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综合物理康复联合颈项肌肌力训练治疗颈椎病患者的临床效果观察▲
Comprehensive physical rehabilitation combined with cervical muscle strength training in the treatment of patients with cervical spondylosis: an observation of the clinical effects

内科 202116卷04期 页码:433-435+458

作者机构:郑州市骨科医院治未病科,河南省郑州市450000

基金信息:▲基金项目:河南省重点中医学科(专科)学术带头人培养项目(2015ZY03002)

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2021.04.03

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目的探讨综合物理康复联合颈项肌肌力训练治疗颈椎病患者的临床效果。方法选取2019年8月至2020年8月我院接诊的颈椎病患者90例,采用随机数字法分为干预组和对照组,每组45例。对照组患者给予综合物理康复治疗,干预组患者给予综合物理康复治疗并进行颈项肌肌力训练。两组患者均连续干预2周。比较两组患者的临床治疗效果、日常生活障碍程度、疼痛程度及复发情况。结果干预2周后,干预组患者的治疗总有效率(95.56%)显著高于对照组(80.00%),差异有统计学意义(P<0.05)。干预前,两组患者的颈椎功能障碍指数量表(NDI)评分、疼痛视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);干预2周后,两组患者的NDI评分、VAS评分均明显降低,干预组患者的评分显著低于对照组,差异有统计学意义(P<0.05)。干预结束后6个月,干预组患者的复发率(4.44%)显著低于对照组(17.78%),差异有统计学意义(P<0.05)。结论综合物理康复联合颈项肌肌力训练能够明显提升颈椎病患者的临床疗效,有效改善临床症状,明显减轻日常生活障碍程度及疼痛程度,显著降低疾病的复发率。
ObjectiveTo explore the clinical effect of comprehensive physical rehabilitation combined with cervical muscle strength training in the treatment of patients with cervical spondylosis. MethodsNinety patients with cervical spondylosis admitted to our hospital from August 2019 to August 2020 were selected, and they were divided into intervention group and control group by the random number method, with 45 cases in each group. The patients in the control group received comprehensive physical rehabilitation for treatment, whereas the intervention group received comprehensive physical rehabilitation combined with cervical muscle strength training. Both groups were intervened for 2 weeks. The clinical efficacy, disturbance of daily living, degree of pain, and recurrence were compared between the two groups. ResultsAfter 2 weeks of intervention, the total effective rate of the intervention group (95.56%) was higher than that of the control group (80.00%), with a statistically significant difference (P<0.05). Before intervention, there were no statistically significant differences in the scores of Neck Dysfunction Index (NDI) and Visual Analogue Scale (VAS) between the two groups (P>0.05). After 2 weeks of intervention, the NDI score and VAS score of the two groups decreased significantly, and the scores of the intervention group were significantly lower than those of the control group, with statistically significant differences (P<0.05). Six months after intervention, the recurrence rate in the intervention group (4.44%) was significantly lower than that in the control group (17.78%), with a statistically significant difference (P<0.05). ConclusionComprehensive physical rehabilitation combined with cervical muscle strength training in the treatment of cervical spondylosis can prominently improve clinical efficacy, effectively improve clinical symptoms, significantly relieve disturbance of daily living and pain degree, and prominently decrease the recurrence rate in patients.

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