《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (04): 374-375.

• 临床研究 • 上一篇    下一篇

脊髓型颈椎病人工椎间盘置换术后肢体功能康复训练治疗42例分析

张山1;刘吉祥1;任洪波1;祁红辉2;侯林3a;李慧娟3b   

  1. 1. 河北省邯郸市中心医院神经外科,河北邯郸市 056002;2. 河北省邯郸市第一医院急诊科,河北邯郸市 056002;3. 河北省永年县第一医院a.神经外科;b.神经内科,河北永年县 057105
  • 收稿日期:2008-11-27 修回日期:2009-03-05 出版日期:2009-04-01 发布日期:2009-04-01

Effect of Rehabilitation Exercises on Limb Function of Patients with Cervical Spondylotic Myelopathy after Artificial Intervertebral Disc Replacement: 42 Cases Report

ZHANG Shan, LIU Ji-xiang, REN Hong-bo, et al   

  1. The Department of Neurosurgery, the Center Hospital of Handan City, Handan 056002, Hebei, China
  • Received:2008-11-27 Revised:2009-03-05 Published:2009-04-01 Online:2009-04-01

摘要: 目的 观察脊髓型颈椎病人工椎间盘置换术后肢体功能康复训练的效果。方法 42例行前路显微镜下手术减压后椎间植Bryan人工椎间盘术患者随机分为常规护理组(20例)和功能康复训练组(22例),于术后2周及6个月分别对两组患者进行JOA评分。结果 两组患者术后6个月的JOA评分均高于术后2周,但功能康复训练组的评分明显高于常规护理组( P<0.01)。结论 脊髓型颈椎病患者人工椎间盘置换术后加强功能康复训练能有效恢复脊髓功能。

关键词: 脊髓型颈椎病, 人工椎间盘置换术, 康复训练

Abstract: Objective To observe the effects of rehabilitation exercises on limb function of patients with cervical spondylotic myelopathy (CSM) after artificial intervertebral disc replacement.Methods 42 CSM patients undergone anterior cervical decompression and Bryan disc prosthesis under microscope were randomly divided into the normal care group (n=20) and rehabilitation exercises group (n=22). All patients of two groups were assessed by JOA scale at 2nd week and 6th month after operation.Results The JOA scores of two groups at 6th month were all higher than that at 2nd week and scores of the rehabilitation exercises group were also higher than that of the normal care group ( P<0.01).Conclusion Rehabilitation exercises after artificial intervertebral disc replacement can improve spine cord function of CSM patient.

Key words: cervical spondylotic myelopathy, artificial intervertebral disc replacement, rehabilitation exercises