以控制机械刺激为核心的治疗体系治疗中老年神经根型颈椎病的生存质量评价  

Evaluation on the Quality of Life in the Treatment of Middle-aged and Elderly Cervical Spondylotic Radiculopathy with Treatment System Centered on Controlling Mechanical Stimulation

作　　者：许鸿智[1] 林定坤[1] 侯宇[1] 苏国义[1] XU Hongzhi;LIN Dingkun;HOU Yu;SU Guoyi

机构地区：[1]广东省中医院,广东广州510120

出　　处：《新中医》2019年第1期244-247,共4页New Chinese Medicine

基　　金：广东省中医药局科研项目(20171108);邓晋丰全国名老中医药专家传承工作室建设项目(国中医药人教发[2016]42号)

摘　　要：目的:评价以控制机械刺激为核心的治疗体系对中老年神经根型颈椎病患者生存质量的影响。方法:将中老年神经根型颈椎病患者120例随机分为2组各60例,观察组应用以控制机械刺激为核心的治疗体系进行治疗,对照组采用普通坐位牵引进行保守治疗,疗程均为2周,治疗前后采用SF-36生存质量量表进行疗效评价,包括生理机能(PF)、生理职能(RP)、躯体疼痛(BP)、一般健康状况(GH)、精力(VT)、社会功能(SF)、情感职能(RE)以及精神健康(MH)、健康变化(HT)等,并随访1年。结果:所有患者治疗期间均无发生不良反应。治疗结束后1年,观察组和对照组各有58例得到随访,有效随访率96.7%。治疗后及随访1年,2组患者BP、PF (观察组治疗后除外)、RP、RE、HT评分均较治疗前明显升高(P <0.05);而2组患者GH、VT、SF、MH评分较治疗前无明善改善,甚或评分有下降趋势。治疗后,2组间各维度评分变化相当,差异无统计学意义(P> 0.05)。随访1年,观察组患者RP、SF、RE、HT评分均明显高于对照组(P <0.05),而BP、PF、GH、VT、MH评分组间差异不大(P> 0.05)。结论:普通坐位牵引和以控制机械刺激为核心的治疗体系均能在一定程度改善中老年神经根型颈椎病患者的生存质量,但在远期疗效方面,以控制机械刺激为核心的治疗体系疗效更优。Objective:To evaluate the effect of the treatment system centered on controlling mechanical stimulation on the quality of life of middle-aged and elderly patients with cervical spondylotic radiculopathy(CSR). Methods:A total of 120 cases of middle-aged and elderly CSR patients were randomly divided into two groups,with 60 cases in each group. The observation group received treatment system centered on controlling mechanical stimulation,and the control group received conservative treatment with normal sitting traction. The treatment of both groups lasted for two weeks. Before and after the treatment,therapeutic effect was evaluated using the 36-Item Short Form Survey(SF-36),including physical functioning(PF),role-physical(RP),bodily pain(BP),general health(GH),vitality(VT),social function(SF),role-emotional(RE),mental health(MH) and health changes(HT),and one-year follow-up was conducted. Results:All patients had no adverse reactions during the treatment. One year after treatment, 58 patients in the observation group and the control group respectively were followed up,with an effective follow-up rate of 96.7%. After treatment and follow-up for one year,the scores of BP,PF(except the one in the observation group after treatmen t),RP,RE and HT in the two groups were significantly higher than those before treatment(P < 0.05). The scores of GH,VT,SF and MH in the two groups were not obviously improved or even decreased when compared with those before treatment. After treatment,there was no significant difference being found in the comparisons of the scores of each dimension between the two groups(P > 0.05). After one year of follow-up,scores of RP,SF,RE and HT in the observation group were significantly higher than those in the control group(P < 0.05),and there was no significant difference being found in the comparisons of the scores of BP,PF,GH,VT and MH between the two groups(P > 0.05). Conclusion:Normal sitting traction and the treatment system centered on controlling mechanical stimulation can improve the quality

关 键 词：神经根型颈椎病 中老年 控制机械刺激 SF-36生存质量量表 

分 类 号：R681.55[医药卫生—骨科学]