【作者】 尹鹏；

【导师】 张建新；

【作者基本信息】 福建中医药大学 ， 中医骨伤科学， 2011， 硕士

【摘要】 目的：通过临床观察颈椎失稳患者治疗前后症状积分、颈椎椎体间角度及滑移长度的数据改变,客观评价颈肌功能锻炼对改善颈椎失稳的疗效。方法：将参加符合课题研究的70例颈椎不稳患者,按随机分组后,分为针刺+理疗组作为对照组、针刺+理疗+颈肌锻炼作为试验组,各35例。治疗2个月(6个疗程)后,观察两组患者治疗前后症状积分、颈椎椎体间角度及滑移长度的数据,进行相关系数分析。3个月后再次复查,数据分析。结果：2个月后试验全部结束(6个疗程),两组组内治疗前后的症状、体征总积分比较均有显著性差异(P<0.05),说明两种治疗方法均能有效改善颈椎病患者临床症状。两组间症状、体征积分、颈椎位移及角度,均无显著性差异(P>0.05),表明两组治疗效果无显著差别,即疗效相当。两组显效率、总有效率无显著性差异(P>0.05),表明两组治愈率无明显差别。但是在以后的三个月内症状复发,实验组有4例,占11.76%,而对照组有10例,占30.30%,明显高于实验组(P<0.05)。颈椎角度、位移都有明显改善,P值均<0.05,有显著性差异。结论：颈肌功能锻炼配合针刺、理疗,可以明显改善颈椎失稳的临床症状,能有效改善颈椎失稳的角度和位移,对颈椎失稳的治疗有效。同时颈肌功能锻炼可以减少临床症状复发率。颈肌功能锻炼方法简单、经济实用、作用明显、效果持久。更多还原

【Abstract】 Objective:To observe the efficacy of the neck muscle function execise with therapy,acupunc ture on the cervical spine instability according to the symptom score,AD and HD.Methods:The people that participate in the research of the 70 patients, after randomization by a simple, are divided into two groups.One is acupuncture plus therapy group as con trol group and another is acupuncture、therapy and neck muscle exercise group as an experimental group.Each group has 35 patients.Collect both groups of patients before and after the treatment of cervical vertebral symptoms integral, between angle and slid ing length of data. Then do the related data analysis. Check and analy the data three months later.Results:Experiment is all finished after 2 months (6 treatments). There is highly significan t difference of symptoms, signs total score within two qol before and after the treatmen t(P<0.05).This shows that both the treatments can effectively improve the clinical symptoms and cervical spondylosis patients condition and efficiently prolongs recurren ce time. There is no significant difference in the symptoms, signs integral, cervical vertebra and displacement Angle between the two groups after the treatment.There is no significant difference in the two groups of therapeutic effect which means that it is namely curative effect quite. The experiment proves that there is no significant differen ces in the significant efficiency, the total effective rate of the two groups(P>0.05). This indicates that there is no significant difference between the two groups cure rate. But over the next three months, four cases in experimental recurrence, accounting for 11.76%, while control group with 10 cases, accounting for 30.30%, is obviously higher than the group.Conclusions:Cervical muscle function exercise can improve the symptoms of cervical spine instability and can effectively improve the angle and horizontal displacement.Meanwhi le cervical muscle function exercise can reduce the clinical symptom relapsing.The method is simple, economical and practical, obvious, and still can make the treatment effect lasting and reduce the recurrence.更多还原