本文選題：神經(jīng)根型頸椎病 + 特定角度牽引��； 參考：《河南中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:比較常規(guī)中立位牽引、特定角度牽引治療神經(jīng)根型頸推病的臨床療效。分析探討特定角度牽引治療神經(jīng)根型頸椎病的作用機(jī)理及療效,為臨床廣泛推廣本治療方法提供臨床依據(jù)。方法:將符合納入標(biāo)準(zhǔn)的60例神經(jīng)根型頸椎病患者按照隨機(jī)分組的方法分為2組,每組各30例,分別采用基礎(chǔ)治療方法+常規(guī)中立位牽引以及基礎(chǔ)治療方法+特定角度牽引進(jìn)行治療,所有患者在治療前后均采用神經(jīng)根型頸椎病癥狀、體征積分表(26分)、疼痛視覺模擬量表(VAS)作為臨床觀察指標(biāo),頸椎椎間孔雙斜位值測量作為影像學(xué)觀察指標(biāo)。運(yùn)用統(tǒng)計(jì)學(xué)軟件SPSS18.0將各項(xiàng)評分結(jié)果進(jìn)行數(shù)據(jù)處理,最終得出結(jié)論。結(jié)果:經(jīng)治療后兩組患者的有效率分別為23.3%,60.0%。顯效率分別為83.3%,86.7%。組間總體療效比較:特定角度牽引組的總體療效要優(yōu)于常規(guī)中立位牽引組。在所有患者治療后對其癥狀、體征積分,弓弦值、VAS評分均較前改善。對上述各項(xiàng)指標(biāo)的比較中特定角度牽引組的改善情況要優(yōu)于常規(guī)中立位牽引組。兩組患者治療期間均未見明顯不良反應(yīng)。結(jié)論:特定角度牽引能有效緩解神經(jīng)根型頸椎病所引起的的癥狀、體征,并能夠擴(kuò)大椎間孔徑,且要優(yōu)于常規(guī)中立位牽引治療組,效價(jià)比較高。
[Abstract]:Objective: to compare the clinical effect of routine neutral traction and specific angle traction in the treatment of nerve root type cervical herniation. To analyze the mechanism and curative effect of specific angle traction in treating cervical spondylopathy of nerve root type, and to provide clinical basis for popularizing this treatment widely. Methods: sixty patients with cervical spondylopathy of nerve root type were randomly divided into two groups, 30 cases in each group. The patients were treated with routine neutral traction and basic treatment with specific angle traction respectively. All patients were treated with cervical spondylopathy of nerve root type before and after treatment. The score of physical sign (26 points), visual analogue scale of pain (VASs) was used as clinical observation index, and the measurement of double oblique position of cervical intervertebral foramen was used as imaging observation index. The statistical software SPSS 18.0 was used to process the data of each score, and the final conclusion was drawn. Results: after treatment, the effective rates of the two groups were 23. 3% and 60. 0%, respectively. The apparent effect rates were 83.3% and 86.7%, respectively. Comparison of total curative effect between groups: the total curative effect of specific angle traction group was better than that of routine neutral position traction group. After treatment, the scores of symptoms, signs, bow strings and VAS were improved. The improvement of specific angle traction group was better than that of conventional neutral traction group. There were no obvious adverse reactions during treatment in both groups. Conclusion: the specific angle traction can effectively relieve the symptoms and signs caused by cervical spondylopathy of nerve root type and can enlarge the intervertebral aperture. It is superior to the conventional neutral position traction treatment group and its titer is higher.
【學(xué)位授予單位】：河南中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R681.55

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