离子导入联合康复护理在椎动脉型颈椎病术后患者中的应用及对患者血流动力学的影响  

Application of Iontophoresis Combined with Rehabilitation Nursing in Postoperative Patients with Vertebral Artery Type Cervical Spondylosis and Its Influence on Hemodynamics

作　　者：秦慧 QIN Hui(Department of spine surgery,Inner Mongolia autonomous region people’s hospital,Hohhot,Inner Mongolia 010010)

机构地区：[1]内蒙古自治区人民医院脊柱外科,内蒙古呼和浩特010010

出　　处：《中国伤残医学》2024年第7期86-89,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨离子导入联合康复护理在椎动脉型颈椎病术后患者中的应用及对患者血流动力学的影响。方法:选取2020年9月-2023年1月在内蒙古自治区人民医院完成手术的67例椎动脉型颈椎病术后患者为研究对象,根据1:1随机掷硬币原则把67例患者分为离子组(n=34)与对照组(n=33)。对照组采用常规康复护理,离子组在对照组基础上采用离子导入护理,离子组与对照组护理观察周期均为3个月,测定与记录患者的血流动力学变化情况。结果:护理3个月后,离子组治疗总有效率为97.06%,高于对照组的81.82%,差异有统计学意义(P<0.05)。2组颈椎JOA评分均高于护理前,且离子组高于对照组,差异有统计学意义(P<0.05)。2组左椎动脉血流速度均快于护理前,血流量均多于护理前,且离子组的左椎动脉血流速度快于对照组,血流量多于对照组,差异有统计学意义(P<0.05)。2组的IL-6、肿瘤坏死因子-α水平均低于护理前,且离子组低于对照组,差异有统计学意义(P<0.05)。结论:离子导入联合康复护理在椎动脉型颈椎病术后患者中的应用能提高患者的总体疗效,改善患者的颈椎功能,还可增快患者的左椎动脉血流速度,增加血流量,抑制患者血清炎症因子的表达。Objective:To explore the application of iontophoresis combined with rehabilitation nursing in patients with vertebral artery type cervical spondylosis after operation and its effect on hemodynamics.Methods:67 patients with cervical spondylosis of vertebral artery type who underwent surgery in Inner Mongolia People’s Hospital from September 2020 to January 2023 were selected as the research objects.According to the principle of 1:1 random coin toss,67 patients were divided into an ion group(n=34)and a control group(n=33).The control group was treated with routine rehabilitation nursing,and the ion group was treated with iontophoretic nursing on the basis of the control group.The nursing observation period of the ion group and the control group was 3 months,and the hemodynamic changes of the patients were measured and recorded.Results:After 3 months of nursing,the total effective rate of treatment in the ion group was 97.06%,which was higher than 81.82%in the control group,and the difference was statistically significant(P<0.05).The cervical Japanese Orthopaedic Association Scores of the two groups were higher than those before nursing,and the ion group was higher than the control group,and the difference was statistically significant(P<0.05).The blood flow velocity of left vertebral artery in the two groups was faster than that before nursing,and the blood flow volume was higher than that before nursing,and the blood flow velocity of left vertebral artery in the ion group was faster than that in the control group,and the blood flow volume was higher than that in the control group,and the differences were statistically significant(P<0.05).The levels of serum interleukin-6 and tumor necrosis factor-αin the two groups were lower than those before nursing,and were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The application of iontophoresis combined with rehabilitation nursing in patients with cervical spondylosis of vertebral artery type after surgery

关 键 词：椎动脉型颈椎病术后 离子导入 康复护理 颈椎功能 左椎动脉血流速度 炎症因子 

分 类 号：R681.53[医药卫生—骨科学]