本文關鍵詞： 頸型頸椎病 自重力曲度牽引 頸椎生理曲度值 積分肌電值 中值頻率　出處：《成都中醫(yī)藥大學》2015年碩士論文　論文類型：學位論文

【摘要】：目的：通過隨機對照研究,比較自重力曲度牽引結合運動療法和頜枕帶牽引結合運動療法治療頸型頸椎病在改善頸椎生理曲度和頸部肌肉功能的差異,來評價自重力曲度牽引結合運動療法治療頸型頸椎病的安全性和有效性,為臨床治療本病尋找簡便效廉的新方案。方法：將符合納入標準的86例頸型頸椎病患者按照隨機化原則分為試驗組(43例)和對照組(43例),試驗組采用自重力曲度牽引結合運動療法,對照組采用頜枕帶牽引結合運動療法；每組共治療20天,10天為1療程,每個療程間休息2天。在治療開始前、治療1個療程后、治療2個療程后分別采用簡式McGill疼痛問卷(SF-MPQ)評分、頸椎X片生理曲度測量值、積分肌電值(iEMG)和中值頻率(MF)等指標,觀察兩組治療前后的改變情況。結果：1、臨床療效：兩種方法治療頸型頸椎病均有一定臨床療效,總有效率無顯著差別,但在臨床治愈率方面自重力曲度牽引結合運動療法明顯優(yōu)于頜枕帶牽引結合運動療法(P0.05)。2、SF-MPQ評分：組內比較,兩組在SF-MPQ評分改善方面均較治療前有顯著性差異(P0.01)；組間比較,兩組在治療1個療程后疼痛評分差異無統(tǒng)計學意義(P0.05),在治療2個療程后,試驗組明顯優(yōu)于對照組,差異有統(tǒng)計學意義(P0.01)。3、頸椎X片生理曲度測量值：組內比較,兩組在改善頸椎生理曲度方面均較治療前有改善,差異有統(tǒng)計學意義(P0.01)；組間比較,兩組比較有顯著性差異(P0.01),試驗組改善明顯優(yōu)于對照組。4、iEMG值：組內比較,兩組在不同時間點斜方肌和胸鎖乳突肌表面肌電iEMG差異有統(tǒng)計學意義(P0.01)；組間比較,治療1個療程后,兩組斜方肌和胸鎖乳突肌表面肌電iEMG差異無統(tǒng)計學意義(P0.05);治療2個療程后,兩組斜方肌和胸鎖乳突肌表面肌電iEMG差異有統(tǒng)計學意義(P0.05),試驗組改善優(yōu)于對照組。5、MF值：組內比較,試驗組在不同時間點斜方肌和胸鎖乳突肌表面肌電MF差異有統(tǒng)計學意義(P0.01)；對照組在不同時間點斜方肌表面肌電MF差異有統(tǒng)計學意義(P0.05),在治療1個療程后與治療前相比胸鎖乳突肌表面肌電MF差異有統(tǒng)計學意義(P0.01),在治療2個療程后與治療1個療程后相比胸鎖乳突肌表面肌電MF差異無統(tǒng)計學意義(P0.05)。組間比較,治療1個療程后,兩組斜方肌和胸鎖乳突肌表面肌電MF差異無統(tǒng)計學意義(P0.05)；治療2個療程后,兩組斜方肌和胸鎖乳突肌表面肌電MF差異有統(tǒng)計學意義(P0.05),試驗組改善優(yōu)于對照組。6、相關性分析：頸型頸椎病患者頸椎生理曲度與SF-MPQ評分相關性分析,pearson相關系數r為-0.683,兩者之間有顯著的負相關性(P0.01)；與斜方肌和胸鎖乳突肌的iEMG相關性分析,pearson相關系數r分別為0.243、0.406,兩者之間有正相關性(P0.05)；與斜方肌和胸鎖乳突肌的MF相關性分析,pearson相關系數r分別為0.396、0.353,兩者之間有顯著的正相關性(P0.01)。結論：1、兩種方法治療頸型頸椎病療效確切,但自重力曲度牽引結合運動療法的臨床治愈率高,特別是在改善頸椎生理曲度和提高頸部肌群iEMG和MF值方面明顯優(yōu)于頜枕帶牽引結合運動療法。2、自重力曲度牽引結合運動療法治療頸型頸椎病可能是通過恢復頸椎的曲度序列,改善頸部肌肉功能,增強頸肌肌力,提高頸肌抗疲勞能力來糾正頸椎的內外力學平衡,提高頸椎的穩(wěn)定性,從而達到治療的目的。3、自重力曲度牽引結合運動療法治療頸型頸椎病是一種安全有效、經濟方便的新方法,值得臨床應用和推廣
[Abstract]:Objective: through randomized controlled study, the difference of self gravity traction combined with exercise therapy and curvature of jaw occipital belt traction combined with exercise therapy for treatment of cervical spondylosis in improving cervical lordosis and neck muscle function, to evaluate the self gravity curve of traction combined with exercise therapy is effective and safe in the treatment of cervical disease, as the new scheme the clinical treatment of this disease is low for effect. Methods: 86 patients met the inclusion criteria of patients with cervical spondylosis were randomly divided into experimental group (43 cases) and control group (43 cases), experimental group using self gravity curvature traction combined with exercise therapy, the control group using jaw occipital belt traction combined with exercise therapy each group were treated for 20 days; 10 days for 1 course, every 2 days rest between treatments in before treatment, after 1 courses of treatment, after 2 courses of treatment McGill pain questionnaire (SF-MPQ) were used to score, cervical X The measurement of physiological curvature sheet value, iEMG (iEMG) and median frequency (MF) and other indicators, observed the changes of the two groups before and after treatment. Results: 1, the clinical curative effect of two methods in the treatment of cervical spondylosis has certain curative effect, the total efficiency was no significant difference, but the clinical cure rate since the curvature of gravity traction combined with exercise therapy was significantly better than the jaw occipital belt traction combined with exercise therapy (P0.05).2, SF-MPQ score: comparison in the group, two groups in SF-MPQ score improved significantly compared with before treatment there was significant difference (P0.01); comparison between groups, two in the treatment group after 1 month treatment pain score no difference statistical significance (P0.05), after 2 courses of treatment, the experimental group was significantly better than the control group, the difference was statistically significant (P0.01.3), cervical X piece of physiological curvature measurements: comparison in the group, the two groups in the improvement