| 孙瑞,王小云,马艳,李洁.麦肯基疗法配合心理疗法治疗椎动脉型颈椎病的疗效观察[J].中国康复,2016,31(2):85-87 |
| 麦肯基疗法配合心理疗法治疗椎动脉型颈椎病的疗效观察 |
| Clinical observation on Mckenzie therapy combined with psychotherapy in treatment of cervical spondylotic vertebral arteriopathy |
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| DOI： |
| 中文关键词: 麦肯基疗法 心理疗法 颈椎病 椎动脉型 |
| 英文关键词: Mckenzie therapy Psychotherapy Cervical spondylosis Vertebral arteriopathy |
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| 中文摘要: |
| 目的：观察麦肯基疗法配合心理疗法治疗椎动脉型颈椎病(CSA)的临床疗效。方法：将70例CSA患者随机分为观察组和对照组，每组35例。观察组用麦肯基疗法配合心理疗法治疗，对照组采用局部物理因子治疗。观察2组患者治疗前后总体有效率、抑郁自评量表（SDS）、焦虑自评量表（SAS)及经颅多普勒（TCD ）检查结果的变化。结果：治疗4周后，2组SAS及SDS评分均较治疗前明显降低（P＜0.05），且观察组更低于对照组（P<0.01）。治疗后，2组患者椎 基底循环各动脉Vm均较治疗前明显增加（P<0.05），观察组更高于对照组（P<0.01）。2组患者临床疗效比较，观察组总有效率明显高于对照组（P＜0.05）。结论：麦肯基疗法配合心理疗法治疗椎动脉型颈椎病是一种安全有效的方式，麦肯基疗法能够改善患者临床症状，帮助患者建立正确的姿势及运动模式，联合心理疗法，能够更好的发挥患者的主观能动性，从而实现患者身心健康。 |
| 英文摘要: |
| Objective:To investigate the clinical efficacy of Mckenzie therapy combined with psychotherapy in treating cervical spondylotic vertebral arteriopathy (CSA). Methods:A total of 70 cases of CSA were randomly allocated to treatment and control groups, 35 cases each. The treatment group received Mckenzie therapy combined with psychotherapy. The control group received physical factor treatment. In the two groups, the total efficacy rate, symptom checklist-90 (SCL-90), and the outcome of TCD examination were evaluated before and after treatment. The clinical therapeutic effects were compared between the two groups. Results:After the treatment for 4 weeks, both two groups had a significant improvement in the scores of SDS and SAS (P<0.01), but the curative effect in the treatment group was better than the control group (P<0.01). The mean blood flow velocity (Vm) of vertebral artery (VA) and basilar artery (BA) after treatment was remarkably higher than that before treatment (P<0.05). As compared with the control group, the therapeutic effect in treatment group was significantly improved (P<0.01). The total efficacy rate was 91.43% in the treatment group and 80.0% in the control group with the difference being statistically significant (P<0.05). Conclusion:Mckenzie therapy combined with psychotherapy in treating cervical spondylotic vertebral arteriopathy CSA is a safe and effective therapy. Mckenzie mechanics principle can relieve the symptoms, establish a correct posture and motion pattern in patients with CSA, but the psychotherapy can further improve subjective initiative of patients and promote physical and mental health. |
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