导引术结合颈肌功能锻炼对颈型颈椎病的康复疗效及生存质量影响的研究

目的:探讨导引术结合颈肌功能锻炼对颈型颈椎病患者的康复疗效。方法:收集2018年11月~2019年9月遵义医科大学第三附属医院康复医学科门诊或住院的颈型颈椎病患者67例,随机分为治疗组35例和对照组32例。对照组在常规治疗基础上同时行颈部肌力训练,治疗组在常规治疗基础上进行导引术与颈部肌力训练结合的运动疗法。在治疗前、后以及随访3个月,分别采用VAS评分和SF-36量表进行疼痛和生活质量的评估,并比较两组疗效。结果:治疗组总有效率高于对照组(P<0.05)。治疗后及随访3个月后,两组患者的VAS评分均较治疗前降低(P<0.01),且治疗组治疗后及随访3个月后的VAS评分均低于对照组(P<0.01)。治疗后及随访3个月后,两组患者治疗后的躯体功能、躯体角色、躯体疼痛、活力、精神健康、社会功能维度评分均高于治疗前(P<0.05),随访3个月后,治疗组躯体疼痛、活力得分在明显高于对照组(P<0.05);治疗后及随访3个月,治疗组在躯体疼痛、社会功能、情感角色、精神健康方面得分高于对照组(P<0.05)。结论:导引术结合颈肌功能锻炼对颈型颈椎病患者的康复疗效显著,明显减轻患者疼痛、提高患者生存质量,值得在社区康复中推广锻炼。

The Research of Rehabilitation Effect and Quality of Life on Cervical Spondylotic Radiculopathy by the Daoyin Exercise Combined with the Cervical Muscles Functional Training

Objective:To observe the rehabilitative effect and quality of life on cervical spondylotic radiculopathy by Daoyin exercise combined with the cervical muscles functional training.Method:From November 2018 to September 2019,67 patients with cervical spondylopathy in our Hospital were collected and randomly divided into the treatment group(35 cases)and the control group(32 cases).The control group received cervical muscle strength training on the basis of conventional treatment,while the treatment group received exercise therapy combining guided surgery and cervical muscle strength training on the basis of conventional treatment.VAS score and SF-36 scale were used to evaluate pain and quality of life before treatment,after treatment and 3 months of follow-up,respectively,and the efficacy of the two groups was compared.Results:The total effective rate was higher in the treatment group than in the control group(P<0.05).After treatment and 3 months of follow-up,VAS scores of patients in both groups were lower than that before treatment(P<0.01),VAS scores of the treatment group were lower than those of the control group after treatment and 3 months of follow-up(P<0.01).After treatment and 3 months of follow-up,the scores of somatic function,somatic role,somatic pain,vitality,mental health and social function of patients in both groups were higher than those before treatment(P<0.05),After 3 months of follow-up,the scores of physical pain and vitality in the treatment group were significantly higher than those in the control group(P<0.05).After treatment and follow-up for 3 months,the scores of physical pain,social function,emotional role and mental health in the treatment group were higher than those in the control group(P<0.05).Conclusion:Daoyin exercise combined with the cervical muscles functional training is a safe and effective treatment for cervical type cervical spondylosis,it plays an important role in improving the symptoms and quality of life of patients with neck pain,and it is worth popularizing.