神经根型颈椎病理疗疗效评定的探讨

为了探讨神经根型颈椎病理疗疗效的客观指标，本文观察３２例患者在矿泉浴、矿泥治疗前后患侧上肢肌电图、握力、肢体血流图等项指标变化。结果表明理疗后临床症状、体征改善，同时其肌电图检查损伤电位明显减少，手腕握力显著增加，患侧上肢肢体血流图检直流入时间缩短，流入容积速度增加（Ｐ＜０．０１）。疗前疗后对比均具有非常显著性差异。通过观察初步认为肌电图、握力、肢体血流图检查可以作为评定神经根型颈椎病疗效的客观指标，尤其肌电图检查亦可作为评定有无神经根损害的有力证据。

EFFECTIVE EVALUATION OF PHYSIOTHERAPIES AND REHABILITATION IN TREATINGCERVICAL SPONDYLOPATHY WITH NEURODOKEN TYPE

In order to explore the objective indexes to evaluate the effect of physiotherpies and rehabilitation for cervical spondylopathy withnemorrheology were determined in 32 cases who were treated withmineral spring water and mineral-mud.The result showed that the clinicalsymptoms and signs were improved,the injury potential in EMG was markedlydecreased, the gripping-strength was obviously increased, the blood flow-intime ofhemorrheology in affected upper limb was shortened and volme of flowwas increased at post-treatment. There was a significdsant difference(p<0.01)at pre-and post-treatment.It is suggestted that EMG,grippint-strength andlimb hemorrheology can be made objective indexes to assess the curativeeffect. Particularly,the EMG is a necessary measure for diagnosis of nerveinjury.