of cervical lordosis were improved compared with before treatment, the difference was statistically Statistically significant (P0.01); comparison between groups, there were significant differences between two groups (P0.01), the experimental group improved significantly better than the control group.4, iEMG value: comparison in the group, the two groups had statistical significance at different time points of the trapezius muscle and sternocleidomastoid muscle surface electromyography (P0.01); the difference of iEMG between groups comparison, after 1 courses of treatment, the two groups had no statistical significance of trapezius muscle and sternocleidomastoid muscle EMG iEMG difference (P0.05); after 2 courses of treatment, the two groups had statistical significance of trapezius muscle and sternocleidomastoid muscle surface electromyography (P0.05), iEMG difference test group improved better than the control group.5, MF value: comparison in the group, there was statistical significance in experimental group of sternocleidomastoid muscle EMG MF difference at different time points of the trapezius muscle and chest (P0.01); the control group at different time points of trapezius muscle surface electromyography MF difference was statistically significant (P0.05), after 1 course of treatment compared with before treatment of sternocleidomastoid muscle table There are statistically significant differences (P0.01) facial electric MF, there was no statistical significance after 2 courses of treatment and after 1 course of treatment compared to the sternocleidomastoid muscle surface electromyography (P0.05). The difference of MF between the two groups, after 1 courses of treatment, the two groups had no statistical significance of trapezius muscle and sternocleidomastoid muscle EMG MF the difference (P0.05); after 2 courses of treatment, the two groups had statistical significance of trapezius muscle and sternocleidomastoid muscle surface electromyography (P0.05), MF difference test group was better than the control group.6, correlation analysis: analysis of patients with cervical spondylosis cervical lordosis and SF-MPQ score correlation, Pearson correlation coefficient r is -0.683, a a significant negative correlation between them (P0.01); iEMG correlation analysis and trapezius muscle and sternocleidomastoid muscle, Pearson correlation coefficient r was 0.243,0.406, there is a positive correlation between them (P0.05); MF correlation analysis and trapezius muscle and thoracic cleidomastoid process, pea Rson correlation coefficient r was 0.396,0.353, there was a positive correlation between (P0.01). Conclusion: 1. The two method has definite effect on the treatment of cervical spondylosis, but since the curvature of gravity traction combined with exercise therapy clinical cure rate is high, especially with traction in improving cervical lordosis and improve muscle and neck iEMG the value of MF is better than the jaw pillow combined with exercise therapy.2, self gravity traction combined with exercise therapy for treatment of cervical curvature of cervical spondylosis may restore cervical curvature by sequence, improve the neck muscle function, enhance muscle strength, improve the anti fatigue ability of mechanical equilibrium inside and outside the neck to correct the cervical spine, improve the stability of the spine, so as to achieve the treatment the purpose of.3, self gravity traction combined with exercise therapy for treatment of cervical curvature of cervical spondylosis is a safe and effective new method, economical and convenient, is worthy of clinical application and promotion

【學位授予單位】：成都中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R681.55

【相似文獻】

相關會議論文 前1條

1 陳碧峰;;自重力控壓節(jié)能電飯煲[A];“綠色制造 質量管理”——海南省機械工程學會、海南省機械工業(yè)質量管理協(xié)會2011年會論文集[C];2011年

相關碩士學位論文 前1條

1 柯曉華;自重力曲度牽引結合運動療法治療頸型頸椎病的臨床研究[D];成都中醫(yī)藥大學;2015年

，

本文編號：1513342