[1]方娅贝 王养龙 王生宝 范春兰 睦顺姬 叶秀兰△.持续与间歇牵引治疗神经根型颈椎病的临床研究[J].中国中医骨伤科杂志,2016,24(01):24-27.
　FANG Yabei WANG Yanglong WANG Shengbao FAN Chunlan MU Shunji YE Xiulan.The Clinical Research Cervical Spondylotic Radiculopathy Treated with Continuous and Intermittent Traction[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(01):24-27.
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持续与间歇牵引治疗神经根型颈椎病的临床研究
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年01期
页码:
24-27
栏目:
临床研究
出版日期:
2016-01-13

文章信息/Info

Title:
The Clinical Research Cervical Spondylotic Radiculopathy Treated with Continuous and Intermittent Traction
文章编号:
1005-0205(2016)01-0024-04
作者:
方娅贝1 王养龙2 王生宝3 范春兰4 睦顺姬5 叶秀兰5△
1.上海市闸北区彭浦新村街道社区卫生服务中心(上海,200435)
2.上海市徐汇区龙华街道社区卫生服务中心
3.上海市浦东新区上钢社区卫生服务中心
4.上海市浦东新区南码头社区卫生服务中心
5.上海中医药大学附属龙华医院康复科
△.通信作者 E-mail:yexiulan888@sina.com
Author(s):
FANG Yabei1 WANG Yanglong2 WANG Shengbao3 FAN Chunlan4 MU Shunji5 YE Xiulan5△
1.Pengpu Village Street Community Health Service Center,Zhabei District,Shanghai 200435,China;
关键词:
神经根型颈椎病;  持续/间歇牵引;  临床试验
Keywords:
crevical spondylotic radiculopathy;  continuous and intermittent traction;  clinical trial
分类号:
R681.5
文献标志码:
A
摘要:
目的:采用临床对照试验研究方法,客观评价持续和间歇两种不同牵引方式治疗神经根型颈椎病的临床疗效。方法:从4家临床研究中心收集神经根型颈椎病患者288例,治疗组144例予以持续牵引,对照组144例予以间歇牵引。通过疼痛视觉模拟评分(VAS)、颈椎功能障碍指数(NDI)、生活质量评分(SF-36),评价两组患者治疗前后的疗效差异。结果:1)经治疗后,两组患者VAS和NDI评分与治疗前相比明显降低,其差异均有统计学意义(P<0.001)。2)治疗后两组间第1周、第2周、第4周的VAS和NDI与SF-36评分比较,其差异均无统计学意义(P>0.05)。3)治疗组临床有效率为89.4%,对照组为90.0%,其差异无统计学意义(P>0.05)。结论:持续和间歇两种牵引方式均为治疗神经根型颈椎病的有效方法,能缓解神经根型颈椎病患者疼痛、改善功能障碍并提高生活质量,未见明显临床疗效差异。牵引的质量、角度、时间可能是影响临床疗效的更为重要的因素,需进一步研究。
Abstract:
Objective:To evaluate the clinical effect of continuous and intermittent traction intreatment of cervical spondylotic radiculopathy through randomized controlled trial.Methods:288 cases of cervical spondylosis were collected from 4 clinical research centers.144 patients in treatment group were treated with continuous traction,and 144 patients in control group were treated by intermittent traction.The difference of two groups was evaluated by pain visual analog scale(VAS),cervical disability index(NDI)and quality of life score(SF-36).Results:After treatment,the NDI and VAS scores of the two groups were significantly lower than those before treatment,and the difference was statistically significant(P<0.001).SF-36, NDI and VAS scores of two groups were compared one week,two weeks and four weeks after treatment,the difference was not statistically significant(P>0.05).The clinical effective rate of the treatment group and the control group was were 89.4% and 90.0% respectively,and the difference was not statistically significant(P>0.05).Conclusion:Both continuous and intermittent traction methods are effective for the treatment of cervical spondylotic radiculopathy,relieve pain and improve the quality of life,and no significant difference was found in clinical effect.Traction weight,angle and time may be more important factors affecting the clinical efficacy,and furthey research is needed.

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备注/Memo

备注/Memo:
收稿日期:2015-01-08
基金项目:上海市进一步加快中医药事业发展三年行动 计划(2014-2016年)资助(ZY3-LCPT-1-1003)
更新日期/Last Update: 2016-01-05