悬吊运动疗法结合药物治疗老年人颈源性眩晕的临床疗效

发布时间：2018-01-28 05:19

本文关键词： 悬吊运动疗法眩晕颈椎康复药物治疗老年人　出处：《中国运动医学杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的:探讨悬吊运动疗法结合药物治疗老年人颈源性眩晕的临床疗效。方法:前瞻性收集2011年1月至2014年7月我院收治的49例老年颈源性眩晕患者,随机分为观察组(n=27)和对照组(n=22),观察组予以悬吊运动疗法(sling exercise therapy,S-E-T)结合规律服用银杏叶提取物药物治疗,进行6周的颈部稳定性及牵伸训练,侧重颈部整体肌、局部稳定肌的康复训练,每次治疗40分钟,隔日1次;药物治疗服用6周。对照组仅行相同剂量和疗程的药物治疗。两组患者治疗期间由同一名治疗师进行健康宣教,治疗结束后6个月不接受其他治疗。分别于治疗前、治疗结束后当天及末次随访时比较两组患者颈椎残障指数(neck disability index,NDI)、视觉模拟评分(visual analogue scale,VAS)以及颈性眩晕症状与功能评分(evaluation scale for cervical vertigo,ESCV),并在治疗前及末次随访时进行颈椎X线片检查以及激痛点查体。结果:49例患者均获得随访,随访时间为4.83~6.70个月,平均6.01±0.49个月。两组患者治疗后ESCV均较治疗前有显著改善(P0.01),观察组NDI及VAS治疗结束后当天以及末次随访时与治疗前比较均有显著改善(P0.01),而对照组则在末次随访时可见改善(P0.05);两组患者治疗前后颈椎X线片中椎体骨赘形成及关节突关节、钩椎关节退变情况未见显著差异(P0.05),合并颈项部激痛点人数两组有显著差异(P0.05)。结论:悬吊运动疗法结合药物治疗对老年性颈源性眩晕患者颈部功能、疼痛以及眩晕症状均有明显改善,且半年随访疗效良好,其效果优于单独使用药物治疗。
[Abstract]:Objective: to investigate the clinical effect of suspension exercise therapy combined with medicine in the treatment of cervical vertigo in the elderly. From January 2011 to July 2014, 49 elderly patients with cervical vertigo were prospectively collected. The observation group was randomly divided into two groups: the observation group (n = 27) and the control group (n = 22). The observation group was treated with suspension exercise therapy (Sling exercise therapy). S-E-T) combined with regular administration of ginkgo biloba extract drug treatment, 6 weeks of neck stability and stretching training, focusing on the neck of the whole muscle, local stable muscle rehabilitation training, each treatment for 40 minutes. Once every other day; The patients in the control group were treated with the same dosage and course of medication for 6 weeks. The patients in both groups were given health education by the same therapist during the course of treatment. No other treatment was received 6 months after treatment. The cervical disability index (disability) was compared between the two groups on the day after treatment and at the last follow-up. Visual analogue scale. Vas) and the evaluation of scale for cervical vertigo cervical score on the symptoms and functions of cervical vertigo). Cervical X-ray examination and excitatory pain point examination were performed before and at the last follow-up. Results all 49 cases were followed up for 4.83 ~ 6.70 months. Mean 6.01 卤0.49 months. After treatment, ESCV in both groups was significantly improved than that before treatment (P 0.01). In the observation group, NDI and VAS were significantly improved on the day and at the last follow-up compared with those before the treatment, while in the control group, the improvement was observed at the last follow-up. Before and after treatment, there was no significant difference in osteophyte formation and articular facet joint degeneration between the two groups (P 0.05). There was significant difference between the two groups in the number of patients with cervical pain point. Conclusion: suspension exercise therapy combined with drug therapy for cervical function in elderly patients with cervical vertigo. The symptoms of pain and vertigo were obviously improved, and the effect of half-year follow-up was better than that of medication alone.
【作者单位】：解放军总医院第一附属医院骨科全军骨科研究所北京市骨科植入医疗器械工程技术研究中心;
【分类号】：R681.5
【正文快照】： 颈源性眩晕是一种因颈源性因素(如颈部外伤、颈椎骨质退变、颈部软组织损伤等)引起的以眩晕、平衡失调为主要特征,并常伴有颈项部疼痛及交感神经症状的一类眩晕综合征[1,2],其特点是当患者屈伸、旋转头颈时突发短暂眩晕,多见于中老年人,并急促发病,大大增加了老年患者跌倒的风

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