电针关键肌结合“颈—肩—胸”调整术治疗颈型颈椎病伴上交叉综合征的随机对照研究  

Electroacupuncture of Key Muscles Combined with"Neck-Shoulder-Chest"Adjustment Manipulation in Treatment of Cervical-type Cervical Spondylosis with Upper Cross Syndrome:A Randomized Controlled Trial

作　　者：占茂林[1] 张宇 吕子萌[1,2] 栾国瑞 李业甫 ZHAN Mao-lin;ZHANG Yu;LYU Zi-meng;LUAN Guo-rui;LI Ye-fu(The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230031,China;Anhui Hospital of Integrated Traditional Chinese and Western Medicine, Anhui Hefei 230031, China)

机构地区：[1]安徽中医药大学第一附属医院,安徽合肥230031 [2]安徽省中西医结合医院,安徽合肥230031

出　　处：《安徽中医药大学学报》2021年第5期53-57,共5页Journal of Anhui University of Chinese Medicine

基　　金：安徽省卫生健康软科学研究项目(2020WR04006);国家中医药管理局国医大师工作室建设项目(2018-474);安徽省省级重点质量工程项目(2020jyxm1054)。

摘　　要：目的探讨电针关键肌结合“颈—肩—胸”调整术对颈型颈椎病伴上交叉综合征患者的临床效果。方法选取颈型颈椎病伴上交叉综合征患者70例,采用随机数字表法分为对照组和观察组,每组35例,对照组采用电针关键肌治疗,观察组在电针关键肌的基础上采用基于“筋骨并举”思想的“颈—肩—胸”调整术治疗。治疗前后分别运用中文版颈部疼痛和废用量表(Chinese version of neck pain and disability scale,SC-NPDS)对患者颈椎疼痛水平、功能、残疾及情绪和认知进行评分,测量治疗前后颈椎活动度的改变以及前肩角度(forward shoulder angle,FSA)、头前伸角度(forward head angle,FHA)的变化。结果与治疗前比较,两组治疗后SC-NPDS评分、FSA、FHA显著降低(P<0.05),颈椎左旋、右旋、左右侧屈、屈曲、伸展活动度显著升高(P<0.05);两组患者治疗前后SC-NPDS评分、颈椎活动度及FSA、FHA差值比较,差异均有统计学意义(P<0.05)。结论电针关键肌治疗颈型颈椎病伴上交叉综合征能减轻患者疼痛,改善颈椎大部分活动度及前倾姿势,而在此基础上采用“颈—肩—胸”调整术更能有效减轻患者疼痛,改善颈椎活动度,纠正患者静态头颈部前倾姿势。Objective To investigate the clinical effect of electroacupuncture of key muscles combined with"neck-shoulder-chest"adjustment manipulation in the treatment of patients with cervical-type cervical spondylosis and upper cross syndrome.Methods A total of 70 patients with cervical-type cervical spondylosis and upper cross syndrome were enrolled and divided into control group and observation group using a random number table,with 35 patients in each group.The patients in the control group were treated with electroacupuncture of key muscles,and those in the observation group were treated with electroacupuncture of key muscles combined with"neck-shoulder-chest"adjustment manipulation based on the theory of"tendon-bone manipulation".The simplified Chinese version of Neck Pain and Disability Scale(SC-NPDS)was used to determine the scores of cervical pain,function,disability,mood,and cognitive function before and after treatment,and the range of motion of cervical vertebra,forward shoulder angle(FSA),and forward head angle(FHA)were measured before and after treatment.Results After treatment,both groups had a significant reduction in SC-NPDS score,FSA,and FHA(P<0.05)and significant increases in the range of motion of cervical vertebra(left rotation,right rotation,left and right lateral flexion,and flexion and extension)(P<0.05),and there were significant differences in the changes in SC-NPDS score,range of motion of cervical vertebra,FSA,and FHA after treatment between the two groups(P<0.05).Conclusion For patients with cervical-type cervical spondylosis and upper cross syndrome,electroacupuncture of key muscles can alleviate pain and improve the range of motion and forward posture of cervical vertebra,and its combination with"neck-shoulder-chest"adjustment manipulation can effectively alleviate pain,improve the range of motion of cervical vertebra,and correct the forward posture of the head and neck in static state.

关 键 词：颈型颈椎病 上交叉综合征 关键肌 颈—肩—胸调整术 电针 

分 类 号：R681.55[医药卫生—骨科学]