理疗康复联合综合性心理治疗干预颈椎病康复的效果观察  

Observation on the Effect of Physical Therapy Rehabilitation combined with Comprehensive Psychotherapy on the Rehabilitation of Cervical Spondylosis

作　　者：李清云 张振荣 LI Qing-yun;ZHANG Zhen-rong(Department of Rehabilitation and Physical Therapy,Yangxin County Chinese Medicine Hospital,Yangxin 251800,China;Disinfection Supply Room,Yangxin County Chinese Medicine Hospital,Yangxin 251800,China)

机构地区：[1]阳信县中医医院康复理疗科,山东阳信251800 [2]阳信县中医医院消毒供应室,山东阳信251800

出　　处：《中国医药指南》2020年第13期13-15,共3页Guide of China Medicine

摘　　要：目的探究与分析理疗康复联合综合性心理治疗干预颈椎病康复的效果观察。方法选取我院自2017年1月至2019年1月收治的颈椎病患者78例,采取随机数字表分为对照组与观察组,每组各39例,对照组给予理疗康复,观察组在对照组基础上加用综合性心理治疗,对比两组临床疗效、伸展及健康运动的时间、耐力锻炼的时间、颈椎功能评定量表评分、颈部疼痛和残疾量表(Neck Pain and Disability Scale,NPAD)评分、症状自评量表(The self-report symptom inventory,Symptom checklist,SCL-90)评分、艾森克人格问卷(Eysenck Personality Questionnaire,EPQ)评分。结果观察组与对照组相比临床疗效较好,组间差异具有统计学意义(P<0.05)。观察组与对照组相比伸展及健康运动的时间及耐力锻炼的时间较长,组间差异具有统计学意义(P<0.05)。两组干预后与干预前相比颈椎功能评定量表评分升高、NPAD评分降低,观察组干预后与干预前相比上述评分改善更加显著,组间差异具有统计学意义(P<0.05)。两组干预后与干预前相比SCL-90总分降低,观察组干预后与对照组干预后相比SCL-90总分降低更加显著,组间差异具有统计学意义(P<0.05)。两组干预后与干预前相比精神质、内外向、情绪性及掩饰性评分均降低,观察组干预后与对照组干预后相比上述评分降低更加显著,组间差异具有统计学意义(P<0.05)。结论理疗康复联合综合性心理治疗干预颈椎病的康复效果较好,还能够帮助改善缓解相关临床症状,缓解其不良的心理状态。Objective To explore and analyze the effect of physical therapy rehabilitation combined with comprehensive psychotherapy on the rehabilitation of cervical spondylosis.Methods A total of 78 patients with cervical spondylosis admitted to our hospital from January 2017 to January 2019 were randomly divided into the control group and the observation group.Each group had 39 cases.The control group received physical therapy rehabilitation.The observation group was in the observation group.A comprehensive psychotherapy was added to the control group.The clinical efficacy,time of extension and healthy exercise,time of endurance exercise,cervical spine function rating scale,neck pain and disability scale(Neck Pain and Disability Scale)were compared.The NPAD)score,the self-report symptom inventory(Symptom checklist,SCL-90)score,and the Eysenck Personality Questionnaire(EPQ)score.Results The clinical effect of the observation group was better than that of the control group,and the difference between the groups was statistically significant(P<0.05).Compared with the control group,the observation group had longer duration of exercise and exercise and endurance exercise.The difference between the groups was statistically significant(P<0.05).After the intervention,the scores of the cervical spine function assessment scale and the NPAD score were lower than those before the intervention.The scores of the observation group were significantly improved compared with those before the intervention,and the differences between the groups were statistically significant(P<0.05).After the intervention,the total score of SCL-90 was lower than that before the intervention.The score of SCL-90 was significantly lower than that of the control group after intervention.The difference between the two groups was statistically significant(P<0.05).After the intervention,the scores of psychoticism,internal and external,emotional and concealing were lower than those before the intervention.The scores of the observation group were significantly lower t

关 键 词：理疗康复 综合性心理 颈椎病 康复 

分 类 号：R454[医药卫生—治疗学] R681.5+3[医药卫生—临床医学]