摘要
目的探讨颈椎曲度异常类颈椎病采用平脊疗法治疗后颈椎曲度改善情况及临床疗效。方法选取2019年1月至2021年1月在河南省洛阳正骨医院(河南省骨科医院)收治的颈椎生理曲度异常型颈椎病患者170例,按照治疗方法不同将患者分为治疗组(平脊疗法组n=130)和对照组(非平脊组n=40),统计分析其治疗前后临床疗效、颈椎曲度(弓弦值)改善情况。结果在年龄20~55岁之间颈椎病中,以混合型颈椎病和神经根型颈椎病居多,占总人数77.06%;其他各类型的患者占比为颈型5.88%、交感神经型6.47%,椎动脉型10.00%,脊髓型颈椎病0.59%,临床表现以中度疼痛为主要症状;颈曲变直占比最高42.94%,颈曲反弓、颈曲上移次之,分别占13.53%、12.94%,颈曲下移、S形改变、反S形改变、重度反弓,颈曲过大占比最少2.35%;治疗前,两组患者的VAS评分比较差异无统计学意义(P>0.05),治疗后二组患者的评分均降低,且治疗组VAS评分(2.77±0.67)分要明显低于对照组(4.49±0.53)分,差异有统计学意义(P<0.05);治疗组的优良率为87.69%,明显高于对照组的45.00%,差异有统计学意义(P<0.05);治疗前两组弓弦值比较无统计学意义(P>0.05),治疗后治疗组弓弦值(11.02±4.30)mm对比对照组的(4.38±3.98)mm更具优势,差异有统计学意义(P<0.05)。治疗组治疗后106例颈曲恢复正常,恢复率为81.54%,显著高于对照组的12.50%,差异有统计学意义(P<0.05)。结论平脊疗法在恢复颈椎生理曲度方面疗效确切,能够帮助颈曲异常患者恢复正常生理曲度。
Objective To investigate the improvement of cervical curvature and clinical efficacy of flat spine therapy for cervical spondylotic myelopathy with abnormal cervical curvature.Methods The research period was from January 2019to January 2021.The research subjects were patients with abnormal physiological curvature of cervical spondylosis who were hospitalized in Luoyang Orthopedic Hospital of Henan Province(Henan Orthopedic Hospital),totaling 170 cases.Depending on the treatment divided into treatment group(flattening chiropractic therapy group,n=130)and control group(non-flattening chiropractic group,n=40).The clinical efficacy and the improvement of cervical curvature(bowstring value)before and after treatment were statistically analyzed.Results Among cervical spondylosis patients aged between 20 and 55,mixed cervical spondylosis and nerve root type cervical spondylosis are more common,accountcurve was the most common,accounting for 42.94%of the total number of people.Cervical curve inversion and upward shift of the cervical curve followed,accounting for 13.53%and 12.94%respectively.There were also downward shift of the cervical curve,S-shaped change,reverse S-shaped change,and severe inversion.Excessive cervical curve accounted for the least,at 2.35%.Before treatment,the VAS scores of the two groups of patients were very close,and the difference was not statistically significant(P>O.O5).After treatment,the scores of both groups of patients decreased,and the VAS score of the treatment group(2.77±0.67)points was significantly lower than that of the control group(4.49±0.53)points(P<0.05).The excellent and good rate of the treatment group was 87.69%,significantly higher than 45.00%of the control group(P<0.05).Before treatment,there was no statistically significant comparison of the bowstring values between the two groups(P>0.05).After treatment,the bowstring value of the treatment group(11.02±4.30)mm was more advantageous than that of the control group(4.38±3.98)mm(comparison between groups P<0.05).After treatment,106 people in the treatment group had their cervical curvature return to normal,with a recovery rate of 81.54%,which was significantly higher than 12.50%in the control group(P<0.05 for intergroup comparison).Conclusion Plain chiropractic therapy has a definite effect in restoring the physiological curvature of cervical spine,and can restore the normal physiological curvature of the vast majority of patients with abnormal cervical curvature.
作者
苏春娟
范亚朋
李道通
毛书歌
SU Chun-juan;FAN Yapeng;LI Dao-tong;MAO Shu-ge(Intensive Care Medicine Department,Internal Medicine Department,Henan Luoyang Orthopedics Hospital(Henan Orthopedics Hospital),Luoyang,Henan 471200,China)
出处
《医药论坛杂志》
2025年第20期2227-2231,共5页
Journal of Medical Forum
基金
国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)
河南省第三批中医药青苗人才项目(豫卫中医药科教[2024]4号)
2023年洛阳市核心技术攻关类公益专项(2302055Y)。
关键词
平脊疗法
颈椎曲度异常
弓弦值
Chiropractic therapy
Abnormal cervical curvature
Bowstring value
