中医正骨手法联合康复训练改善颈型颈椎病患者CASCS评分、Berg平衡功能和疼痛程度效果观察

Observations on the Effect of Chinese Medicine Osteotomy Combined with Rehabilitation Training on Improving the CASCS Score,Berg Balance Function and Pain Level of Cervical Cervical Spondylosis Patients

目的探讨中医正骨手法联合康复训练改善颈型颈椎病患者的临床价值。方法选取120例颈型颈椎病患者作为研究对象,采用回顾性分析法分析所有患者的临床资料,根据其资料中其治疗方式不同将其分为对照组和观察组各60例,所有患者均予以颈型颈椎病常规临床对症治疗,对照组患者在此基础上进行康复训练,观察组患者在对照组治疗基础上联合中医正骨法治疗,两组患者均治疗20d,观察颈椎病临床评价量表(CASCS)评分、Berg平衡功能(BBS)以及疼痛情况,并比较两组患者其治疗后的临床疗效。结果 (1)治疗后两组患者其适应能力、临床体征及主观症状得分和总分均较治疗前升高,但观察组患者各方面得分升高程度均显著大于对照组(P<0.05);(2)治疗后两组患者其BBS评分较前均升高,而VAS评分较前均降低,但观察组患者其升高和降低程度均显著大于对照组患者(P<0.05);(3)观察组患者其治疗后的临床总有效率(96.67%)显著高于对照组患者其临床总有效率(80.00%)(P<0.05)。结论中医正骨手法联合康复训练可显著提高颈型颈椎病患者其CASCS和BBS评分,可明显改善患者疼痛状况,具有显著的临床疗效,值得作为临床上治疗颈型颈椎病患者的首选治疗方案。

Objective Objective： To investigate the clinical value of osteopontin combined with rehabilitation training for impro- ving cervical spondylosis patients. Methods From August 2015 to August 2017, 120 cases of cervical spondylosis patients in our hospital were selected as the research object. The clinical data of all patients were analyzed by retrospective analysis. According to the different treatment methods of their data, they were divided into control group and observation group, 60 cases each. All pa- tients were given conventional cervical symptomatic cervical spondylosis treatment. On the basis of this, patients in the control group were given rehabilitation training. Patients in the observation group were treated with the orthopedic method of traditional Chinese medicine on the basis of the control group. Both groups were treated for 20 days. After the treatment, CASCS score, Berg balance function （BBS） and pain were recorded in both groups. The clinical efficacy of the two groups after treatment was com- pared. Results （1） After treatment, the adaptability, clinical signs, subjective symptom score and total score in both groups were higher than those before treatment, but the scores in all aspects of the observation group were significantly higher than those in the control group （ P 〈 0.05 ）. （2） After treatment, the BBS scores in both groups were higher than those before treatment, while the VAS scores were lower than those before treatment. However, the degree of increase and decrease in observation group were significantly higher than those in control group （P 〈 0.05 ）. （3） The total clinical effective rate （96.67%） in the observa- tion group after treatment was significantly higher than that in the control group （80.00%） （P 〈 0.05 ）. Conclusion The osteo- porosis combined with rehabilitation training can significantly improve CASCS and BBS scores of patients with cervical spondylo- sis, can significantly improve the patient~ pain status, with significant clinical efficacy, it is worth as a clinical treatment for pa- tients with cervical spondylosis preferred treatment.