| BackgroundAt present, with the pace of life and the change of modern working methods, the electronic digital products widespread in varied fields. Thus, on the one hand,it has brought people material and the high speed development of economy; on the other hand, it’s harm to people’s health, psychological and life pressure brought multiple burden, cervical spondylosis is one of the disadvantages. According to clinical statistical investigation, at present, Cervical vertebra disease (Cervical Spondylosis, CS) about the prevalence of3.8%～17.5%our country, that is, our country has about50million-150million patients of the Cervical spine, and the number and proportion of rapid growth and development of a trend. Cervical spondylos is once the onset of the disease, will seriously affect the psychological and physical health of patients and the quality of life. These drawbacks have also caused the people to the mechanism of the disease research and clinical treatment and prevention of pay more attention to the work.Object(?) clear spin mention gimmick with cervical rehabilitation exercise therapy on cervical spondylosis of nerve root type and reduce the risk of recurrence recent clinical curative effect;(?) clear spin mention gimmick to fuck with cervical rehabilitation on cervical spondylosis of nerve root type of clinical prevention advantages, and actively promote spin technique and the cervical vertebra good recovery carry disease prevention and control the application of ones;(?) Provide an effective, suitable for application of the drug community Chinese medicine therapy plan to control nerve root type cervical vertebra disease. Methods1Cases source and groupParticipants are from Beijing Hospital, Beijing Chaoyang District Oriental Ming Community Health Service Center and Beijing Chaoyang District neighboring Sunhe Community Health Service Center three research cooperation hospital in March2011to December2011. Choosing patients with cervical spondylosis of nerve root type60cases for the study, and divided them randomly into trial group and control group, and each group has30cases of30patients. There are3cases fall off (group2cases and control in1). Patients in the two groups in the gender, age, duration, before treatment symptoms and signs integral, before treatment JianBei neck pain points and treatment of cervical vertebra before each direction mobility, integral values, the statistics analysis are not significant (P>0.05), two groups of general material are comparable.2treatmentTrial group (group A):accept spin mention technique+cervical rehabilitation exercise therapy;The control group (group B):simply accept spin mention gimmick treatment.Each group of treatment duration of treatment two weeks. After a period of treatment group will continue to adhere to the cervical vertebra good recovery fuck exercise every day and lasts for three months; The control group after treatment no special requirements.3observations indexBefore and after the treatment of choice for1,7,13days after the end of the period of treatment and1month,3months that the six observation date, observe the two groups were index:3.1general symptoms and signs integral;3.2JianBei neck pain points and cervical mobility integral;3.3each direction of the numerical value of cervical range.4statistical methodThe data from SPSS for Windows Release17.0statistical software package analysis, all statistics tests are adopt double side inspection. Differently treatmental group said clinic of measurement data will be used to mean±standard deviation statistical description, P<0.05is considered to have a statistics meaning. Count material used chi-square test; Measuring material conform to the normal distribution, variance together t test the application, not the normal distribution application of parametric test; Grade material using a rank and inspection.Results1. Two groups of patients after treatment of general symptoms and signs integral comparison1.1Two groups of patients before and after treatment1.1general symptoms and signs integral compansonTwo groups of patients before treatment overall symptoms and signs integral respectively with the course after treatment, a month, three months after the end of the period of treatment general symptoms and signs integral line matching comparison. The group total effective rate was92.9%,100%,100%, and greater rates of60.7%,82.1%and92.9%respectively, clinical control rates were7.1%,25.0%and39.3%; Control the total effective rate of the100%,100%and86.2%, the greater rate of72.4%,86.2%and72.4%, clinical control rates were6.9%,20.7%,20.7%, and the rank and inspection, P<0.01, the difference was statistically significant; Group and control group that all can obviously improve the nerve root type cervical spondylosis patients’ overall symptoms and signs.1.2between the two groups before and after treatment general symptoms and signs of integral difference comparedAfter the period of treatment and after the period of treatment a month before treatment with general symptoms and signs points difference between the two groups of contrast, the rank and inspection, P>0.05, the difference was not statistically significant; And after the period of treatment for three months before treatment with general symptoms and signs points difference between the two groups of contrast, the rank and inspection, P<0.05, the difference was statistically significant. Group and control group that improve on cervical spondylosis of nerve root type patients’overall symptoms and signs in after the curative effect of treatment and after the period of treatment a month no difference, but in the end of three months after treatment, the differences are significant.2. main index comparison2.1two groups were JianBei neck pain points comparedTwo groups were compared before and after treat pain points, the total effective rate of the group, and greater rate, clinical control rates were100%,92.9%and39.3%; The total effective rate of the control group, the show rate, clinical control rates were86.2%,72.4%,20.7%, not13.8%efficiency. The rank and inspection P<0.01, the differences are significant. After the treatment, after the end of the period of treatment a month, three months after the end of the course of the three supervision at two sets of patients JianBei neck pain points for the first time and the future JianBei neck pain points of difference is P>0.05, the trial group and control group show of cervical spondylosis of nerve root type neck pain symptoms of JianBei all had significant effect, but no obvious difference curative effect, no statistical significance.2.2two groups were integral is cervical mobilityTwo groups of patients before and after treatment cervical mobility is integral group the total effective rate was82.1%, no efficiency17.9%; Control group total effectiveness is62.1%, not37.9%efficiency. The rank and inspection group a Z=4.460, P<0.01a statistically significant meaning, and the control group Z=1.677, P>0.05, no significant statistical significance. After the treatment, after the end of the period of treatment a month, three months after the end of the course of the three supervision at two sets of patients with cervical mobility points for the first time the future cervical mobility integral difference is P<0.05, group and control group that on cervical spondylosis of nerve root type cervical activity levels were significantly improve the curative effect of the group got faster than the control group, and curative effect of persistent better than control group, especially in the course of a month after the three month period, cervical vertebra mobility mean there are still significant points to improve, and the control group in the cervical mobility integral mean value during not change significantly.3each