神经根型颈椎病患者颈椎五步操临床应用研究  

Study on Clinical Application of Five-step Cervical Spine Rehabilitation Exercises in the Rehabilitation of Patients with Cervical Spondylotic Radiculopathy

作　　者：徐霞[1] 段利冬 王亚洁 陈志龙[1] 程世红[4] 成海燕 何燕 李亚欣 XU Xia;DUAN Lidong;WANG Yajie;CHEN Zhilong;CHENG Shihong;CHENG Haiyan;HE Yan;LI Yaxin(Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China;Gansu Ecological Resources Monitoring Center,Lanzhou 730020,China;Xijing Hospital of Air Force Military Medical University,Xi'an 710032,China;Lanzhou University Second Hospital,Lanzhou 730030,China;Gansu University of Chinese Medicine,Lanzhou 730000,China)

机构地区：[1]甘肃省中医院,甘肃兰州730050 [2]甘肃省生态资源监测中心,甘肃兰州730020 [3]空军军医大学西京医院,陕西西安710032 [4]兰州大学第二临床医学院,甘肃兰州730030 [5]甘肃中医药大学,甘肃兰州730000

出　　处：《西部中医药》2024年第3期131-136,共6页Western Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金地区基金(81960916);甘肃省卫生行业护理计划项目(GSWSKY-2019-43)。

摘　　要：目的:观察颈椎五步操康复锻炼对神经根型颈椎病(cervical spondylotic radiculopathy,CSR)患者的康复效果。方法:将90例CSR保守治疗患者按随机数字表法随机分为试验组和对照组各45例。对照组采取基础护理措施,试验组在对照组基础护理措施基础上进行颈椎五步操康复锻炼。比较两组患者入院及出院后各时间点颈椎功能障碍指数量表(neck disability index,NDI)评分、视觉模拟量表(visual analogue scale,VAS)评分、颈椎关节活动度评分变化情况。结果:出院后各时间点两组患者NDI、VAS评分均低于入院时(P<0.01),两组患者颈椎关节活动范围均较入院时改善(P<0.05),试验组改善优于对照组(P<0.01)。结论:颈椎五步操能够有效缓解CSR患者颈痛,改善患者颈椎功能及颈椎关节活动度。Objective:To observe rehabilitation effects of five-step cervical spine rehabilitation exercise on the patients suffering cervical spondylotic radiculopathy(CSR).Methods:All 90 CSR patients who accepted conservative therapy were randomized into the experiment group and the control group with 45 cases in each group according to random number table method.The control group adopted fundamental nursing measures,and the experiment group performed five-step cervical spine rehabilitation exercise based on basic nursing measures.To compare the NDI scores,VAS and range of motion(ROM)scores of the cervical spine at various points on admission and discharge between the two groups.Results:Patients'NDI and VAS scores at various times after discharge were lower in the two groups compared to when admitted(P<0.01),ROM of cervical spines were improved than on admission(P<0.05).The improvements of the experiment group were better than these of the control group(P<0.01).Conclusion:Five-step cervical spine rehabilitation exercise is an effective method of relieving cervical pain,improving cervical function and cervical range of motion.

关 键 词：颈椎病 神经根型 颈椎五步操 康复 护理 

分 类 号：R274.9[医药卫生—中西医结合]