经皮穿刺臭氧消融术联合综合理疗在颈椎病合并糖尿病患者中的疗效观察
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摘要
目的研究臭氧注射联合综合理疗对颈椎病合并糖尿病患者的疗效。方法将符合纳入标准的87名颈椎病合并糖尿病患者随机分成试验组(45人)与对照组(42人),试验组采用臭氧注射联合综合理疗,对照组使用综合理疗。采用McGill疼痛问卷、颈椎病临床评价量表和颈椎生理曲度测量两组治疗前后的颈椎功能。结果试验组与对照组的颈椎功能均有改善。试验组较之对照组,在疼痛感觉、临床体征、主观感受方面的改善明显优于对照组。结论对颈椎病合并糖尿病患者采用臭氧注射联合综合理疗可有效改善颈椎功能水平。
Objective To investigate the curative effect of percutaneous intradiscal ozone injection combined with comprehensive physical treatment among patients with Diabetes and Cervical Spondylosis. Methods 87 patients who met the inclusion criteria were randomly divided into control group(42 persons) and treatment group(45 persons). The percutaneous intradiscal ozone injection was used in treatment group, and comprehensive physical treatment was used among control group. McGill Pain Questionnaire, clinical assessment scale for cervical spondylosis and cervical physiological curvature were used to evaluate the cervical function before and after therapy. Results The cervical function of both groups improved after treatment. And in contrast with control group, treatment group performed better in pain feeling, clinical signs and subjective sensations. Conclusion The usage of percutaneous intradiscal ozone injection combined with comprehensive physical treatment among patients with Diabetes and Cervical Spondylosis can effectively elevate the level of cervical function.
Objective To investigate the curative effect of percutaneous intradiscal ozone injection combined with comprehensive physical treatment among patients with Diabetes and Cervical Spondylosis. Methods 87 patients who met the inclusion criteria were randomly divided into control group(42 persons) and treatment group(45 persons). The percutaneous intradiscal ozone injection was used in treatment group, and comprehensive physical treatment was used among control group. McGill Pain Questionnaire, clinical assessment scale for cervical spondylosis and cervical physiological curvature were used to evaluate the cervical function before and after therapy. Results The cervical function of both groups improved after treatment. And in contrast with control group, treatment group performed better in pain feeling, clinical signs and subjective sensations. Conclusion The usage of percutaneous intradiscal ozone injection combined with comprehensive physical treatment among patients with Diabetes and Cervical Spondylosis can effectively elevate the level of cervical function.
引文
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[8]张鸣生,许伟成,林仲民,等.颈椎病临床评价量表的信度与效度研究[J].中华物理医学与康复杂志, 2003, 25(3):151-154.
[9]王涛,周理乾,孙孟锟,等. 6种颈椎曲度测量方法的可信度及可重复性比较[J].中国脊柱脊髓杂志, 2015, 25(4):323-327.
[10]王春生,张维斌.臭氧注射治疗椎间盘突出的临床进展[J].颈腰痛杂志, 2010, 31(5):381-383.
[11] He X, Xiao Y, Li Y, et al. Percutaneous Intradiscal O2-O3 Injection to Treat Cervical Disc Herniation[J]. 2005, 18(2 Suppl):75-78.
[2]杨新文,朱远熔,白跃宏,等.上海市徐汇区颈椎病患病情况调查分析[J].中国康复, 2011, 26(2):101-102.
[3]张冬慧,唐智柳,李岚,等.我国21世纪初糖尿病患病率系统综述[J].上海预防医学, 2012, 24(9):492-495.
[4] Houten J K, Lenart C. Diabetes and cervical myelopathy[J]. Journal of Clinical Neuroscience Official Journal of the Neurosurgical Society of Australasia, 2015, 27(1):99-101.
[5]李增春,陈德玉,吴德升,等.第三届全国颈椎病专题座谈会纪要[J].中华外科杂志, 2008, 46(23):1796-1799.
[6]钱荣立.关于糖尿病的新诊断标准与分型[J].中国糖尿病杂志,2000, 8(1):5-6.
[7]罗跃嘉.简化McGill疼痛评分表的临床应用评价[J].中国康复,1992(4):160-164.
[8]张鸣生,许伟成,林仲民,等.颈椎病临床评价量表的信度与效度研究[J].中华物理医学与康复杂志, 2003, 25(3):151-154.
[9]王涛,周理乾,孙孟锟,等. 6种颈椎曲度测量方法的可信度及可重复性比较[J].中国脊柱脊髓杂志, 2015, 25(4):323-327.
[10]王春生,张维斌.臭氧注射治疗椎间盘突出的临床进展[J].颈腰痛杂志, 2010, 31(5):381-383.
[11] He X, Xiao Y, Li Y, et al. Percutaneous Intradiscal O2-O3 Injection to Treat Cervical Disc Herniation[J]. 2005, 18(2 Suppl):75-78.