[1]熊应宗 朱俊琛△ 王超 苏毅 李迎春 郑智文 马幸福 聂勇.卧位牵引配合颈椎间孔注射治疗神经根型 颈椎病的临床疗效观察[J].中国中医骨伤科杂志,2019,27(01):31-34.
　XIONG Yingzong ZHU Junchen WANG Chao SU Yi LI Yingchun ZHENG Zhiwen MA Xingfu NIE Yong.Clinical Effect of Supine Traction Combined with Intervertebral Foramen Injection for Cervical Spondylotic Radiculopathy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(01):31-34.
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卧位牵引配合颈椎间孔注射治疗神经根型 颈椎病的临床疗效观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年01期
页码:
31-34
栏目:
临床研究
出版日期:
2019-01-15

文章信息/Info

Title:
Clinical Effect of Supine Traction Combined with Intervertebral Foramen Injection for Cervical Spondylotic Radiculopathy
文章编号:
1005-0205(2019)01-0031-04
作者:
熊应宗1 朱俊琛1△ 王超1 苏毅1 李迎春1 郑智文1 马幸福1 聂勇1
安徽中医药大学第二附属医院(合肥,230061)
Author(s):
XIONG Yingzong1 ZHU Junchen1△ WANG Chao1 SU Yi1 LI Yingchun1 ZHENG Zhiwen1 MA Xingfu1 NIE Yong1
1The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei 230061,China.
关键词:
神经根型颈椎病;  卧位牵引;  颈椎间孔注射
Keywords:
cervical spondylotic radiculopathy;  supine traction;  cervical intervertebral foramen injection
分类号:
R681.5
文献标志码:
A
摘要:
观察卧位牵引配合颈椎间孔注射治疗神经根型颈椎病(CSR)的临床疗效。方法:选取符合神经根型颈椎病纳入标准的患者120例,使用随机数字表法随机分为牵引组、注射组和联合组,每组40例,分别采用卧位牵引治疗、颈椎间孔注射治疗和卧位牵引配合颈椎间孔注射治疗,于治疗前、治疗结束后第2天和治疗结束后3个月进行疼痛视觉模拟评分(VAS),颈椎功能障碍指数量表(NDI)评分及临床疗效评估。结果:治疗结束后第2天和治疗结束后3个月联合组VAS及NDI评分均显著低于牵引组和注射组,差异有统计学意义(P<0.05); 治疗结束后第2天注射组VAS及NDI评分均显著低于牵引组,差异有统计学意义(P<0.05); 治疗结束后3个月牵引组VAS及NDI评分均显著低于注射组,差异有统计学意义(P<0.05); 治疗结束后第2天注射组VAS及NDI评分相比于3个月时差异无统计学意义(P>0.05); 治疗结束后3个月联合组临床疗效显著优于牵引组和注射组,差异有统计学意义(P<0.05)。结论:卧位牵引配合颈椎间孔注射治疗CSR在短期及远期均有显著临床疗效,且安全可行。
Abstract:
To observe the clinical effect of supine traction combined with cervical intervertebral foramen injection in the treatment of cervical spondylotic radiculopathy.Methods:120 patients with cervical spondylotic radiculopathy were randomly divided into traction group, injection group and combination group by random number table. Each group had 40 patients, who were treated by traction in supine position, cervical intervertebral foramen injection and traction in supine position combined with cervical intervertebral foramen injection. Visual analogue scale(VAS)scores, cervical dysfunction index(NDI)and clinical efficacy were evaluated before treatment, 2 days after treatment and 3 months after treatment.Results:The VAS and NDI scores of the combined group were significantly lower than those of the traction group and the injection group on the 2nd day after treatment and 3 months after treatment(P<0.05).The VAS and NDI scores of the injection group were significantly lower than those of the traction group on the 2nd day after treatment(P<0.05).The VAS and NDI scores in the traction group were significantly lower than those in the injection group on the 3 months after treatment(P<0.05).The VAS and NDI scores in the injection group on the 2nd day after treatment were not significantly different from those in the 3 months after treatment(P>0.05).The clinical efficacy of the combined group was significantly better than that of the traction group and the injection group 3 months after the treatment(P<0.05).Conclusion:Supine traction combined with cervical intervertebral foramen injection in the treatment of CSR has significant short-term and long-term clinical efficacy, safe and feasible.

参考文献/References:

[1] 中华中医药学会.神经根型颈椎病[J].风湿病与关节炎,2013,2(2):78-80.
[2] 方娅贝,王养龙,王生宝,等.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(1):24-27.
[3] 施海峰,张昕,吕莹莹,等.超声引导下经颈椎椎间孔行硬脊膜外腔阻滞治疗神经根型颈椎病的效果[J].上海医学,2016,39(6):326-330.
[4] 李增春,陈德玉,吴德升,等.第3届颈椎病专题座谈会纪要[J].中华外科杂志,2008,46(23):1796-1799.
[5] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:189.
[6] 海渊,梁舒涵,毛书歌.项痹舒汤配合牵引治疗神经根型颈椎病的疗效观察[J].中医临床研究,2016,8(17):65-67.
[7] 林咸明,罗亮,周慧,等.颈肩同步牵引结合温针灸治疗神经根型颈椎病临床观察[J].中华中医药杂志,2017,32(11):5041-5044.
[8] 王红梅,陈俊亭,戚思华.健骨注射液颈椎旁神经阻滞联合牵引治疗神经根型颈椎病的临床观察[J].哈尔滨医科大学学报,2013,47(4):382-383.
[9] 夏雄智,邓崇礼,张宇.颈椎椎间孔注射治疗神经根型颈椎病疗效观察[J].新中医,2011,43(6):54-55.
[10] 倪俊林,丁健,陆军.前屈10°～20°牵引对神经根型颈椎病疼痛及颈部功能改善的影响[J].吉林医学,2014,35(32):7223.
[11] 吴燕,姚新苗,徐守宇.运动疗法联合口服消炎镇痛药及颈椎牵引治疗神经根型颈椎病[J].中医正骨,2014,26(1):24-26.
[12] 颜大荃,冯前,梁恒晔.定点复位配合牵引治疗神经根型颈椎病150例[J].中国中医骨伤科杂志,2013,21(1):46-47.
[13] 陈文生,王玉龙,朱晓龙.卧位牵引配合微波治疗仪治疗神经根型颈椎病临床观察[J].中国医学工程,2018,26(2):40-42.
[14] 张波清,徐守宇.颈椎病牵引治疗关键相关因素的研究进展[J].中医正骨,2012,24(8):78-80.
[15] 陈先武,从维俊,魏登爱.中医综合疗法配合臂丛神经阻滞治疗神经根型颈椎病50例[J].中医临床研究,2017,9(18):118-120.

备注/Memo

备注/Memo:
基金项目:安徽省科技攻关项目(1704a0802168) 1安徽中医药大学第二附属医院(合肥,230061) △通信作者 E-mail:2006zhujc@163.com
更新日期/Last Update: 2019-01-15