首页|规范化康复训练对颈椎病患者VAS、JOA评分的影响分析

规范化康复训练对颈椎病患者VAS、JOA评分的影响分析

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目的 探究颈椎病治疗中规范化康复训练对视觉模拟评分法(VAS)评分及日本骨科协会(JOA)评分的影响.方法 74 例颈椎病患者,根据随机数字表法分为对照组和研究组,每组 37 例.对照组应用常规西药治疗,研究组在对照组治疗基础上应用规范化康复训练.比较两组治疗前后VAS评分、JOA评分、椎动脉血流速度、基底动脉血流速度以及临床疗效、治疗满意度、不良反应发生情况.结果 治疗后,研究组患者VAS评分(5.21±1.56)分低于对照组的(6.28±1.73)分,JOA评分(25.11±1.71)分高于对照组的(23.36±2.79)分,差异有统计学意义(P<0.05).研究组治疗总有效率 94.59%高于对照组的 78.38%,差异有统计学意义(χ2=4.163,P=0.041<0.05).治疗后,研究组椎动脉血流速度(38.45±3.17)cm/s、基底动脉血流速度(33.88±3.47)cm/s均高于对照组的(34.22±3.08)、(30.73±3.26)cm/s,差异有统计学意义(t=5.821、4.024,P=0.000、0.000<0.05).研究组治疗满意度 97.30%(36/37)高于对照组的 83.78%(31/37),差异有统计学意义(χ2=3.945,P=0.047<0.05).治疗期间,两组患者均无不良反应发生.结论 规范化康复训练在颈椎病治疗中应用,效果突出,安全可靠,能改善患者颈椎功能,减轻疼痛,效果确切,推广价值大.
Effect analysis of standardized rehabilitation training on VAS score and JOA score of patients with cervical spondylosis
Objective To explore the influence of standardized rehabilitation training on visual analogue scale(VAS)score and Japanese Orthopaedic Association(JOA)score in the treatment of cervical spondylosis.Methods 74 patients with cervical spondylosis were divided into a control group and a study group according to random numerical table,with 37 cases in each group.The control group was given conventional medicine for treatment,and the study group was given standardized rehabilitation training on the basis of the control group.Comparison was made on VAS score,JOA score,blood flow velocity of vertebral artery and basilar artery,clinical efficacy,treatment satisfaction and adverse reaction rate between the two groups.Results After treatment,VAS score of(5.21±1.56)points in the study group was lower than that of(6.28±1.73)points in the control group,and JOA score of(25.11±1.71)points was higher than that of(23.36±2.79)points in the control group,and the difference was statistically significant(P<0.05).The total effective rate of 94.59%in the study group was higher than that of 78.38%in the control group,and the difference was statistically significant(χ2=4.163,P=0.041<0.05).After treatment,the blood flow velocity of vertebral artery and basilar artery were(38.45±3.17)and(33.88±3.47)cm/s in the study group,which were higher than those of(34.22±3.08)and(30.73±3.26)cm/s in the control group,and the difference was statistically significant(t=5.821,4.024;P=0.000,0.000<0.05).The treatment satisfaction of 97.30%(36/37)in the study group was higher than that of 83.78%(31/37)in the control group,and the difference was statistically significant(χ2=3.945,P=0.047<0.05).No adverse reactions occurred in both groups during treatment.Conclusion The application of standardized rehabilitation training in the treatment of cervical spondylosis has prominent effect,safety and reliability,and can improve the cervical function of patients,reduce pain and has definite effect,which is of great value for promotion.

Standardized rehabilitation trainingCervical spondylosisVisual analogue scale scoreJapanese Orthopaedic Association scores

张杨、张瑞萍、张宁、姜雪婷、李涛、陈冠伸、李金儒、何祉逸

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124010 盘锦辽油宝石花医院

规范化康复训练 颈椎病 视觉模拟评分法 日本骨科协会评分

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(2)
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