神经根型颈椎病复发标准的真实性与可靠性评价

To evaluate validity and reliability of cervical spondylotic radiculopathy recurrence standard

目的建立并系统评价神经根型颈椎病的复发标准。方法本组神经根型颈椎病患者210例,疗程2周,治疗后1个月、3个月、6个月及3年进行随访。随访期患者分别进行患者复发的自身评价和依据症状体征评分下降进行复发评价,并对二者进行真实性、可靠性评价。结果治疗后1个月、3个月、6个月及3年进行随访,患者复发的自身评价复发率分别为4.88%、16.46%、26.82%、39.63%。疗效指数下降30%以上作为神经根型颈椎病复发标准识别复发和未复发的能力最高,具有较好的真实性和可靠性。结论疗效指数下降30%以上作为神经根型颈椎病复发标准具有较高的诊断价值。

Objective To set-up and evaluate cervical spondylotic radiculopathy（CSR）recurrence standard.Methods 210 patients with CSR were divided randomly into two groups：Rotation-traction manipulation was applied to the experimental group while control group was treated with neck traction therapy.The course of treatment were 2 weeks,and follow-up in 1 month,3 months,6 months,3 years.Results Following up in 1 month,3 months,6 months,3 years recurrence rates were 4.88%、16.46%、26.82%、39.63% by CSR patients self-evaluation.The efficacy index decreased by 30% as the recurrence standard of CSR could keep together better with patients self-evaluation.Conclusion It has a higher diagnostic value,high validity and reliability that the efficacy index decreased by 30% are confirmed as recurrence standard.