摘要
目的:统计神经根型颈椎病治疗后的疗效,并分析神经根型颈椎病治疗前后的X线影像学改变,探讨神经根型颈椎病疗效与X线影像学改变的相关性。方法:收集神经根型颈椎病57例,其中对照组(推拿+牵引+中药热敷+电脑中频+药物治疗)20例,治疗组(对照组治疗方法+骶管冲击)37例。入院均检查颈椎正侧位+动力位,出院均复查并分析疗效与X线变化的相关性。结果:对照组20例(优4例,良7例,有效7例,差2例)中疗效与X线改善相关性分析r=0.429,t=2.013,P>0.05。治疗组37例(优7例,良18例,有效12例)中疗效与X线改善相关性分析r=0.427,t=2.795,P<0.01。结论:治疗组的疗效与X线影像学改变具有正相关性,骶管冲击治疗有利于颈椎功能的恢复,X影像学为医生辨证论治、患者功能锻练提供了科学依据。
Objective： To count the efficiency of cervical spondylotic radiculopathy after treatment and to analyse the X-ray changes of cervical spondylotic radiculopathy before and after treatment, then to discuss the correlation between the clinical effects of cervical spondylotic radiculopathy and X-ray changes. Method： 57 inpatients with cervical spondylotic radiculopathy were collected and divided randomly into two groups ： control group （ treated by massage, traction, C-hinese medicine fomentation, computer IF and medications ） 20 cases ; therapy group （ treated by sacral injection and the rest therapy following the control group ） 37 cases. All the patients were examed by X-ray in the anterioposterior, lateral and flexion- extension view on admission, then they were all rechecked and analysed the correlation between the clinical effects and the X-ray changes on discharge. Result： In the control group involved 20 cases （ 4 patients healed excellent, 7 patients improved partially, 7 patients turned effective, 2 patient had poor outcome ）, the correlative analysis between the clinical effects and the improvement of X-rays showed r=0.429, t=2.013, P〉O.05. In the therapy group involved 37 cases （ 7 patients healed excellent, 18 patients improved partially, 12 patients turned effective ）, the correlative analysis between the clinical effects and the improvement of X-rays showed r=0.427, t=2.795, P〈0.01. Conclusion ： There is the positive correlation between the clinical effects and the X-ray imaging changes in the therapy group. Sacral injection is propitious to the recovery of the function of cervical vertebra. X-ray imaging changes provide the scientific evidence for the doctors with syndrome differentiation therapy and for the patients with functional exercise.
出处
《辽宁中医药大学学报》
CAS
2015年第8期13-15,共3页
Journal of Liaoning University of Traditional Chinese Medicine
基金
江苏省中医药局资助项目(YX1225)
国家自然科学基金资助项目(81473693)
关键词
神经根型颈椎病
影像学
推拿
骶管冲击
cervical spondylotic radiculopathy
radiology
massage
sacral injection
