颈椎康复操锻炼对防治神经根型颈椎病患者的作用观察

摘要

Objective:To observe clinical effect of rotation-traction manipulation combined with cervical vertebra rehabilitation exercise treating nerve root type of cervical spondylosis,so as to promote the popularization and application of the technique.Methods:One hun-dred and twelve patients were divided into treatment group (n =56)and control group (n =56)in multicenter central randomization. Patients in treatment group were given rotation-traction manipulation with cervical vertebra rehabilitation exercise and the others group on-ly applied with rotation-traction manipulation treatment.The curative effect of two groups and the relapse within three months were ob-served.Results:Both groups obviously improved overall symptoms and signs of patients with nerve root type of cervical spondylosis. There was no significant difference in terms of the curative effect between the end of the treatment and a month after treatment.But three months after treatment,the total effective rate of treatment group was 94.44%,and that of the control group was 83.64%,which showed statistically significant difference (P <0.05).The recurrence rate in treatment group one month after treatment was 2%,and 3 months after treatment was also 2%;the recurrence rate in control group on month after treatment was 4%,and 3 months after treatment was 10%.Conclusion:Both groups for the treatment of nerve root type of cervical spondylosis have good curative effect,and treatment group on the whole,has more durable curative effect with lower recurrence rate and its suitable for primary hospitals.Cervical vertebra rehabilitation exercise might have some effect for the prevention of recurrence on nerve root type of cervical spondylosis.%目的：观察经培训后基层医师应用旋提手法配合颈椎康复操防治神经根型颈椎病的临床疗效，促进旋提手法配合颈椎康复操防治神经根型颈椎病的推广应用。方法：采用多中心中央随机将112例患者分为试验组56例，对照组56例，分别给予旋提手法配合颈椎康复操及单独应用旋提手法治疗，观察2组的疗效及3个月内的复发情况。结果：试验组和对照组均可以明显改善神经根型颈椎病患者的总体症状体征，疗效在疗程结束后及疗程结束后1个月时差异无统计学意义，但治疗后3个月时，试验组总有效率为94.44％，对照组总有效率为83.64％，差异有统计学意义（P ＜0.05）。试验组治疗后1个月及3个月的复发率都为2％；对照组治疗后1个月及3个月的复发率分别为4％、10％。结论：试验组（旋提手法＋颈椎康复操）及对照组（单纯旋提手法）对于治疗神经根型颈椎病整体而言均有很好的疗效，试验组总体上疗效更持久，颈椎康复操的锻炼对于预防神经根型颈椎病复发可能有一定作用。