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The segmental motion of lower cervical vertebrae of 26 patients with cervical spondylitis were observed dynamically through digital video-fluoroscopic system.A significant decrease of the lower cervical motion was found in all patients as compared with normal control.Although the limitatoin of motion mainly occurred at the degenerative level,alteration in the range and mode of motion was shown over the whole cervieal spine,resulting disturbance of its physical stress distri bution and aggravation... The segmental motion of lower cervical vertebrae of 26 patients with cervical spondylitis were observed dynamically through digital video-fluoroscopic system.A significant decrease of the lower cervical motion was found in all patients as compared with normal control.Although the limitatoin of motion mainly occurred at the degenerative level,alteration in the range and mode of motion was shown over the whole cervieal spine,resulting disturbance of its physical stress distri bution and aggravation of the degenerative change of the segment. 本研究采用数字化X线电视分析系统,对26例颈椎病患者下颈椎各节段的活动度进行动态观察,发现颈椎病患者颈脊柱活动度明显小于正常,活动减少主要发生在退变节段。退变节段的活动障碍,可使整个颈脊柱的运动规律和幅度发生变化,导致应力分布紊乱,从而进一步加重退变程度。 In this article. 328 cases with nerve root pattern cervical spondylitis were treated by a combination method of tissue layer anesthesia, massage, together with head-neck exercise. Most of them got good relief. We try to make clear the ralationship among causes of the disease, age, occupation and anatomical structures as well as the mechanism of the treat ment. 本文报告采用“分层封闭”加按摩,配合头颈部保健操治疗328例神经根型颈椎病取得良好效果.同时对其病因与年龄、职业、解剖结构的相互关系以及这种治疗方法的机理进行探讨. To study the analgesic mechanism of Bitongxiao (BTX, a Chinese herbal decoction) in treating neck pain due to cervical spondylitis (CS). Methods: BTX and Jingfukang (JFK) granule were used to treat the treated and the control group separately in 102 CS cases. Plasma leucine enkephalin (LEK), substance P (SP) and prostaglandin E 2 (PGE 2) before and after treatment were assayed by radioimmunoassay (RIA). Results: Twelve patients in the treated group were clinically cured, 36 markedly effectively, 3 effectively... To study the analgesic mechanism of Bitongxiao (BTX, a Chinese herbal decoction) in treating neck pain due to cervical spondylitis (CS). Methods: BTX and Jingfukang (JFK) granule were used to treat the treated and the control group separately in 102 CS cases. Plasma leucine enkephalin (LEK), substance P (SP) and prostaglandin E 2 (PGE 2) before and after treatment were assayed by radioimmunoassay (RIA). Results: Twelve patients in the treated group were clinically cured, 36 markedly effectively, 3 effectively and 1 ineffectively, while in the control group they were 5, 33, 14 and 0 cases respectively. The cured and marked effective rate in the treated group was 92.3%, while that in the control group 72.0%. After treatment the pain score (VAS) of both groups were significantly reduced, but the reduction was higher in the treated group than that in the control. Before treatment, plasma LEK in all patients was abnormally low, but after treatment, it raised obviously more in the treated group than that in the control (P<0 05). Plasma SP of both groups were obviously elevated, and PGE 2 revealed unaltered after treatment. Conclusion: BTX has strong, fast acting and long lasting analgesic effect with no side effects, it could elevate the lowered plasma LEK level in cervical spondylitis patients and increase plasma SP level. The analgesic mechanism of BTX might be associated with its effect on LEK, SP or other endorphins, directly acting on the pain modulation system. 目的 :探讨痹痛消治疗颈椎病颈痛的镇痛机理。方法 :随机将 10 2例患者分为两组 ,分别用痹痛消和颈复康治疗 ,并测定治疗前后血清亮 脑啡肽 (LEK)、P物质 (SP)和前列腺素E2 (PGE2 )等指标。结果 :治疗组 52例 ,临床痊愈 12例 ,显效 3 6例 ,有效 3例 ,无效 1例 ,愈显率为 92 3 % ;对照组 50例 ,分别为 3例、3 3例、14例、0例和 72 0 %。治疗后治疗组疼痛积分值的减少明显大于对照组 (P <0 0 1)。治疗前两组患者血清LEK含量普遍低下 ,治疗后治疗组LEK含量较对照组显著升高 (P <0 0 5)。两组血清SP含量治疗后较治疗前均显著升高 (P <0 0 1) ;PGE2 含量未见显著性变化。结论 :颈椎病患者血清LEK低下 ,痹痛消具有很强的镇痛作用 ,并可升高血清LEK和SP含量
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