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颈椎问题患者的康复结果。

Rehabilitation results in patients with cervical spine problems.

作者信息

Aliyev R

机构信息

Clinic for Orthopaedics and Traumatology, Hospital Bethlehem Stolberg, Germany.

出版信息

Georgian Med News. 2011 May(194):38-43.

Abstract

The aim of the study is the effectiveness of a multi-week inpatient rehabilitation treatment with holistic complex conservative therapy for cervical present complaints using the Lawlis scores. A major part of the conservative treatment is represented by physical, physical therapy and sports therapy exercise programs. 77 patients with cervical spine disorders were treated 01-10-2006 to 30-09-2009 in rehabilitation clinic with a complex conservative treatment measures. The analysis was performed using a questionnaire, a clinical investigation, and a radiological examination of the cervical spine. At the beginning and end of the intervention subjective scores for symptoms complaints NRS scale and assessment of treatment results by the doctor after a 4-point rating scale were collected. The average age was 53.7 years at the time of treatment. Of these, 43 patients (56%) females and 34 (44%) were male. Of 77 patients 27 (35%) patients were the results excellent, 31 (40%) patients good, 8 (11%) patients satisfactory, 11 (14%) patients bad. Of 77 patients 66 (85.7%) patients were satisfied with rehabilitation treatment, 11 (14.3%) patients dissatisfied. The subjective assessment of the complaints numerical rating scale (NRS scale) improved significantly (p<0.001) from 8.5 to 2.4 points after treatment. An objective evaluation by the attending physician based on various clinical parameters was assessed in 75% of the cases as good or very good. Conservative treatment of cervical disorders included a variety of treatments available. A major part of the conservative treatment is represented by physical, physical therapy and sports therapy exercise programs. The primary goal of treatment is to eliminate pain or pain reduction. This can be achieved inter alia through Root detumescence and promotion of the venous flow. The success of each treatment varies from patient to patient. The study shows that the complex described here, conservative therapy, is a very good method for the treatment of cervical spine disorders in post-traumatic, degenerative and disc-related spinal disorders. The primary goal of treatment is to achieve freedom from pain was achieved as easily as the subjective assessment of the complaints proved using the NRS scale. Also the high patient satisfaction (86%) suggests that the complex conservative therapy can be a satisfactory choice as a treatment method.

摘要

本研究的目的是使用劳利斯评分法评估为期数周的住院康复治疗结合整体综合保守疗法对颈椎现有症状的有效性。保守治疗的主要部分由物理治疗、物理疗法和运动疗法锻炼项目构成。2006年10月1日至2009年9月30日期间,77例颈椎疾病患者在康复诊所接受了综合保守治疗措施。分析采用问卷调查、临床检查以及颈椎的放射学检查。在干预开始和结束时,收集了症状主诉的主观评分(NRS量表)以及医生采用4分制量表对治疗结果的评估。治疗时的平均年龄为53.7岁。其中,43例(56%)为女性,34例(44%)为男性。77例患者中,27例(35%)结果为优,31例(40%)为良,8例(11%)为满意,11例(14%)为差。77例患者中,66例(85.7%)对康复治疗满意,11例(14.3%)不满意。治疗后,主诉的主观评估数值评定量表(NRS量表)从8.5分显著改善(p<0.001)至2.4分。主治医生基于各种临床参数进行的客观评估在75%的病例中被评定为良好或非常好。颈椎疾病的保守治疗包括多种可用治疗方法。保守治疗的主要部分由物理治疗、物理疗法和运动疗法锻炼项目构成。治疗的主要目标是消除疼痛或减轻疼痛。这尤其可以通过神经根消肿和促进静脉血流来实现。每种治疗的成功程度因患者而异。研究表明,这里描述的综合保守疗法是治疗创伤后、退行性和椎间盘相关脊柱疾病中颈椎疾病的一种非常好的方法。治疗的主要目标即实现无痛,这一目标很容易达成,正如使用NRS量表对主诉进行的主观评估所证明的那样。此外,较高的患者满意度(86%)表明,综合保守疗法作为一种治疗方法可能是一个令人满意的选择。

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