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 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：交感型颈椎病综合治疗的临床研究 1 1资料与方法 2 文2：对食管癌综合治疗的临床研究 7 1 放疗与手术结合的综合治疗 7 1．1 术前放疗 7 1．2 术后放疗 8 2 化疗与手术的结合 9 2．1 初始化疗(新辅助化疗) 9 2．2 辅助性化疗 10 2．3 减积性化疗 10 3 手术、放疗、化疗三者结合 11 参考文摘引言： 12 原创性声明（模板） 13 文章致谢（模板） 14 正文 交感型颈椎病综合治疗的临床研究 文1：交感型颈椎病综合治疗的临床研究 [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(P), the recurrence ratio in patients six months after treatment was obviously lower than the control group(P). 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%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 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（±）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。 诊断标准及临床表现 诊断标准以交感神经功能紊乱症状为主，排除其他系统脏器病理改变（5分）；多有颈椎退变，包括颈椎不稳，伴有神经根症状；颈交感神经封闭或高位硬膜外封闭能使症状减轻或消失（1分）；压头试验症状加重，牵引症状减轻（2分）。总分6分以上即可诊断（1992年第二届全国颈椎病专题座谈会诊断标准）[1]。本组交感神经兴奋症状