摘要
目的:观察颈椎动态角度牵引结合透视下正骨手法治疗颈椎曲度异常的临床疗效。方法:将119例颈型颈椎病患者行颈椎动态角度牵引治疗2周后,透视下采用旋提推顶手法整复,治疗前后均拍摄颈椎侧位X线片,观察治疗前后的颈椎曲度并测量弓弦值。结果:治疗前NDI评分比治疗后减少了22.11%,差异有统计学意义(P<0.001)。治疗前Borden值比治疗后Borden值增加了5.234mm,差异有统计学意义(P<0.001);临床治愈81例(68.1%),显效22例(18.5%),有效10例(8.4%),无效6例(5.0%),总有效率95.0%.结论:颈椎动态角度牵引结合透视下正骨手法治疗能明显改善颈椎病患者的临床症状,恢复颈椎生理曲度。
Objective:To observe the clinical effect of dynamic angle traction of cervical spine combined with bone-setting manipulation under fluoroscopy in the treatment of abnormal cervical curvature.Methods:119 patients with cervical spondylotic myelopathy were treated with dynamic angle traction for 2 weeks.Subsequently,the manipulation of lifting and pushing under fluoroscopy was used to restore the cervical spine.Lateral X-ray of cervical spine was performed before and after treatment.Curvature of cervical spine before and after treatment was observed and bowstring value was measured.Results:The NDI was 22.11%lower than that after treatment,the difference was statistically significant(P<0.001).The Borden value was significantly increased 5.234 mm as compared with it before treatment(P<0.001).The total effective rate was 95.0%with cured clinically of 68.1%,markedly effectiveness of 18.5%and effectiveness of 8.4%.Conclusion:Dynamic angle traction combined with bone-setting manipulation under fluoroscopy can significantly improve the clinical symptoms of patients with cervical spondylosis and restore the physiological curvature of the cervical spine.
作者
蔡尚欢
范华雨
李洋
宋永伟
张杰
CAI Shanghuan;FAN Huayu;LI Yang;SONG Yongwei;ZHANG Jie(Henan University of Chinese Medicine Luoyang 471002,Henan China;Luoyang Orthopedic Hospital of Henan Province(Orthopedic Hospital of Henan Province),Luoyang 471002,Henan China.)
出处
《中国中医骨伤科杂志》
CAS
2020年第2期29-32,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
动态角度牵引
正骨手法
颈椎曲度
dynamic angular traction
bone-setting manipulation
cervical curvature