of the direction of cervical mobility is itselfTwo groups of proneness direction at the supervision of cervical vertebra numerical and the primary survey arom numerical comparison group a proneness direction from the second time with the primary survey chai cervical mobility numerical comparison P<0.01, a statistically significant difference; And the control group from beginning to end P<0.01, also are statistically significant differences; The two groups of treatment that cervical proneness to improve the mobility are curative effect. Two groups of extension direction at the supervision of cervical vertebra numerical and the primary survey arom numerical comparison, two groups from beginning to end P<0.01, differences were significantly statistical significance, explain two treatment group in cervical extension activity levels are very good curative effect to improve. Two groups of the left the flexor direction at supervision cervical mobility and numerical value the primary survey more; Two groups from beginning to end P<0.05, differences were significantly statistical significance; The two groups of cervical treatment that left the improvement of flexor mobility are very good curative effects. Two groups of the right direction down the supervision point with the primary survey cervical mobility numerical value comparison, two groups from beginning to end P<0.05, differences were significantly statistical significance; The two groups of cervical treatment that right down the improvement of mobility are very good curative effect. Two groups of levorotatory direction at the supervision of cervical vertebra numerical and the primary survey arom numerical comparison, two groups from beginning to end P<0.01, differences were significantly statistical significance; The two groups of treatment that cervical levorotatory activity levels are very good curative effect to improve. Two groups of dextral direction at the supervision of cervical vertebra numerical and the primary survey arom numerical comparison group a direction of d-bormeol from beginning to end P<0.01, also are statistically significant differences; And the control group from the second time to start with the first clinical chai cervical mobility compared the numerical P<0.05, a statistically significant difference were; The two groups of cervical treatment that the improvement of the mobility of d-bormeol were curative effect, and group works faster than the control group.4each direction, the two groups each supervision point with the primary survey cervical mobility numerical comparison of differenceTwo groups of proneness direction at the supervision and the primary survey cervical mobility numerical difference compared to the first appointment after the period of treatment a month after the appointment, respectively (P is more than0.05, the difference was not statistically significant, and after the period of treatment at3months supervision1P<0.01, in the period of treatment group that after three months to improve the effect of the proneness activities than those in the control group. Two groups of extension direction each visit viewpoint and the primary survey cervical mobility numerical difference compared, the rank and inspection, only the seventh time after treatment visit P value viewpoint is less than0.05, the difference was statistically significant, other visit P value viewpoint are larger than0.05, the group that improve extension activities in the later in better shape than the control group, but no significant statistically significant. Between the two groups each supervision direction down the left at the first appointment with cervical mobility numerical difference is, from the first appointment and treatment after the end of a month, three months, each visit viewpoint P more than0.05, the group that improve the left down activities in the later is slightly better than the control group, but no significant difference. Between the two groups went right direction at the supervision and the primary survey cervical mobility numerical difference is, from the first appointment and treatment after the end of a month, three months, each visit viewpoint P more than0.05, the group that improve the right down activities in the later in the control group, but no significant difference. Between the two groups levorotatory direction at the supervision and the primary survey cervical mobility numerical difference compared, and some of the previous three when P value>0.05, the difference was not statistically significant; From the third visit to treatment after three months after the end of the visit, P value were less than0.01, a significant statistical significance, explain in treatment group after the end of each supervision left-lateral activities at the improvement effect was better than control. Between the two groups each supervision of d-bormeol direction at the primary survey and cervical mobility numerical difference is, first appointment to the end of treatment a month after the appointment, respectively (P more than0.05, the difference was not statistically significant. And after the period of treatment at3months supervision point P<0.01, in the period of treatment group that after three months of d-bormeol activities improve effect was better than control.Conclusion1. Trial group (spin mention technique+cervical rehabilitation exercise) and the control group (simple spin mention technique) treatment on cervical spondylosis of nerve root type has achieved significant results.2. Trial group (spin mention technique+cervical rehabilitation exercise) and the control group (simple spin mention technique) on cervical spondylosis of nerve root type of neck pain JianBei are all effective relief.3. treatment and the follow-up period, the application of spin with cervical rehabilitation exercise carry technique with simple spin mention technique can be applied to improve nerve root type cervical spondylosis patients each direction cervical activities functions; The effect of group was better than that of control group and control group is the curative effect of persistent better.4. After treatment one month, three months of follow-up date, the recurrence rate is higher than the control group in the group, preliminary explanation for trial on cervical spondylosis of nerve root type of the recurrence of control are better than the control group, reflects the cervical vertebra good recovery exercise to improve, and restore nerve root type cervical spondylosis patients and prevent the disease recurrence cervical mobility of the clinical significance and value.To sum up, the trial group (spin mention technique+cervical rehabilitation exercise) and the control group (simple spin mention technique) for the treatment of cervical spondylosis of nerve root type all have very good curative effect, they can be very good relieve or eliminate cervical spondylosis of nerve root type JianBei neck pain symptoms. Meanwhile, in improving on cervical spondylosis of nerve root type cervical vertebra activities are limited functioning effectively. Overall group work faster, more lasting curative effect. This reflects the bones and muscles, prevention and control of the traditional Chinese medicine with equal emphasis on the guiding ideology of the important significance of the treatment of this disease, and also show the cervical vertebra good recovery exercise to improve, restore nerve root type cervical spondylosis patients and prevent the disease recurrence cervical mobility of the clinical value. Also, the treatment effect clear and safe operation, economic and feasible, and suitable for grass-roots community application, save medical resources, so as to improve the health of the community and the quality of life. |
PDF Full Text Request