量化定位角度牵引下神经根型颈椎病体感诱发电位与疗效的相关性.pdf

中文摘要 目的：本课题以量化定位角度牵引治疗神经根型颈椎病为基础，进行牵引治疗前 后记录其皮层诱发电位（cerebral evoked potential CEP ）的变化。对CEP 的图形 及峰值潜伏期值进行比较研究，探索临床量化定位角度牵引治疗神经根型颈椎病 的疗效与CEP 变化的相关性。 方法：全部60 例患者随机分为2 组，观察组采用量化定位角度牵引，对照组选 用普通中立位牵引。所有患者均采取坐位姿势进行牵引，根据临床表现并对照颈 椎 X 线片(少数病例为ＣＴ或 MRI 片)而确定牵引角度。牵引的重量为体重的 10%—15%，牵引时间为30 分钟。1 次/ 日，治疗10 次后进行统计。上述患者在 治疗前后用肌电图机各记录皮层诱发电位（cerebral evoked potential CEP ）一次。 结果：俩种牵引方法均对神经根型颈椎病的症状皆有明显的改善和缓解。观察组 的30 例病人中，治愈19 例，显效5 例，有效5 例，无效1 例，对照组的30 例 病人中，治愈12 例，显效7 例，有效6 例，无效5 例。通过对60 例病人的主症 积分、疼痛积分及X 线片评判对比，经统计学处理，两组内治疗前后主症积分、 疼痛积分、X 线片及CEP 潜伏期值均有显著性差异，有统计学意义。两组间治疗 后的总疗效、主症积分、疼痛积分、X 线片及CEP 潜伏期值对比，经统计学处理 有显著性差异，且观察组疗效优于对照组。 结论：量化定位角度牵引治疗神经根型颈椎病疗效显著，且患者的疗效与 CEP 潜伏期值的变化成正相关。对临床治疗的疗效评定具有客观的指导意义。 关键词：神经根型颈椎病；量化定位角度牵引；CEP 变化 作者：刘军 指导老师：杨利学 The correlation of under different perspective traction of cervical nerve root disease clinical and the CEP change Abstract Purpose: The subject base on using quantify orientation angle of the traction treatment of nerve root type cervical spondylosis. CEP was recorded before and after traction treatment changes. CEP latency value of a comparative study. Quantify the orientation angle to explore the clinical treatment of nerve root traction Cervical changes associated with the CEP. Methods: Sixty patients were randomly divided into two groups, observer group to task-based treatment for cervical traction, Common neutral position traction taken control group .all case use the sitting posture. According to clinical manifestations and control of cervical X-ray (CT film for a few cases) identified traction perspective. Traction for the weight of 10%--15% of body weight，Traction time for 30 minutes. Once a day, 10 times after treatment statistics. All of the patients were taken the CEP once before and after the treatment. Re