旋转复位手法结侧旋提推手法治疗神经根型颈椎病的临床研究.pdfVIP

目 录 中文摘要 ···················································1 英文摘要 ···················································2 引 言 ····················································4 正 文 ····················································7 1 研究方法及步骤 ··········································7 1.1研究对象 ··················································7 1.2诊断标准 ··················································7 1.3纳入病例标准 ··············································8 1.4 排除病例标准 ·············································8 1.5 脱落标准 ················································8 1.6 治疗方法 ·················································8 1.7 观察标准及疗效评定方法 ······························9 1.8 数据处理分析 ··········································10 2 研究结果 ················································11 3 讨 论 ················································13 4 存在的问题和展望 ·······································17 结 论 ··················································18 参考文献 ··················································19 附 录 ··················································21 综 述 ··················································24 致 谢 ··················································47 攻读学位期间发表的学术论文目录 ·······················48 作者声明 ··················································49 个人简历 ··················································50 1 中 文 摘 要 目 的：观察旋转复位手法结合侧旋提推手法治疗神经根型颈椎病的 临床疗效。 研究对象与方法：将60名神经根型颈椎病患者随机分为2组(观察组 30名，对照组30名)。观察组采取旋转复位手法结合侧旋提推手法治疗， 隔日一次，共10次；对照组单纯运用旋转复位手法治疗，隔日一次，共 10次。分别统计比较治疗前后两组的症状体征评分，疼痛缓解、臂丛神 经牵拉试验、疗效变化、以及颈椎生理曲度值、红细胞压积和血浆粘度 等指标。将所得数据应用SPSS10.0软件进行统计学分析处理，最后得出 结论。 结 果：旋转复位手法结合侧旋提推手法与单纯运用旋转复位手法治 疗神经根型颈椎病均有疗效，但旋转复位手法结合侧旋提推手法治疗在 总体疗效、临床症状体征改善及疼痛缓解、臂丛神经牵拉试验转阴率情 况上均优于单纯旋转复位手法治疗 （P0.05 ），同时在改善颈椎生理曲度 及降低红细胞压积和血浆粘度方面也优于单纯旋转复位手法治疗 (P0.05) 。 结 论：旋转复位手法结合侧旋提推手法与单纯运用旋