CAJ | 학술논문

目的：建立门诊“健康指导、预防治疗、追踪治疗”的颈椎病“治未病”诊疗流程，探讨“治未病”诊疗流程对颈椎病高危人群的影响。方法：将100例非脊髓型颈椎病患者随机分为干预组（50例）和对照组（50例），干预组每隔2周进行最少1次电话随访进行功能锻炼及生活习惯指导；对照组则每隔2周进行最少1次电话随访，了解病情发展情况，但不进行指导干预。6个月后进行问卷调查，观察两组效果。结果：干预组颈椎功能障碍评分显著低于对照组（P<0.01）。结论：经“治未病”防治诊疗流程干预后能明显提高患者的治愈率、降低复发率，以及提高生活质量。
목적：건립문진“건강지도、예방치료、추종치료”적경추병“치미병”진료류정，탐토“치미병”진료류정대경추병고위인군적영향。방법：장100례비척수형경추병환자수궤분위간예조（50례）화대조조（50례），간예조매격2주진행최소1차전화수방진행공능단련급생활습관지도；대조조칙매격2주진행최소1차전화수방，료해병정발전정황，단불진행지도간예。6개월후진행문권조사，관찰량조효과。결과：간예조경추공능장애평분현저저우대조조（P<0.01）。결론：경“치미병”방치진료류정간예후능명현제고환자적치유솔、강저복발솔，이급제고생활질량。
Objective:To establish a diagnosis and treatment process of"health guidance, prevention and treatment, tracking treatment"that based on"preventive treatment of disease"concept at outpatient department for cervical spondylosis, and investigate the influence of the process on cervical spondylosis high-risk groups. Methods: 100 cases of patients with non cervical spondylotic myelopathy were randomly divided into intervention group (50 cases) and control group (50 cases), the intervention group was followed-up by telephone at least one time every 2 weeks to guide function-al exercise and living habits;while control group was followed-up by telephone at least one time every 2 weeks to track the development of disease, but no guidance or intervention. At the sixth month after that, observed the effectiveness of two groups by questionnaire survey. Results:The cervical dysfunction score of intervention group was significantly lower than that of control group (P<0.01). Conclusion:Intervened by diagnosis and treat-ment process that based on"preventive treatment of disease"can significantly improve the cured rate and decrease recurrence rate, and improve the quality of life of patients.