飞行人员颈肩腰腿痛的综合防治

目的：探讨综合防治措施对飞行人员颈肩腰腿痛的防治效果。方法2009年1月-2013年1月因颈肩腰腿疼痛相关疾病在我院治疗的患者463例，其中飞行人员228例为综合防治组，采用中药与矿物质元素局部热疗法热敷患处，配合颈肩腰腿痛预防保健操及健康教育相结合的综合防治法预防、治疗相关疾病引起的颈肩腰腿痛。对照组为同期因颈肩腰腿疼痛在我院就诊的地方患者，采用超短波治疗。应用疼痛视觉模拟评分（visual analogus scale，VAS）评价治疗前后疼痛程度，参照国家中医药管理局发布的《中医病证诊断疗效标准》于治疗后1个月、6个月进行疗效判定。结果两组患者治疗前年龄、病程、相关疾病分布情况及VAS评分经假设检验差异无统计学意义。治疗后VAS评分均有下降，综合防治组VAS评分低于对照组，两组间比较差异有统计学意义。短期疗效评价（1个月）：综合防治法治疗颈肩腰腿痛总有效率92.54%，与对照组（73.19%）比较，差异具有统计学意义（χ2=30.32，P﹤0.001）；长期疗效评价（6个月）：综合防治组总有效率97.81%，高于对照组（88.09%），差异具有统计学意义（χ2=16.52，P﹤0.001），无停飞病例。结论综合防治法对飞行人员相关疾病引起的颈肩腰腿痛效果显著，降低了复发率，达到防治结合的效果。

Complex prevention and treatment of neck,shoulder, and lumbocrural pain in pilots

Objective To study the effect of complex prevention and treatment （CPT） on neck, shoulder and lumbocrural pain in pilots. Methods Four hundred and sixty-three patients with neck, shoulder and lumbocrural pain admitted to our hospital from January 2009 to January 2013 were included in this study. Of them, 228 pilots served as a CPT group and 235 local patients served as a control group. Pilots in CPT group received local thermotherapy with Chinese herbal medicine and mineral substances in combination with health protection exercises and health education. The local patients in control group underwent ultrashort wave therapy. Their pain was scored according to the visual analogus scale （VAS） before and after treatment. Their outcomes were assessed according to the Criteria for diagnosis and therapeutic effect of diseases in TCM issued by State Administration of Traditional Chinese Medicine 1 and 6 months after treatment. Results No significant difference was observed in age, course of disease, distribution of related diseases and VAS score between the two groups before treatment. The VAS score was lower in CPT group than in control group after treatment （P＆lt;0.001）. The total effective rates were 92.54%and 97.81%in CPT group after short-term （1 month） and long-term （6 months） treatment, which were higher than those in control group （χ2=30.32, P＆lt;0.001;χ2=16.52, P＆lt;0.001）. No pilot was grounded. Conclusion The effect of CPT is significant on neck, shoulder and lumbocrural pain with a lower recurrence rate.