颈项肌肌力训练联合综合物理因子治疗颈椎病的临床研究

Cervical Muscle Strength Training Combined with Comprehensive Physical Factors in the Treatment of Cervical Spondylosis

目的探讨对于颈椎病行颈项肌肌力训练联合综合物理因子治疗的临床效果。方法方便选取该院于2017年12月—2018年12月期间进行治疗的颈椎病患者42例,以随机数字表法的形式将其平均分为研究组和对照组,每组21例。对照组行颈椎牵引、红外线、脑电中频电等综合物理因子康复治疗,研究组在此基础上加行颈项肌肌力训练,对比2组治疗效果、临床症状和体征变化等、复发率。结果①在治疗之后,研究组总有效率80.95%高于对照组的38.10%,差异有统计学意义(χ^2=5.266,P=0.022)。②治疗之后,研究组临床症状评分(16.22±2.52)分高于对照组(13.60±1.80)分,差异有统计学意义(t=3.877,P=0.000);研究组各项能力评分(9.30±0.65)分高于对照组(8.34±0.32)分,差异有统计学意义(t=6.072,P=0.000);研究组体征评分(75.77±6.33)分比对照组(62.52±4.31)分高,差异有统计学意义(t=7.929,P=0.000);研究组总分(99.14±6.51)分比对照组(82.30±4.18)分高,差异有统计学意义(t=9.975,P=0.000)。③研究组复发率为14.29%低于对照组的47.62%,差异有统计学意义(χ^2=4.166,P=0.041)。结论治疗颈椎病采用颈项肌肌力训练联合综合物理因子治疗,提高患者的治愈率,并且较为安全,复发概率也比较低。

Objective To explore the clinical effect of cervical spondylosis training combined with comprehensive physical factor therapy for cervical spondylosis.Methods Convenient scelection of Forty-two patients with cervical spondylosis who were treated in the hospital from December 2017 to December 2018 were selected,and they were evenly divided into a study group and a control group in the form of a random number table,with 21 in each group.The control group was treated with comprehensive physical factors such as cervical traction,infrared ray,and electroencephalogram intermediate frequency power.The research group added cervical muscle strength training on this basis,and compared the treatment effects,clinical symptoms and physical changes of the two groups,and the recurrence rate.Results①After treatment,the total effective rate in the study group was 80.95%higher than the control group's 38.10%,and the difference was statistically significant(χ^2=5.266,P=0.022).②After treatment,the clinical symptom score of the study group(16.22±2.52)points was higher than that of the control group(13.60±1.80)points,the difference was statistically significant(t=3.877,P=0.000);the ability score of the study group(9.30±0.65)points were higher than the control group(8.34±0.32)points,the difference was statistically significant(t=6.072,P=0.000);the physical score of the study group(75.77±6.33)points was higher than the control group(62.52±4.31)points,The difference was statistically significant(t=7.929,P=0.000);the total score of the study group(99.14±6.51)points was higher than that of the control group(82.30±4.18)points,and the difference was statistically significant(t=9.975,P=0.000).③The recurrence rate in the study group was 14.29%lower than the control group's 47.62%,and the difference was statistically significant(χ^2=4.166,P=0.041).Conclusion The treatment of cervical spondylosis using cervical muscle strength training combined with comprehensive physical factor treatment can improve the cure rate,and it is safer,and the probability of recurrence is relatively low.