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35720177CHINESEAＲCHIVESOFTＲADITIONALCHINESEMEDICINEVol．35No．7Jul．20171867DOI10．13193/j．issn．1673-7717．2017．07．063734000、、。20141—20164178。8989。JOA、VAS、、、。95．51%、2．25%、JOA14.16±1．21、VAS1．97±1．35、77．88±5.91、74．97±2．91、73．01±15．8674．16%、14.61%、JOA13．27±1．88、VAS2．78±1．47、75．18±5．49、73．53±2.64、65．09±11．76P＜0.05。、。Ｒ681．5B1673-7717201707-1867-03EffectofCervicalTractionandAcupunctureandMassageonCervicalSpondylosisofNerveＲootTypeLIUShengfaZHANGFengWANGYananDepartmentofＲehabilitationZhangyePeople＇sHospitalAffiliatedtoHexiUniversityZhangye734000GansuChinaAbstractObjectiveToanalyzeanddiscusstheclinicaleffectofcervicaltractionacupuncturemassageandexer-cisetrainingonthetreatmentofnerveroottypecervicalspondylosis．MethodsFromJanuary2014toApril2016inourhospital178casesofnerveroottypecervicalspondylosispatientswereselectedandaccordingtothetreatmentsequencenumberandsingleweredividedintotwogroups．Thecontrolgroup’soddnumbers89caseswereonlytreatedwithtractiontreatment．Theobservationgroup’sdouble89casesweretreatedwithcervicaltractioncombinedwithacu-punctureandmassageatthesametime．Twogroupswereperformedthecorrespondingtrainingguide．TheJOAscoreVASscoreclinicalefficacymusclestrengthqualityoflifeandrecurrenceratewerecomparedbetweenthetwogroupsbeforeandaftertreatment．ＲesultsAftertreatmenttheobservationgroup’stotaleffectiveratewas95．51%therecur-rencerate2．25%JOAscore14．16±1．21VASscore1．97±1．35physicalhealth77．88±5．91mentalhealth74．97±2．91andmuscle73．01±15．86whichwereobviouslybetterthanthecontrolgroup’stotalefficien-cy74．16%therecurrencerate14．61%JOAscore13．27±1．88VASscore2．78±1．47physicalhealth75．18±5．49mentalhealth73．53±2．64andmuscle65．09±11．76．ThecomparisonbetweenthetwogroupswasstatisticallysignificantP＜0．05．ConclusionThecervicaltractionacupunctureandmassageandexercisethera-pyoncervicalspondylosisofnerveroottypehavebetterclinicalefficacy．Patientscanimprovetheclinicalfunctionoftheneckreducepainandsensorydysfunctionandothersymptomssignificantlyandeffectivelyreducetherecurrenceofthedisease．Thepatients＇qualityoflifeisimprovedsignificantlyandtheeffectisbetter．Keywordscervicaltractionexercisetrainingnerveroottypecervicalspondylosisacupunctureandmassage2017－02－12GSWSKY－2014－511979－。1。、、2。、、。、。168、。768135720177CHINESEAＲCHIVESOFTＲADITIONALCHINESEMEDICINEVol．35No．7Jul．2017186811．120141—2016417889。325232～7255．39±2．07。2～116．31±1.39281517816。354931～7356．34±2.753～126．36±1．43281517816。。、、、P＞0.05。①X、MＲI②、③。①、、、②、③、④、。1．2。20°25min8%～10%2～3d11/315min1。、、、、、。0．30mm×40mm75%。0．8～1.0、25min1、。、、、、、、、、、、、、、30s、、、1。。。1。1．3JOA、、VAS、、。JOA、、317。100。VASVAS00～33～66～1010。3JOA=－/17－×100%、60%。、、25%～60%。＜25%。=+/×100%。、、、、、、、、、。1．4SPSS20．0珋x±sχ2tP＜0.05。22．1P＜0.05。1。1%893741．582932．582325．9474．161314．61895460．68*3138．8344．50*95．51*22．25*χ2－6．500．1115．7615．768．81P－＜0．05＞0．05＜0．05＜0．05＜0．05*P＜0.05。2．2、JOAVAS、JOA、VASP＞0.05、JOAVASP＜0.05。2。2、JOAVAS珋x±sJOAVAS8933．35±12．3365．09±11．769．86±2．7813．27±1．887．87±0．932．78±1．478934．42±14．2673．01±15．86*9．85±2．6214．16±1．21*7．69±0．911．97±1．35*t－0．553．780．033．761．313．83P－＞0．05＜0．05＞0．05＜0．05＞0．05＜0．05*P＜0.05。868135720177CHINESEAＲCHIVESOFTＲADITIONALCHINESEMEDICINEVol．35No．7Jul．201718692．3P＞0.05P＜0.05。3。3珋x±s8955．06±5．4775．18±5．4946．13±2．4473．53±2．648954．56±5．2977．88±5．91*46．37±2．1674．97±2．91*t－0．623．160．693．46P－＞0．05＜0．05＞0．05＜0．05*P＜0.05。3、、、、、、、4。。5、、。、、6－7。8。、9。10。JOA、、、VASP＜0.05。。、、11、、12－13。、、14。、、15。、、。1．J．20141721106－107．2．86J．20131013100．3．J．201632644－45．4YuＲDeochandCKrotowAeta1．Tobaccosmoke－inducedbrainwhitemattermyelindysfunctionpotentialco－factorroleofsmokinginneurodegenerationJ．JAlzheimersDis2015501133－148．5．J．2015311249－51．6．J．2015371144－148．7．J．2015181186－87．8．、60J．2014423185－186．9MoreiraLDOliveiraMLLiranigalvaoAPeta1．Physicalexer-ciseandosteoporosiseffectsofdifferenttypesofexercisesonboneandphysicalfunctionofpostmenopausalwomenJ．ArqBrasEndocrinolMetabol2014585514－522．10．J．201334186－87．11．36J．20153615658．12．40J．2016252231－236．13．J．2015283811．14．30J．2016457641－643648．15．J．2015375385387．9681