symptoms and cervical activities ,assessed the therapeutic effect in three groups. Results The symptoms such as the neck pain, upper limb pain or num,headache or dizziness,sympathetic symptoms and cervical activities improved significantly in the first two groups ,while the neck pain,headache or dizziness and cervical activities improved significantly in the control group,but upper limb pain or num and sympathetic symptoms didn't improve in this group. Overall effective rate in the manipulation and cervical traction group,manipulation group and control group were 87. 5％, 78. 2％ ,72. 2％ ,respectively. Conclusion Mnipulation and cervical traction are effective in the treatment of disease of upper cervical spondylosis,especially can improve symptoms such as the neck pain,upper limb pain or num,headache or dizziness ,sympathetic symptoms and cervical activities.
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