仰卧位半悬吊定位整复手法治疗神经根型颈椎病临床观察OA
Supine Semi-Hanging Positioning Manipulation in the Treatment of Cervical Spondylosis Radiculopathy
目的 探讨仰卧位半悬吊定位整复手法治疗神经根型颈椎病患者疗效.方法 选取2024年1月—2025年5月佛山市南海经济开发区人民医院收治的神经根型颈椎病患者120例,随机分为3组,各40例.对照组采用传统牵引机治疗,疗程4周;试验A组与试验B组均采用仰卧位半悬吊定位整复手法治疗,其中试验A组疗程2周,试验B组疗程4周.观察3组患者临床疗效、症状积分、视觉模拟评分法(VAS)、颈椎功能障碍指数(NDI)和颈椎曲度测量评分.结果 试验A组、试验B组在症状积分、VAS评分、NDI的改善幅度及颈椎曲度恢复程度上,优于对照组(P<0.05),且试验B组上述指标优于试验A组(P<0.05);试验A组和试验B组的总有效率高于对照组(P<0.05).结论 仰卧位半悬吊定位整复手法治疗神经根型颈椎疗效较好,治疗时间越长,越有利于缓解疼痛、改善颈椎功能,值得临床推广应用.
Objective To evaluate the clinical efficacy of supine semi-hanging positioning manipulation in treating cervical spondylosis radiculopathy.Methods A total of 120 patients with cervical spondylotic radiculopathy admitted to Nanhai Economic Development Zone People's Hospital between January 2024 and May 2025 were enrolled and randomly divided into 3 groups,with 40 cases in each group.The control group received treatment with a traditional traction apparatus for a course of 4 weeks.Both experimental group A and experimental group B were treated with supine semi-suspension positioning manipulation.Among them,the treatment course was 2 weeks for group A and 4 weeks for group B.The clinical efficacy,symptom scores,visual analogue scale(VAS)scores,neck disability index(NDI)scores,and cervical curvature measurement scores were observed in the three groups.Results The experimental group A and experimental group B were overall superior to the control group in the improvement of symptom scores,VAS scores,NDI,and cervical curvature recovery(P<0.05),and the above indicators in experimental group B was better than that in experimental group A(P<0.05).The total effective rate of the experimental group A and experimental group B were higher than that of the control group(P<0.05).Conclusion Supine semi-suspension positioning manipulation achieved favorable therapeutic efficacy in the treatment of cervical spondylotic radiculopathy.A longer treatment course was more conducive to relieving pain and improving cervical function,making it worthy of clinical promotion and application.
梁建义;尹拥军;刘锐强
佛山市南海经济开发区人民医院中医骨伤科,广东 佛山 528000佛山市南海经济开发区人民医院中医骨伤科,广东 佛山 528000佛山市南海经济开发区人民医院中医骨伤科,广东 佛山 528000
医药卫生
神经根型颈椎病仰卧位半悬吊定位整复手法牵引
cervical spondylosis radiculopathysupine semi-hanging positioning manipulationtraction
《光明中医》 2026 (6)
71-75,5
广东省佛山市卫生健康局医学科研课题项目(No.20240268)
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