卧位整脊推拿治疗神经根型颈椎病的临床探究.pdfVIP

提 要 目的：观察卧位整脊推拿治疗神经根型颈椎病的临床疗效，以期为临床防治 神经根型颈椎病提供规范的整脊推拿方案。方法：选取神经根型颈椎病门诊患者 60 例，随机分组为卧位整脊推拿组 30 例，传统推拿组 30 例。结果：卧位整脊 推拿组患者治疗前后症状与体征综合评分比较有极其显著性差异（P﹤0.01），传 统推拿组患者治疗前后症状与体征综合评分比较有极其显著性差异（P﹤0.01）， 两组患者治疗后症状与主诉，工作和生活能力的比较均有极其显著性差异（P﹤ 0.01），在手的功能，体征方面有显著性差异（P﹤0.05），两组患者治疗后的总 有效率有显著性差异（P﹤0.05）。结论：卧位整脊推拿组和传统推拿组均能改善 神经根型颈椎病的症状与体征综合评分，但卧位整脊推拿组总有疗效优于传统推 拿组。卧位整脊推拿疗法对颈椎内外力学失衡起到很好的调整作用，比传统推拿 更安全，更有针对性，更有效及更易于操作的优点，值得大力推广。 关键字：卧位整脊推拿；神经根型颈椎病；临床研究 Clinical Observation on Cervical Spondylotic Radiculopathy Teated by Chiropractic Manipulation of Recumbent position Speciality：Massage Author ：JuXiaojun Tutor ：Prof.JingFujie Abstract Objective: To observe the effect of cervical spondylotic radiculopathy treated by chiropractic manipulation of recumbent position and provide standard treatment . Methods: the patients with CSR 56 cases, for chiropractic manipulation of recumbent position 28 cases, traditional massage group of 26 patients. Results: Two groups have obvious difference in symptoms and signscoapprehensive score （sscs ）(P﹤0.01) .the two groups after treated have obvious diffeience in sscs(P ﹤ 0.01). Two groups have more obvious differences in sscs before and after treatment (p ﹤0.05) . After treatment, there are more obvious differences in sscs between two groups. (p ﹤0.05). The total effective rate: the chiropractic manipulation group 92.8%, traditional massage group 84.6%. Conclusion: Both the two treatments can bring improvements in sscs. but the chiropractic manipulation is superior to traditional massage. Chiropractic manipulation of recumbent position plays very good function in adjusting internal a- nd external mechanical imbalances of cervical vertebra. More security, more specific, more effectively and more a