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改良肩颈操应用于颈椎病的康复效果观察(1)
http://www.100md.com 2010年1月1日
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     【摘要】目的:探讨颈椎病康复的有效方法。方法:将96例颈椎病人随机(查表法)分成二组,均由同一组医生进行治疗,由固定护士教会试验组病人进行自编改良的肩颈操锻炼,教会对照组病人进行传统的颈功操锻炼,二组病人出院时进行康复疗效比较;出院一月后咨询功能锻炼执行状况;半年后随访两组病人临床症状复发情况。结果:二组病人出院时康复疗效比较(P>0.05)无差异;出院一月后功能锻炼执行状况比较(P<0.01),有高度显蓍性差异;半年后随访临床症状复发情况比较(P<0.01),有高度显著性差异。结论:改良肩颈操简单,便于执行,能提高颈椎病患者对康复锻炼的依从性,康复效果显著,可成为颈椎病的系统保健炼功操。

    【关键词】颈椎病;肩颈操;功能锻炼

    【中图分类号】R681.15 【文献标识码】A 【文章编号】1008-6455(2010)07-0091-02

    【Abstract】Objective: TO Explore the effective methods to rehabilitate Cervical Spondylosis.Methods:96-cases Cervical Spondylosis are divided into were divided into two groups randomly(look-up table).All patients were treated by the same group of the doctors. The trial groupwere taught by the fixed nurses to practice neck and shoulder gymnastics that are arranged and improved by themselves and the control group were taught by the same nurses to practice the traditional neck gymnastics. The effect of rehabilitation are compared when the patients in two groups leave hospital .A month later, the nurses consult the implementation of function exercise; Six months later, following-up on the clinical symptoms of recurrence of the symptom from the two groups of patients at random. Results: The effect of rehabilitation makes no difference by comparing the two groups of patients when leaving the hospital(P>0.05);The implementation of function exercise makes great difference one month after leaving hospital(P<0.01);the clinical symptoms of recurrence of the situation also makes significant difference six months after leaving hospital (P<0.01).conclusion: The improved neck and shoulder gymnastics is easy to implement (practice) and can also increase the compliance of rehabilitation exercise with significant rehabilitation effect as for Cervical Spondylosis patients, and it can be system health-care gymnastics for curing the disease.

    【Key words】Cervical Spondylosis; neck and shoulder gymnastics; function exercise.

    颈椎病是因颈椎间盘、椎体、椎间关节退行性变而导致神经根、椎动脉、交感神经、脊髓受累引起的颈肩部疼痛、肢体麻木乏力或眩晕等综合症候群[1]。由于这种颈部组织的退变无法逆转,康复治疗只能缓解症状与体征,延缓或消除病变组织的进一步发展,因此颈肩部的医疗保健炼功操成为颈椎病缓解期的预防性康复治疗措施。2006年以来我们指导患者应用改良肩颈操辅助治疗颈椎病,取得了较好的效果,现总结如下:

    1 资料与方法

    1.1 临床资料:2006年-2007年在我院行颈椎病治疗的病人96例,随机分成试验组和对照组 ......

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