颈椎保健操和穴位敷贴治疗在校大学生颈型颈椎病的疗效观察  

Observation on the curative effect of cervical vertebra exercise and acupoint application in the treatment of cervical spondylosis in college students

作　　者：曹丽 唐烨霞[1] 康泽 贾晓宇 CAO Li;TANG Yexia;KANG Ze;JIA Xiaoyu(Baotou Medical College Baotou City014040,Inner Mongolia, China)

机构地区：[1]内蒙古科技大学包头医学院,内蒙古包头014040

出　　处：《包头医学院学报》2019年第12期60-63,共4页Journal of Baotou Medical College

基　　金：内蒙古自治区自然科学基金项目(2017MS(LH)0806)。

摘　　要：目的:探讨适合大学生颈椎病干预的方法。方法:2017年9月至12月间筛选符合颈型颈椎病诊断标准的患者120例,随机分为颈椎病保健操组、贴敷组、联合组及对照组4组,每组各30例,颈椎病保健操组连续做操15 d为1疗程;敷贴组患者采用穴位敷贴治疗贴,选取风府、天柱、大杼、肩井穴6个穴位,15 d为1疗程;联合组患者在穴位敷贴同时进行颈椎病保健操1疗程;对照组患者采用热水袋热敷项背部及避免低头过久的自我保健治疗;观察4组患者治疗前、治疗后以及治疗结束后1个月、6个月随访的颈肩僵硬拘紧程度、疼痛程度及压痛点数量。结果:4组患者的治疗前、治疗后症状、体征总评分、僵硬拘紧程度、疼痛程度、压痛点均存在差异(P<0.05),4组患者颈型颈椎病治疗均有效,其中穴位贴敷组(100.0%)和联合组(100.0%)治疗有效率高于颈椎操组(73.3%)和对照组(96.0%)(P<0.05),联合组患者的显效率(75.0%)高于其他3组,差异有统计学意义(P<0.05);颈椎操组和穴位贴敷组患者在改善疼痛方面均有显著性差异(P<0.05)。结论:颈椎保健操可以缓解颈型颈椎病的疼痛程度,减少压痛点,改善患者的疼痛症状,且远期疗效较好,值得在日常保健、保养,学校及医务工作者中推广。Objective:To explore the method of cervical intervening suitable for college students.Methods:120 students who met the diagnostic criteria of cervical spondylosis were selected from September to December 2017.They were randomly divided into three groups:cervical spine exercise group,application group,combination group and control group,with 30 cases in each group.The cervical spine exercise group continued to do exercises for 15 days as a course of treatment.Six acupoints,15 days for a course of treatment;combined group:acupoint application while participating in a course of cervical spine exercise;control group:after teaching cervical spine health knowledge,normal life,learning.The stiffness and tightness of neck and shoulder,the degree of pain and the number of tenderness points were observed and compared before treatment and after one course of treatment and one month and six months follow-up after treatment.Result:There were differences in the total scores of symptoms,signs,stiffness and tightness,pain degree and tenderness point before and after the four intervention methods(P<0.05).The four treatment methods were effective in treating cervical vertebra.The curative effect of acupoint application group(100%)and combination group(100%)was significantly better than that of cervical vertebra exercise group(73.3%)and control group(96%).The obvious efficiency of combination group(75%)was significantly higher than that of other groups(P<0.05).The cervical spine exercise group was better than the acupoint application group in improving pain,and the long-term effect was better than the acupoint application group(P<0.05).Conclusion:It is recommended that college students choose the method of cervical health exercises to intervene in cervical spondylosis and pay attention to the daily health care and maintenance of cervical spine.Schools and medical workers should strengthen the propaganda of cervical daily health knowledge.

关 键 词：颈椎保健操 穴位敷贴 大学生颈型颈椎病 疗效观察 

分 类 号：R274.9[医药卫生—中西医结合]