悬吊训练结合针刺对慢性非特异性颈痛的疗效  

Effect of suspension combined with acupuncture on chronic non-specific neck pain

作　　者：马二浩 申岩[1] 王尚全[1] 董继革[1] MA Erhao;SHEN Yan;WANG Shangquan;DONG Jige(Wangjing Hospital,Chinese Academy of Traditional Chinese Medicine,Beijing 100102,China)

机构地区：[1]中国中医科学院望京医院,北京市100102

出　　处：《中国康复理论与实践》2024年第2期232-237,共6页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的 探讨悬吊训练结合针刺治疗慢性非特异性颈痛的效果。方法 2022年3月至2023年3月选取望京医院康复门诊单侧慢性非特异性颈痛患者81例,随机分为悬吊组(n=27)、针刺组(n=27)和联合组(n=27)。悬吊组进行常规悬吊训练,针刺组接受常规针刺治疗,联合组进行悬吊训练和针刺结合治疗,共6周。治疗前后,分别进行视觉模拟评分(VAS)和颈椎功能障碍指数(NDI)评价,采用超声成像评价颈长肌和多裂肌的横截面积。结果 治疗后,3组VAS、NDI评分以及颈长肌和多裂肌横截面积均显著改善(|t|> 4.473, P <0.001),且联合组优于悬吊组和针刺组(P <0.05)。结论 悬吊训练和针刺均可改善慢性非特异性颈痛的疼痛症状和功能,增加颈长肌和多裂肌横截面积,结合应用效果更优。Objective To explore the effect of suspension combined with acupuncture on chronic non-specific neck pain(CNNP).Methods A total of 81 patients with unilateral CNNP from the rehabilitation outpatient clinic of Wangjing Hospital from March,2022 to March,2023 were divided into suspension group(n=27),acupuncture group(n=27)and combined group(n=27)randomely.The suspension group underwent conventional suspension,the acupuncture group received conventional acupuncture treatment,and the combined group underwent suspension and acupuncture,for six weeks.The Visual Analogue Scale(VAS),Neck Disability Index(NDI),and cross-sectional area(CSA)of longus colli and multifidus in the neck using ultrasound imaging were compared before and after treatment.Results After treatment,the VAS and NDI score,and CSA of longus colli and multifidus improved in three groups(|t|>4.473,P<0.001),and the combined group was better than the other two groups(P<0.05).Conclusion Suspension and acupuncture can relief the pain,improve function,and increase CSA of longus colli and multifidus in patients with unilateral CNNP,while the combination of the two methods is better.

关 键 词：慢性非特异性颈痛 悬吊训练 针刺 

分 类 号：R681.5[医药卫生—骨科学]