脊髓型颈椎病的围术期康复治疗  

Rehabilitation Care of Cervical Spondylotie Myelopathy in Perioperation

作　　者：范伟[1] 

机构地区：[1]重庆医科大学附属第一医院骨科,重庆市400016

出　　处：《中国全科医学》2010年第10期1118-1120,共3页Chinese General Practice

摘　　要：目的回顾分析脊髓型颈椎病的围术期康复治疗,探讨提高手术疗效、促进肢体功能改善的方法。方法对我院2004年9月—2008年8月收治并获得随访的105例脊髓型颈椎病患者的围术期康复治疗进行回顾性分析。结果术前日本骨科学会(JOA)颈椎病评分为(10.02±1.86)分,术后JOA评分为(16.52±2.65)分;神经功能恢复率为79.4%。恢复率等级情况:优68例(64.76%),良26例(24.76%),好转9例(8.57%),无变化2例(1.91%),无恶化病例,优良率为89.52%。脊髓功能损害加重3例,发生并发症12例。结论影响脊髓型颈椎病疗效的因素很多,手术治疗只是其中的一种方法,在围术期采用系统的康复治疗等综合措施,才能最大限度地恢复肢体功能。Objective To retrospective analyze the management of cervical spondylotic myelopathy in perioperation in order to improve the efficiency of operation and the function of limbs. Methods To follow - up and analyze the preoperative treatment, operative methods, intervention study, postoperative treatment and complication of 105 cases of spinal cord chronic com- pression of cervical spondylosis. Results Preoperative JOA score was average （ 10. 02 ± 1.86） and postoperative JOA grading was average （ 16. 52 ± 2.65 ）, the nervous functional recovery rate was 79. 4%. Level of recovery rate： Excellent 68 cases （64. 76% ） , good in 26 cases （24. 76% ）, improved in9 cases （8. 57% ）, unchanged in 2 cases （1.91%）. Three cases were aggravated, and twelve complications were occurred. Conclusion Many factors could affect the curative effect of spinal cord chronic compression. Operative therapy is just one of treatments. We should adopt synthetic measures to reduce the complications and recover the individual functions as far as possible.

关 键 词：颈椎病 围术期 康复护理 

分 类 号：R681.531.1[医药卫生—骨科学]