首页|中医辨证施护联合综合性康复训练对神经根型颈椎病患者的影响

中医辨证施护联合综合性康复训练对神经根型颈椎病患者的影响

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目的:探讨中医辨证施护联合综合性康复训练对神经根型颈椎病(cervical spondylotic radiculopathy,CSR)患者的干预效果.方法:选取82例CSR患者,参考随机数字表法分为对照组、观察组各41例.对照组予综合性康复训练,观察组在此基础上给予中医辨证施护干预,两组连续治疗4周,比较两组颈椎病临床评价量表(cervical spondylosis clinical evaluation scale,CASCS)评分、颈功能活动度、临床疗效及血液流变学指标.结果:治疗4周后,两组CASCS单项指标评分、颈功能活动度单项指标均显著提升,且观察组较对照组提升更显著(P<0.05);观察组总有效率[97.56%(40/41)]高于对照组[80.49%(33/41)](P<0.05).治疗4周后,两组全血黏度高切、中切、低切以及血浆黏度均下降,且观察组较对照组降低更显著(P<0.05).结论:中医辨证施护联合综合性康复训练干预可有效改善CRS患者的临床症状、颈椎活动度及血液流变学指标,提高临床疗效.
The Influence of Syndrome Differentiation and Care Combined with Comprehensive Rehabilitation Training on Patients with Cervical Spondylotic Radiculopathy
Objective:To investigate the intervention effects of syndrome differentiation and care,compre-hensive rehabilitation training on patients with cervical spondylotic radiculopathy(CSR).Methods:Eighty-two patients with CSR were selected and divided into 41 cases each in the control group and the observation group with reference to the random number table method.The control group was given comprehensive rehabilitation training,and the observation group accepted syndrome differentiation and nursing intervention on this basis.Both groups were treated continuously for four weeks,and the scores of cervical spondylosis clinical evaluation scale(CASCS),cervical functional mobility,clinical efficacy,and hemorheological indexes were compared between the two groups.Results:After four weeks of treatment,single index score of the CASCS and single indexes of cervical functional mobility of both groups were significantly improved,and the observation group was more remarkably improved than the control group(P<0.05);the total effective rate of the observation group[97.56%(40/41)]was higher than that of the control group[80.49%(33/41)](P<0.05).After four weeks of treatment,the whole blood viscosity high shear,medium shear,low shear as well as plasma viscosity decreased significantly in both groups,and the decrease was more significant in the observation group than in the control group(P<0.05).Conclusion:Syndrome differentiation and nursing intervention combined with comprehensive rehabilitation training can effectively improve the clinical symptoms,cervical spine mobility and blood rheology indexes of CRS patients,and improve the clinical efficacy.

cervical spondylosis,nerve root typesyndrome differentiation and nursing interventioncervical spine functionrehabilitation traininghemorheology

谭静静、刘铁

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阜阳市中医医院,安徽 阜阳 236000

颈椎病,神经根型 中医辨证施护 颈椎功能 康复训练 血液流变学

2024

西部中医药
甘肃中医药研究院

西部中医药

CSTPCD
影响因子:0.98
ISSN:1004-6852
年,卷(期):2024.37(4)
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