民航飞行员颈椎病康复治疗方案探究

发布时间：2018-08-02 19:58

【摘要】：目的:尝试摸索民航飞行员颈椎病的康复治疗方案。方法:通过自拟调查问卷,获得飞行员的相关资料。根据纳入排除标准,随机将73例患有颈椎病的飞行员分为对照组(n=25)、治疗A组(每周1次治疗,n=24)及治疗B组(每两周1次治疗,n=24)。治疗方法包括中频电疗、高频电疗以及颈部牵引治疗。观察入组时、治疗1个月、3个月时飞行员颈椎活动度、视觉模拟评分(VAS)及简明疼痛评估(BPI)的变化。结果:①所选用的治疗组合可以改善飞行员的颈椎活动度,治疗A组效果好于治疗B组,治疗1个月时就可观察到疗效。②VAS得分显示所选治疗组合可以缓解飞行员的颈部疼痛,治疗1个月时,两治疗组明显优于对照组,但治疗组间无差异;治疗3个月时,缓解疼痛效果治疗A组明显好于治疗B组。③BPI评价提示,治疗A组经过3个月的治疗,可以有效地改善飞行员的疼痛症状,并减轻疼痛对其日常生活及工作的影响。结论:在所选治疗组合下,每周1次的治疗频率,治疗1个月时就可以提高被试飞行员的颈部活动范围,改善颈部疼痛程度,治疗3个月后,可明显减少了疼痛症状对他们工作生活的影响程度。每周1次频率的治疗效果较好,两周1次频率的治疗仅可以获得短时效果。
[Abstract]:Objective: to explore the rehabilitation treatment of cervical spondylosis in civil aviation pilots. Methods: the relevant data of pilots were obtained by self-designed questionnaire. According to the exclusion criteria, 73 pilots with cervical spondylosis were randomly divided into three groups: control group (n = 25), treatment group A (n = 24) and group B (n = 24). Treatments include medium-frequency electrotherapy, high-frequency electrotherapy and cervical traction therapy. The changes of cervical motion, visual analogue score (VAS) and simple pain assessment (BPI) were observed at 1 month and 3 months after treatment. Results the treatment combination of 1: 1 could improve the cervical vertebrae activity of pilots, and the effect of treatment in group A was better than that in group B. After 1 month of treatment, the curative effect. 2 VAS scores showed that the selected treatment group could relieve the neck pain of the pilot. At 1 month of treatment, the two treatment groups were obviously superior to the control group, but there was no difference between the treatment groups; at 3 months of treatment, the two groups were significantly better than the control group. The effect of pain relief in group A was significantly better than that in group B (.3BPI). It was suggested that the treatment of group A after 3 months of treatment could effectively improve the pain symptoms of pilots and alleviate the influence of pain on their daily life and work. Conclusion: under the selected treatment combination, the frequency of treatment once a week can increase the range of neck movement and improve the degree of neck pain after 1 month of treatment. It significantly reduced the impact of pain symptoms on their working lives. The therapeutic effect is better once a week, but only in a short period of time once a week.
【作者单位】：民航总医院康复医学科;中国国际航空公司航卫中心;
【基金】：民航局民航科技项目(MHRD2009201)
【分类号】：R85

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