脊髓型颈椎病的围术期康复治疗.pdfVIP

# 1118# # # 范 伟 = 回顾分析脊髓型颈椎病的围术期康复治疗, 探讨提高手术疗效促进肢体功 改善的方法 对我院 2004年 9月) 2008年 8月收治并获得随访的 105例脊髓型颈椎病患者的围术期康复治疗进行回顾性分析 术前日本骨科学会 ( JOA ) 颈椎病评分为 ( 10102 ? 1186) 分, 术后 JOA 评分为 ( 16152 ? 2165) 分; 神经功 恢复率为 7914% 恢复率等级情况: 优 68例 ( 64176% ), 良 26例 ( 24 176% ), 好转 9例 ( 8157% ), 无变化 2例 ( 1191% ), 无恶化病例, 优良率为 89152%脊髓功 损害加重 3例, 发生并发症 12例 影响脊髓型颈椎病疗 效的因素很多, 手术治疗只是其中的一种方法, 在围术期采用系统的康复治疗等综合措施, 才 最大限度地恢复肢体 功 = 颈椎病; 围术期; 康复护理 = R 681153111 = B = 1007- 9572 ( 2010) 04- 1118- 03 Rehabilitation Care of Cervical Sp ondy lotie M yelopathy in Per iop eration FAN W ei1D ep ar tm ent of Orthop aed ics, The F irst Aff ilia ted H osp ita ,l Chong qing M ed ical Univer sity, Chong q ing 400016, China =Ab stract O bjective To retrospecti e analyze them anagem ent of cer ical spondyloticm yelopathy in perioperation in order to mi pro e the efficiency of operation and the function of lmi bs1M ethods To follow - up and analyze the preoperati e treat- m ent, operati e methods, inter ention study, postoperati e treatm en t and comp lication of 105 cases of spinal cord chron ic com- pression of cer ical spondylosis1Resu lts Preoperati e JOA score was a erage ( 10102 ? 1186) and postoperati e JOA grad ing w as a erage ( 16152 ? 2165 ), the ner ous functional reco ery rate was 7914% 1Le el of reco ery rate: Excellent 68 cases ( 64176% ), good in 26 cases ( 24 176% ), mi pro ed in 9 cases ( 8157% ), unchanged in 2 cases ( 1191% ). Three casesw ere aggra ated, and twel e com plicationsw ere occurred1Conclusion M any factors cou ld affect the curati e effect of spinal cord chron ic compression1Operati e therapy is just one of treatm ents1W e shou ld adopt synthetic m easu res to reduce the com plications and reco er the indi idual functions as far as possible1 =K ey w ords Cer ical spondylosis; Peroperati e period; Reh