传统健身功法易筋经治疗青少年颈椎病的临床疗效观察  

Observation on Clinical Efficacy of the Traditional Health-care Qigong Yijinjing Exercise for the Treatment of Cervical Spondylopathy in Adolescents

作　　者：郭万林 许铛瀚 邢皓宇 龚厦莉 何丽君 张枳存 贾超[2] GUO Wan-Lin;XU Dang-Han;XING Hao-Yu;GONG Xia-Li;HE Li-Jun;ZHANG Zhi-Cun;JIA Chao(The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Guangdong Second Provincial General Hospital,Guangzhou 510317 Guangdong,China;Baiyun Hospital of the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510400 Guangdong,China)

机构地区：[1]广州中医药大学第一临床医学院,广东广州510405 [2]广州中医药大学第一附属医院,广东广州510405 [3]广东省第二人民医院,广东广州川510317 [4]广州中医药大学第一附属医院白云分院,广东广州510400

出　　处：《广州中医药大学学报》2023年第2期405-412,共8页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省科技计划项目(编号:2019A141405022);广州中医药大学第一附属医院治未病项目(编号:2019ZWB12)。

摘　　要：【目的】探讨中国传统健身功法易筋经干预青少年颈椎病的临床疗效。【方法】采用平行、随机、评估者盲法的临床研究,将60例青少年颈型颈椎病患者随机分为对照组和观察组,每组各30例。观察组采用易筋经锻炼方式治疗,对照组采用健步走锻炼方式治疗。第一周为准备期,后3周要求参与者每周进行3次锻炼,每次时间不少于30 min。观察2组患者治疗前后颈椎功能障碍指数(NDI)评分、疼痛视觉模拟量表(VAS)评分和颈椎曲度的变化情况,并记录2组患者的不良事件发生情况。【结果】(1)颈椎活动度方面,观察组治疗后第14天、第28天、第42天的NDI评分均较治疗前(第0天)明显降低(P<0.01),但第42天的NDI评分较第28天又有所升高(P<0.05)。对照组治疗后第28天的NDI评分较治疗前明显降低(P<0.01),但第42天的NDI评分又升高至接近治疗前水平(P>0.05)。组间比较,观察组治疗后第14天、第28天、第42天的NDI评分均明显低于对照组(P<0.01)。(2)颈部疼痛方面,2组患者治疗后第14天、第28天、第42天的VAS评分均较治疗前明显降低(P<0.01),但对照组治疗结束后第42天的VAS评分又较第28天明显升高(P<0.01),而观察组的VAS评分较第28天无明显升高(P>0.05)。组间比较,观察组治疗后第14天、第28天、第42天的VAS评分均明显低于对照组(P<0.01)。(3)颈椎曲度方面,治疗后第28天,2组患者的颈椎曲度均较治疗前改善(P<0.01),其中,颈椎反弓及变直的例数均减少,颈椎曲度正常的例数均增加;但组间比较,差异无统计学意义(P>0.05)。(4)安全性方面,试验过程中,2组患者均无不良事件发生。【结论】传统健身功法易筋经对青少年颈椎病患者颈椎活动度改善、疼痛缓解的效果优于健步走锻炼。Objective To explore the efficacy of the traditional Chinese health-care qigong Yijinjing exercise in intervening the cervical spondylopathy in adolescents. Methods A paralleled, randomized, assessor-blinded clinical study was conducted in 60 adolescent patients with cervical spondylopathy. The patients were randomly divided into the control group and the observation group,with 30 patients in each group. The observation group was required to take Yijinjing exercise and the control group took brisk walking exercise. The first week was the preparatory period for the patients,and then the participants were required to do exercises 3 times a week for at least 30 minutes each time in the later 3 weeks. Before and after treatment,neck disability index(NDI)scores,pain visual analogue scale(VAS)scores and cervical curvature in both groups were observed,and the incidence of adverse events in both groups was recorded during the trial. Results(1)In terms of cervical range of motion,the NDI scores of the observation group on the 14th, 28thand 42ndday after treatment were significantly decreased compared with those before treatment(day 0)(P<0.01),but the NDI scores on 42ndday after treatment were increased compared to the 28thday after treatment(P<0.05). In the control group,the NDI scores on the 28thday after treatment were significantly decreased compared with those before treatment(P<0.01),while the NDI score on the 42ndday after treatment was increased to the level close to that before treatment(P>0.05). The intergroup comparison showed that the NDI scores on the 14th,28thand 42ndday after treatment in the observation group were significantly lower than those in the control group(P<0.01).(2)The neck pain VAS scores in both groups on the14th, 28thand 42ndday after treatment were significantly decreased compared with those before treatment(P<0.01), and the VAS scores on the 42ndday after treatment in the control group were significantly increased compared with those on the 28thday(P<0.01),but the VAS scores of the observati

关 键 词：传统健身功法 易筋经 青少年 颈型颈椎病 颈椎活动度 颈椎曲度 

分 类 号：R247.4[医药卫生—中医临床基础]