[1]许鸿智 林定坤 苏国义 宁飞鹏 陈博来.以控制机械刺激为核心的治疗体系治疗 中老年神经根型颈椎病临床研究[J].中国中医骨伤科杂志,2015,23(07):14-18.
　XU Hongzhi LIN Dingkun SU Guoyi NING Feipeng CHEN Bolai.Clinical Research of Treatment System with the Core of Controlling Mechanical Stimulation for Treating Cervical Spondylotic Radiculopathy of Elderly[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(07):14-18.
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以控制机械刺激为核心的治疗体系治疗 中老年神经根型颈椎病临床研究
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年07期
页码:
14-18
栏目:
临床研究
出版日期:
2015-07-15

文章信息/Info

Title:
Clinical Research of Treatment System with the Core of Controlling Mechanical Stimulation for Treating Cervical Spondylotic Radiculopathy of Elderly
文章编号:
1005-0205(2015)07-0014-05
作者:
许鸿智1 林定坤1 苏国义1 宁飞鹏1 陈博来1
1.广东省中医院(广州,510120)
Author(s):
XU Hongzhi1 LIN Dingkun1 SU Guoyi1 NING Feipeng1 CHEN Bolai1
1.Guangdong Province Hospital of Traditional Chinese Medicine, Guangzhou 510120, China
关键词:
神经根型颈椎病;  控制机械刺激;  仰卧前屈拔伸牵引
Keywords:
cervical spondylotic radiculopathy;  mechanical stimulation controlling;  supine flexion
分类号:
R681.5
文献标志码:
A
摘要:
目的:探讨以控制机械刺激为核心的治疗体系治疗中老年神经根型颈椎病的临床疗效。方法:将120例神经根型颈椎病患者随机分为2组,观察组60例采用以控制机械刺激为核心的治疗体系治疗,对照组60例采用常规坐位牵引为主的治疗。采用疼痛视觉模拟评分法(VAS)、日本骨科学会神经根型颈椎病疗效评定标准(JOA20分法)与神经根型颈椎病症状体征积分等评价2组患者治疗后的临床疗效,并采用日本骨科学会脊髓功能评定17分法评价脊髓功能变化。结果:观察组治疗后的各项疗效指标均较治疗前显著改善,优良率70%,总有效率达95%,明显优于以常规坐位牵引治疗为主的对照组。而且,观察组在治疗过程中没有出现不良反应,脊髓功能评分未出现明显改变。结论:以控制机械刺激为核心的治疗体系疗效确切,是治疗中老年神经根型颈椎病安全、有效的治疗方法。
Abstract:
Objective:To detect the therapeutic efficiency of treatment system with the core of controlling mechanical stimulation for treating cervical spondylotic radiculopathy of elderly. Methods:A total of 120 cases of elderly patients with cervical spondylotic radiculopathy were randomly divided into observation group and control group, with 60 cases in each group. The patients of observation group were treated with treatment system with the core of controlling mechanical stimulation, and the patients of control group were treated based on conventional traction. The VAS score, the JOA 20 score and the integral of symptom and physical sign were used to evaluate the clinical efficacy of the two groups after treatment. The JOA 17 score was used to evaluate the change of spinal cord function. Results: The indexes of therapeutic effect of observation group were significantly improved after treatment, the excellent and good rate was 70% and the total effective rate was 95%, which were all significantly better than the control group. Moreover, there was no adverse reaction in the observation group, and the spinal cord function scores showed no obvious change. Conclusion: The treatment system with the core of controlling mechanical stimulation is exactly effective, and it is a safe method for treating cervical spondylotic radiculopathy of elderly.

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备注/Memo

备注/Memo:
收稿日期:2014-11-30
基金项目:广东省中医院中医药科学技术研究专项(YK2013B1N06)
2012年度广东省省级财政技术研究开发与推广 应用专项基金(粤财社[2012]248号)
2013年度广东省省级财政技术研究开发与推广 应用专项基金(粤财工[2013]401号)
更新日期/Last Update: 2015-07-10