Pei Shuai, Jiang Hong, Yu Peng-Fei, Liu Jin-Tao, Li Yu-Wei, Xu Bo, Ma Zhi-Jia, Zhu Yu, Shen Xiao-Feng
Department of Orthopaedics, Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Traditional Chinese Medicine, Suzhou 215000, Jiangsu, China.
Zhongguo Gu Shang. 2022 Aug 25;35(8):747-51. doi: 10.12200/j.issn.1003-0034.2022.08.009.
To observe the radiological change and curative effect of cervical spondylosis treated with cervical vertebra pulling therapy in young people.
A total of 65 patients(shedding in 5 patients and final inclusion in 60 patients) with cervical spondylosis who were treated from January 2018 to September 2019 were randomly divided into treatment group and control group according to the digital table method. There were 30 patients in treatment group, including 14 males and 18 females, aged from 20 to 44 years old with an average of(29.83±6.99) years, who were treated with cervical vertebra pulling therapy(once a week, 4 times in total). The control group consisted of 30 cases, 12 males and 18 females, aged from 18 to 43 years old with an average of (31.77±5.93) years, who received sitting traction therapy(once a week, 4 times in total). The changes of C-C Cobb angle, arc-chord distance and T slope (TS) in two groups were observed before treatment and 1 month after treatment, for intra-group and inter-group comparison;and the changes of numerical rating scale(NRS) in two groups were observed before treatment and 1, 3 months after treatment, for intra-group and inter-group comparison.
Sixty patients were followed up for (3.2±0.3) months. There were no significant differences in NRS, C-C Cobb angle, arc-chord distance and T1S between two groups before treatment (>0.05). One month after treatment, the NRS, C-C Cobb angle, arc-chord distance and T1S were(1.67±0.76) scores, (16.55±6.01)°, (10.95±4.04)mm, (18.95±4.19)° in treatment group and(1.40±0.86) scores, (10.23±5.94) °, (6.11±4.17) mm, (13.34±4.25)° in control group respectively. C-C Cobb angle, arc-chord distance and TS in treatment group were better than those in control group (<0.05); there was no significant difference in NRS between two groups (>0.05). Compared with before treatment, there were statistically significant differences in C2-C7 Cobb angle, arc-chord distance and T1S in treatment group(<0.05), but no statistically significant differences in control group(>0.05). Three months after operation, NRS of treatment group was (1.60±0.62) scores and that of control group was (4.17±0.70) scores. The treatment group was better than the control group(<0.05). The scores of treatment group after treatment were lower than those before treatment(<0.05), and there was no significant difference in control group before and after treatment(>0.05).
Cervical vertebra pulling method and cervical vertebra sitting traction can relieve the pain symptoms of patients with cervical spondylosis, but the effect of cervical vertebra pulling method is more durable;cervical vertebra pulling method can correct abnormal cervical sagittal parameters.
观察青年颈椎病患者采用颈椎牵引疗法后的影像学变化及疗效。
选取2018年1月至2019年9月收治的65例颈椎病患者（脱落5例，最终纳入60例），采用随机数字表法将其分为治疗组和对照组。治疗组30例，其中男14例，女18例，年龄20～44岁，平均（29.83±6.99）岁，采用颈椎牵引疗法（每周1次，共4次）。对照组30例，其中男12例，女18例，年龄18～43岁，平均（31.77±5.93）岁，采用坐位牵引疗法（每周1次，共4次）。观察两组治疗前及治疗1个月后Cobb角、弧弦距及T角（T1S）的变化，进行组内及组间比较；观察两组治疗前及治疗1、3个月后数字分级量表（NRS）的变化，进行组内及组间比较。
60例患者随访（3.2±0.3）个月。治疗前两组NRS、Cobb角、弧弦距及T1S比较，差异无统计学意义（>0.05）。治疗1个月后，治疗组NRS、Cobb角、弧弦距及T1S分别为（1.67±0.76）分、（16.55±6.01）°、（10.95±4.04）mm、（18.95±4.19）°，对照组分别为（1.40±0.86）分、（10.23±5.94）°、（6.11±4.17）mm、（13.34±4.25）°。治疗组Cobb角、弧弦距及T1S优于对照组（<0.05）；两组NRS比较，差异无统计学意义（>0.05）。与治疗前比较，治疗组C2-C7 Cobb角、弧弦距及T1S差异有统计学意义（<0.05），对照组差异无统计学意义（>0.05）。术后3个月，治疗组NRS为（1.60±0.62）分，对照组为（4.17±0.70）分。治疗组优于对照组（<0.05）。治疗组治疗后评分低于治疗前（<0.05），对照组治疗前后差异无统计学意义（>0.05）。
颈椎牵引法和颈椎坐位牵引均可缓解颈椎病患者的疼痛症状，但颈椎牵引法效果更持久；颈椎牵引法可纠正颈椎矢状位参数异常。
