摘要
目的:探究定向牵伸法在神经根型颈椎病患者中的应用效果及对肌电图指标的影响。方法:将2021年2月—2022年12月长春中医药大学附属第三临床医院的84例神经根型颈椎病患者根据随机数字表法分为两组。对照组(n=42)进行悬吊牵引治疗,观察组(n=42)则进行定向牵伸法治疗。比较两组治疗前后的疼痛程度[视觉模拟评分法(VAS评分)]、颈椎功能状态[颈椎功能障碍指数(NDI)评分]及肌电图指标(尺神经及正中神经F波传导速度及潜伏期)。结果:治疗1个疗程及2个疗程后两组的VAS评分均优于治疗前,NDI评分及尺神经、正中神经F波潜伏期均低于治疗前,尺神经及正中神经F波传导速度均高于治疗前,且观察组治疗后的VAS评分优于对照组,NDI评分及尺神经、正中神经F波潜伏期均低于对照组,尺神经及正中神经F波传导速度均高于对照组(P<0.05)。结论:定向牵伸法在神经根型颈椎病患者中的应用效果较好,可有效控制患者的疼痛程度及改善颈椎功能、肌电图指标。
Objective:To investigate the application effect of directional stretching method in patients with cervical spondylotic radiculopathy and influence for electromyographic indexes.Method:A total of 84 patients with cervical spondylotic radiculopathy in the Third Affiliated Clinical Hospital of Changchun University of Traditional Chinese Medicine from February 2021 to December 2022 were divided into two groups by the random number table method.The control group(n=42)was treated with suspension traction,and the observation group(n=42)was treated with directional stretching method.The pain degree[visual analogue scale(VAS)score],cervical functional status[neck disabilitv index(NDI)score]and electromyographic indexes(F-wave conduction velocity and latency of ulnar nerve and median nerve)were compared between the two groups before and after treatment.Result:After 1 course of treatment and 2 courses of treatment,VAS scores of both groups were better than those of before treatment,NDI scores and F-wave latency of ulnar nerve and median nerve were lower than those of before treatment,F-wave conduction velocity of ulnar nerve and median nerve were higher than those of before treatment,and VAS scores of observation group after treatment were better than those of control group,NDI scores and F-wave latency of ulnar nerve and median nerve were lower than those of control group,the F-wave conduction velocity of ulnar nerve and median nerve were higher than those of control group(P<0.05).Conclusion:The application effect of directional stretching method in patients with cervical spondylotic radiculopathy is better,and it can effectively control the pain degree and improve the cervical vertebra function and electromyographic indexes of patients.
作者
段长伟
刘玉欢
李跃宗
李寒露
吕佳
崔俊宇
孙月华
张敏
李松明
DUAN Changwei;LIU Yuhuan;LI Yuezong;LI Hanlu;LYU Jia;CUI Junyu;SUN Yuehua;ZHANG Min;LI Songming(Acupuncture and Moxibustion Massage Center,the Third Affiliated Clinical Hospital of Changchun University of Traditional Chinese Medicine,Changchun 130117,China;不详)
出处
《中国医学创新》
CAS
2024年第31期1-5,共5页
Medical Innovation of China
基金
吉林省科技发展计划项目(20210203185SF)。
关键词
定向牵伸法
神经根型颈椎病
肌电图指标
Directional stretching method
Cervical spondylotic radiculopathy
Electromyographic indexes
作者简介
通信作者:李松明。
