摘要
目的:对于行颈椎牵引有不良反应的颈椎间盘突出症患者,尝试使用坐位颈部拔伸手法进行治疗,以提高该类疾病的治疗效果。方法:随机将62例颈椎牵引有不良反应的颈椎间盘突出症患者分为实验组(31例)和对照组(31例)。对照组采用药物、超声波、颈部围领和推拿的方法进行治疗,实验组则在上述方法的基础上增加坐位颈部拔伸手法。由专人对每位患者的疗效进行评定和记录,并在治疗前和治疗30次后分别对每位患者尿中-SH含量进行检测。结果:治疗30次后尿中-SH含量与治疗前相比两组均有明显的下降,实验组和对照组分别为71.3%和57.3%,t检验结果P﹤0.001,其差异具有非常显著性意义。对实验组和对照组的每位患者进行疗效评定,优良率分别为77.5%和51.6%,无效率分别为3.2%和29.1%,用Ridit检验和秩和检验分别进行统计学处理,P﹤0.01,差异具有非常显著性意义。结论:颈椎间盘突出症在传统的治疗方法中增加坐位颈部拔伸手法可以明显地提高行颈椎牵引有不良反应的患者的临床治疗效果。
Objective:To explore the new therapy for the patients with the cervical disc protrusion who were unable to bear cervical traction.Method:62patients who were unable to bear cervical traction were randomly divided in-to control(n=31)and trial(n=31)group.The patients in the control group were treated using medicine,ultrasonic wave,cervical collar and manipulation.The patients in the trial group were done by pulling up the neck while sit-ting together with the above methods.The effects and the density of-SH in the urine before treatment and after30times of treatment were used to assess the results of the therapy for the patients.Result:The density of-SH in the urine after30times of treatment dropped obviously.There were significant differences(P<0.01)between the two groups for the density of-SH in the urine and curative effects.Conclusion:Pulling up the neck of the patients with cervical disc protrusion sitting on the chair combined with the common methods can promote the curative ef-fects.Author's address Dept.of Rehabilitation Medicine,The Second People's Hospital of Shenzhen,Shenzhen,518035
出处
《中国康复医学杂志》
CAS
CSCD
2003年第5期283-285,共3页
Chinese Journal of Rehabilitation Medicine
