摘要
目的:探讨Oswestry功能障碍指数应用于腰椎间盘突出症患者评定的可信性。方法:选择2003-11/2004-08在空军总医院正骨中心门诊及病房收治的35例腰椎间盘突出症患者,治疗前用Oswestry功能障碍指数及综合评分表记分,用冯氏手法治疗后再次评分,分别进行对比。Oswestry功能障碍指数中每项有6个备选答案(分值0～5分,0分表示无任何功能障碍,5分表示功能障碍最明显),将9个项目选择答案相应得分累加后计算其所占总分(45分)的百分比,即为汉化的Oswestry功能障碍指数,0%为正常,越接近100%则功能障碍越严重。综合评分表为临床常用的对腰椎间盘突出症的疗效评定标准,选择了与腰椎间盘突出症关系最为密切的症状与主诉、工作和生活能力、下肢功能、临床体征4大项目,并对各项目及亚项目的不同表现确定不同的评分,应用时先分别对各项目评分,然后将评分相加,即为总分(20分),分值越小疗效越差,如果将分值域划分成4至5段,即可变成对患者进行优良可差等级评定法评定,优为分值≥16,良为11～15分,可为6～10分,差为0～5分。结果:入选的35例患者全部进入结果分析。患者经治疗后汉化的Os-westry功能障碍指数评分优良率86%;综合评分优良率为94%;Os-westry功能障碍指数与综合评分表比较差异无显著性。结论:Oswestry功能障碍指数评定冯氏手法治疗腰椎间盘突出症的疗效稳定、可靠,可以作为一项重要参考指标。
AIM： To determine the reliability of the Oswestry disability index （ODI） in evaluating curative effect of Feng＇s manipulation for patients with lumbar disc protrusion. METHODS： Totally 35 in-patients and outpatients with lumbar disc protrusion, who were treated with Feng＇s manipulation, were selected from the Center of Chinese Medicine Orthopedics, Air-force General Hospital of Chinese PLA from November 2003 to August 2004. All cases were evaluated by ODI and synthetic table before and after treatment and the results were compared between them. There were six results in each item of ODI. Score value ranged from 0 to 5, including 0 as without any disability, five as obviously functional impairment. The scores of nine items were accumulated to calculate the percentage accounted for the total scores （45 points）, which was Chinese Oswestry disability index （CODI）. 0% was normal, and CODI was more approached 100%, the functional impairment was more severity. Synthetic table was the criterion of evaluating curative effect on lumbar disc protrusion. There were four choice items which were the most consanguineous with lumbar disc protrusion： symptom and chief complaint, ability of work and living, function of lower limbs and clinic sign. According to appearance, the scores of item and sub-item were determined. Each item was graded before treatment and the scores were accumulated. Total score was 20 with smaller score and worse curative effect. If the score range was divided to 4 or 5 sections, the evaluation became ranking method. The score was excellent as ≥16, good as 11-15, passable as 6-10, and poor as 0-5. RESULTS： All 35 cases entered the final analysis. After treatment, the choiceness rate of CODI group was 86%, and synthetic rate 94%. There was no significant difference between CODI and synthetic table. CONCLUSION： CODI shows that it is superior reliability in evaluating curative effect of Feng＇s manipulation for patients with lumbar disc protru- sion and can be used as an important reference index.
出处
《中国临床康复》
CSCD
北大核心
2005年第30期8-9,共2页
Chinese Journal of Clinical Rehabilitation
