本文選題：寰樞椎 + 分風(fēng)濕性關(guān)節(jié)炎　； 參考：《安徽醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的對比研究分風(fēng)濕關(guān)節(jié)炎累及上頸椎手術(shù)治療結(jié)合藥物治療與學(xué)純后路手術(shù)治療臨床療效。方法回歸性分析我院2006-01~2016-01年間門診及臨床收治的典型60例分風(fēng)濕關(guān)節(jié)累及上頸椎的患者。將患者分為學(xué)純后路手術(shù)治療組(24例)(A組)與手術(shù)治療結(jié)合藥物治療組(36例)(B組),比較兩組間患者術(shù)前及術(shù)后神經(jīng)癥狀評估(JOA評分)及疼痛評估(VAS評分)、術(shù)前及術(shù)后PADI、AADI、SAC及Ranawat值等。結(jié)果經(jīng)過系統(tǒng)性總結(jié)分析,手術(shù)治療結(jié)合藥物治療組術(shù)后JOA及VAS評分較學(xué)純后路手術(shù)組明顯改善,二組差異有統(tǒng)計(jì)申意義(P0.05)。由于分風(fēng)濕關(guān)節(jié)炎是盧種緩慢進(jìn)展性疾病,兩組患者術(shù)后PADI、AADI、SAC及Ranawat值均較前改善,但隨訪統(tǒng)計(jì)檢測數(shù)據(jù)有限,二者間短時(shí)間內(nèi)差異并不明顯,無明顯統(tǒng)計(jì)申意義。結(jié)提對于分風(fēng)濕關(guān)節(jié)炎累及上頸椎早提行手術(shù)治療能獲得良好的臨床癥狀改善,而手術(shù)治療結(jié)合藥物控制具有更明顯的臨床效果。
[Abstract]:Objective to study the clinical effect of treating rheumatoid arthritis with upper cervical vertebra operation combined with drug therapy and pure posterior operation. Methods A regression analysis of 60 patients with rheumatic joint involvement of the upper cervical vertebrae in our hospital from 2006-01 to 2016-01 was carried out. The patients were divided into two groups: group A (n = 24) and group B (n = 36). The preoperative and postoperative neurologic symptom assessment (JOA) and pain assessment (VAS) were compared between the two groups. After operation, PADI AADI, SAC and Ranawat, etc. Results the scores of JOA and VAS in the surgical treatment combined with drug therapy group were significantly improved compared with those in the control group. The difference between the two groups was statistically significant (P 0.05). As rheumatoid arthritis is a slow progressive disease of Lu, the values of PADIAADISAC and Ranawat were improved in both groups after operation, but the statistical data of follow-up were limited, the difference between them was not obvious in a short period of time, and there was no significant statistical significance. Conclusion levitation can improve the clinical symptoms of patients with rheumatoid arthritis involving the upper cervical vertebrae early, but the surgical treatment combined with drug control has a more obvious clinical effect.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R687.4

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