Clinical Observation On Treatment Of Neck Type Cervical Spondylosis With Acupuncture Plus Traction And Exercise Therapy

ObjectThis study aims to through the clinical randomized controlled trials, evaluation and traction with acupuncture exercise therapy, acupuncture and traction and pure pure acupuncture plus exercise therapy neck type of cervical spondylosis clinical curative effect and physiological curvature of cervical vertebra, and the influence of the through two months of follow-up evaluation method to maintain the disease in three late the differences of the curative effect, for clinical cure cervical cervical vertebrasickness provides an effective method.Method159patients matched the selection criteria neck type cervical spondylosis patients were randomly divided into acupuncture and traction with the exercise therapy trial group (53patients), the pure acupuncture plus exercise therapy group A (53cases) and simply add traction control group B acupuncture (53patients), each treatment group10times as A treatment for2A course, between treatment two days of rest. In different time points respectively, the symptoms and signs integral, short form McGill pain integral, cervical vertebra joint mobility measurement, cervical X piece of physiological curvature measuring and to the life, work and study and psychological, social ability to the influence of the relevant indicators, observed before and after treatment three groups in the case of a change; The end of therapy in one month and two months follow-up, and study the symptom scores of the differences.Result1. The clinical curative effect:three treatment group of the total effective rate of cervical spondylosis neck no significant difference. But in the clinical cure rate, patients clinical cure rate is better than two in control group (p<0.05);2. Symptom scores:comparison in the group, three groups in ease neck shoulder pain, acid swells and stiff is before treatment were significantly difference (p<0.01), and treatment are better than20times for10times (p<0.05); Comparison between groups, to alleviate the pain in the neck shoulder three group had no significant difference (p>0.05), to alleviate the neck and shoulders acid bilges and stiff group is better than two in control group (p<0.05), and no obvious difference between two control group (p>0.05);3. Signs integral:comparison in the group, three groups in the neck and shoulders tenderness, an improved flexing and extension, lateral flexion and rotation is before treatment were significantly difference (p<0.01), but the treatment20times and treatment than10times no significant difference (p>0.05); Comparison between groups, three groups differences are not significant (p>0.05).4. McGill pain points:comparison in the group, three groups in McGill pain index is to improve before treatment were significantly difference (p<0.01), and treatment are better than20times for10times (p<0.05); Comparison between groups, better than two group in control group (p<0.05), and no obvious difference between two control group (p>0.05).5. Cervical mobility measured values:comparison in the group, three groups in improving the range of motion is cervical spine before treatment were significantly difference (p<0.01), but the treatment20times and treatment than10times no significant difference (p>0.05). Comparison between groups, three groups differences are not significant (p>0.05).6. Cervical X piece of physiological curvature measuring value:group is in the group and the control group B in the improvement of physiological curvature of cervical vertebra is before treatment were significantly difference (p<0.05), whereas the control A no significant difference (p>0.05); Comparison between groups group and control group B no significant difference between the (p>0.05), but both are A much better than control group (p<0.01).7life, work and study and psychological, social ability score:in the group is, three groups in to the life, work and study and psychological, social ability influence is the improvement of before treatment were significantly difference (p<0.05), between groups, three more curative effect of no significant difference (p>0.05). 8. Follow-up symptom scores:in ease of head and neck shoulder pain later in effect no significant differences between the three curative effect of (p>0.05); To alleviate the neck and shoulders of acid bilges late is better than two group of curative effect in control group (p<0.01); In the ease of stiff neck and shoulders late in A group and control group curative effect is better than the control group B (p<0.01).ConclusionThree kinds of treatment for carotid cervical vertebrasickness all has curative effect, but the acupuncture and traction with the exercise therapy clinical cure rate is higher, to alleviate the neck and shoulders, stiff and improve acid bilges McGill pain index better, through the2months of follow-up acupuncture and traction with the exercise therapy to alleviate the symptoms of cervical vertebrasickness neck late more optimal curative effect. At the same time, improve cervical traction in physiological curvature better than exercise therapy, and exercise therapy in ease of stiff neck and shoulders curative effect is late traction.