中国综合临床
中國綜閤臨床
중국종합림상
Clinical Medicine of China
2015年
10期
907-909
,共3页
综合康复治疗%腰椎间盘突出%糖尿病
綜閤康複治療%腰椎間盤突齣%糖尿病
종합강복치료%요추간반돌출%당뇨병
Comprehensive rehabilitation treatment%Lumbar disc%Diabetes
目的 分析物理因子治疗、功能锻炼等综合治疗方式对骨质疏松性腰椎间盘突出合并糖尿病患者的治疗效果.方法 选取我院2011年1月至2013年1月收治的90例老年骨质疏松性腰椎间盘突出合并糖尿病患者,将其随机分为观察组以及对照组,每组45例,对照组给予常规治疗,观察组给予综合康复治疗,比较两组患者治疗后的目测类比评分(VAS)以及Oswetry功能障碍指数量表(ODI)指数变化,比较治疗有效率.结果 治疗1个疗程以及2个疗程后观察组的VAS评分分别为(2.05±1.31)、(1.26±1.03)分,ODI评分分别为(26.37±5.10)、(21.82±4.57)分;对照组的VAS评分分别为(5.85±1.38)、(3.29±1.94)分,ODI评分分别为(37.29±6.32)、(28.33±5.30)分,两组较治疗前明显改善(P均＜0.05),与对照组相比观察组改善程度更明显,组间比较差异均有统计学意义(P均＜0.05).观察组的治疗有效率为95.56％ (43/45),对照组为80.00％ (36/45),组间比较差异有统计学意义(x2=5.075,P＜0.05).结论 综合康复治疗可明显改善骨质疏松性腰椎间盘突出合并糖尿病患者的疼痛症状、提高腰椎活动能力,值得临床推广应用.
目的 分析物理因子治療、功能鍛煉等綜閤治療方式對骨質疏鬆性腰椎間盤突齣閤併糖尿病患者的治療效果.方法 選取我院2011年1月至2013年1月收治的90例老年骨質疏鬆性腰椎間盤突齣閤併糖尿病患者,將其隨機分為觀察組以及對照組,每組45例,對照組給予常規治療,觀察組給予綜閤康複治療,比較兩組患者治療後的目測類比評分(VAS)以及Oswetry功能障礙指數量錶(ODI)指數變化,比較治療有效率.結果 治療1箇療程以及2箇療程後觀察組的VAS評分分彆為(2.05±1.31)、(1.26±1.03)分,ODI評分分彆為(26.37±5.10)、(21.82±4.57)分;對照組的VAS評分分彆為(5.85±1.38)、(3.29±1.94)分,ODI評分分彆為(37.29±6.32)、(28.33±5.30)分,兩組較治療前明顯改善(P均＜0.05),與對照組相比觀察組改善程度更明顯,組間比較差異均有統計學意義(P均＜0.05).觀察組的治療有效率為95.56％ (43/45),對照組為80.00％ (36/45),組間比較差異有統計學意義(x2=5.075,P＜0.05).結論 綜閤康複治療可明顯改善骨質疏鬆性腰椎間盤突齣閤併糖尿病患者的疼痛癥狀、提高腰椎活動能力,值得臨床推廣應用.
목적 분석물리인자치료、공능단련등종합치료방식대골질소송성요추간반돌출합병당뇨병환자적치료효과.방법 선취아원2011년1월지2013년1월수치적90례노년골질소송성요추간반돌출합병당뇨병환자,장기수궤분위관찰조이급대조조,매조45례,대조조급여상규치료,관찰조급여종합강복치료,비교량조환자치료후적목측류비평분(VAS)이급Oswetry공능장애지수량표(ODI)지수변화,비교치료유효솔.결과 치료1개료정이급2개료정후관찰조적VAS평분분별위(2.05±1.31)、(1.26±1.03)분,ODI평분분별위(26.37±5.10)、(21.82±4.57)분;대조조적VAS평분분별위(5.85±1.38)、(3.29±1.94)분,ODI평분분별위(37.29±6.32)、(28.33±5.30)분,량조교치료전명현개선(P균＜0.05),여대조조상비관찰조개선정도경명현,조간비교차이균유통계학의의(P균＜0.05).관찰조적치료유효솔위95.56％ (43/45),대조조위80.00％ (36/45),조간비교차이유통계학의의(x2=5.075,P＜0.05).결론 종합강복치료가명현개선골질소송성요추간반돌출합병당뇨병환자적동통증상、제고요추활동능력,치득림상추엄응용.
Objective To analysis the effect of using comprehensive rehabilitation treatment for osteoporotic bulging disc combine diabetes otients.Methods Ninety cases osteoporotic bulging disc combine diabetes patients, who treated in Guanganmen Hospital of Chinese Academy of Traditional Chinese Medicine from January 2011 to January 2011, were randomly divided them into observation group and control group, 45 cases in each group, control group was given conventional treatment, the observation group was given comprehensive rehabilitation treatment, compare visual analogue scale (VAS) score and Oswetry functional disability index (ODI) changes in two groups after treatment, and compared the efficient of treatment.Results VAS scores after treatment for one course and 2 courses in observation group were respectively (2.05± 1.31) and (1.26± 1.03) points,ODI score was respectively (26.37±5.10) and (21.82±4.57) points, VAS score in the control group was (5.85±1.38) and (3.29±1.94) points,ODI score was respectively (37.29±6.32) and (28.33±5.30), all obviously improving than before treatment, but compared with control group, the observation group improved more apparent,the difference between groups was statistically significant(P＜0.05).Treatment effective rate in observation group was 95.56％ (43/45), the control group was 80.00％ (36/45), the difference between groups was statistically significant(x2=5.075 ,P＜0.05).Conclusion Comprehensive rehabilitation therapy applied in treatment for osteoporotic bulging disc combine diabetes patients can obviously improve the patient's pain symptomsand and the lumbar spine, obtain better treatment effect, worthy of clinical popularization and applications.
