社区颈椎病患者运动康复的疗效研究

目的:观察全身性拳操运动结合局部颈椎操锻炼(定量运动)对社区颈椎病患者的康复疗效。方法:对上海市南京东路街道某社区35—74岁常驻居民1457人进行社区慢性疾病的入户问卷调查,检出既往医院有明确诊断的颈椎病患者,由专业医务人员评定患者的临床症状和阳性体征。对其中114名颈椎病患者实施为期3个月的运动康复治疗,包括中等强度的全身性拳操运动及局部颈椎操,3个月后进行疗效评定。结果:114例颈椎病患者经过3个月运动康复后,治愈44例(38.6%),显效40例(35.1%),有效25例(21.9%),无效5例(4.4%),治愈显效率73.7%,总有效率95.6%。研究发现,颈型和神经根型颈椎病患者的治愈显效率要显著高于椎动脉型、交感神经型和混合型患者(P<0.01),且病程越短疗效越佳,病程在5年以内的颈椎病患者治愈显效率远高于病程在5年以上的患者(P<0.01)。结论:在社区范围内组织颈椎病患者进行定量的拳操运动并结合颈椎操锻炼,可有效治疗颈椎病。

A study of exercise effects on patients with cervical spondylosis in the community

Objective:To observe the rehabilitative effects of quantity exercise on patients with cervical spondylosis in the community.Method:Questionnaire survey indoors about chronic disease were carried out among1457persons aged35-74in one community of Shanghai Nanjing East Road District.The old patients with cervical spondylosis were found out and evaluated clinical symptom and positive physical sign by professional medical staff.Total114patients with cervical spondylosis participated a three-month exercise therapy.Each patient should take part in systemic fistic drill with medium degree and local drill for cervical vertebra.After three-month exercises,all the patients were reevaluated.Result:Three months later,from total114patients,44cured(38.6%),40distinct effective(35.1%),25valid(21.9%)and5invalid.The rate of cure and distinct effect is73.7%.Total valid rate is95.6%.Patients with type neck or type nerve root cervical spondylosis have higher rate of cure and distinct effect than type vertebral artery,type sympathetic nerve and type mixed(P<0.01).The shorter course of disease was the more effective.Patients whose course was less than5years have higher rate of cure and distinct effect than those whose course was over5years(P<0.01).Conclusion:Quantity systemic fistic drill and local drill for cervical vertebra are very effective on patients with cervical spondylosis.Author's address Department of Rehabilitation Medicine,Huashan Hospital,Fudan University,Shanghai,200040