交感型颈椎病综合治疗的临床研究.docVIP

交感型颈椎病综合治疗的临床研究 [摘要] 目的：探讨超短波、牵引、α受体拮抗剂、运动疗法综合治疗交感型颈椎病的近期和远期效果。方法：将80例患者随机分为治疗组和对照组，治疗组采用超短波、牵引、运动治疗、α受体拮抗剂；对照组采用超短波、牵引、电脑中频、药物治疗。观察两组患者治疗后的即时疗效和6个月的复发率。结果：治疗12 d后评定疗效，治疗组治愈率为65.0%，对照组治愈率为40.0%，χ2=5.01，治疗组近期疗效优于对照组(Plt;0.05)。治疗后6个月随访时评定，治疗组35例为治愈和显效患者，未发现复发病例；而对照组30例中于6个月内有5例复发，χ2=4.19，6个月后的复发率治疗组明显低于对照组(Plt;0.05)。结论：超短波、牵引、α受体拮抗剂、运动治疗综合疗法对交感型颈椎病患者有较好的近期和远期效果，适用于交感型颈椎病患者。 [关键词] 交感型颈椎病；超短波；牵引；α受体拮抗剂；运动治疗 　　[Abstract] Objective: To study the short-term and long-term effect in patients with sympathetic cervical spondylosis whom were treated by ultrashortwave therapy, traction, alpha adrenoreceptor blockade and exercise therapy. Methods: 80 patients were randomly divided into experiment group and control group. Using ultrashortwave therapy, traction, alpha adrenoreceptor blockade and exercise therapy to treat patients in experiment group and using ultrashortwave therapy, traction, computed medium frequency electrotherapy, medicines in control group. We observed the effect at the point time of post－treat and six months after treatment, and the recurrence ratio in patients six months after treatment. Results: The short-term effect in experiment group was better than that in control group(Plt;0.05), the recurrence ratio in patients six months after treatment was obviously lower than the control group(Plt;0.05). Conclusion: Ultrashortwave therapy, traction, alpha adrenoreceptor blockade and exercise therapy have a excellent effect on patients with sympathetic cervical spondylosis. 　　[Key words] Sympathetic cervical spondylosis; Ultrashortwave therapy; Traction;Alpha adrenoreceptor blockade; Exercise therapy 　　 　　颈椎病是中老年人的常见病、多发病，随着生活节奏加快，本病发病率逐年升高且呈年轻化趋势。交感型颈椎病占颈椎病的比例已由1993年的3.9%上升到10%左右，发病率逐渐升高。我们采用牵引治疗交感型颈椎病的颈椎失稳，α受体拮抗剂阻滞全身交感神经，治疗多表现为交感神经兴奋症状的交感型颈椎病；运动疗法增强颈椎的稳定性，有效地避免复发；取得了满意的效果，报道如下： 　　1资料与方法 　　1.1一般资料 　　80例患者中，男29例，女51例，年龄最大62岁，最小22岁，平均（38.9±5.6）岁。病程最长者8年，最短者3 d。影像学资料：颈椎动力位X线80例。全部患者在入选时随机配对分为治疗组和对照组。两组临床资料比较，差异无显著性，有可比性。 　　1.2诊断标准及临床表现 　　1.2.