颈项功治疗颈型颈椎病60例的疗效观察  

Clinical effects of cervical exercise in treating 60 cases of cervical spondylosis

作　　者：陈佳[1] 费乐怡 余谦 单婉青 吕立江[1] CHEN Jia;FEI Leyi;YU Qian;SHAN Wanqing;LYU Lijiang

机构地区：[1]浙江中医药大学,浙江杭州310053

出　　处：《中医临床研究》2024年第3期82-85,共4页Clinical Journal Of Chinese Medicine

摘　　要：目的:通过对颈型颈椎病患者进行锻炼干预,比较颈项功和常规米字操治疗颈型颈椎病的临床疗效及对颈痛、压痛阈(Pressure Pain Threshold,PPT)的影响。方法:选择2020年11―12月浙江中医药大学纳入的60例颈型颈椎病患者,应用随机数字表法将60例颈型颈椎病患者分为功法组和常规米字操组,每组各30例。功法组患者采用功法“仙鹤点水”锻炼,常规米字操组患者采用常规米字操锻炼,两组患者每天早晚各锻炼1次,以锻炼4周为一个疗程。锻炼前对两组患者进行压痛点筛查,结果得到两组患者压痛点多在肩井穴和C3夹脊穴,并以此作为PPT值的采集点。观察各组患者在锻炼前后的视觉模拟评分法(Visual Analogue Scale,VAS)评分、Northwick Park颈痛量表(Northwick Park Neck-pain Questionnaire,NPQ)评分及肩井穴和C3夹脊穴的PPT值,并综合评定各组的临床疗效。结果:锻炼4周后两组患者的VAS评分和NPQ评分均较锻炼前降低(P<0.05),两组患者肩井穴的PPT值均较锻炼前升高(P <0.05),功法组C3夹脊穴的PPT值较锻炼前升高(P <0.05),常规米字操组C3夹脊穴的PPT值与锻炼前差异无统计学意义(P> 0.05)。功法组的总有效率为86.67%(26/30),优于常规米字操组的63.33%(19/30)(P <0.05)。结论:功法和常规米字操均能改善颈型颈椎病患者的颈部疼痛和压痛,但功法的疗效更加显著。Objective:To compare the clinical efficacy of the cervical exercise and the conventional Mi(米) word exercise and the effects on neck pain and pressure pain threshold in the treatment of cervical spondylosis.Methods:A total of 60 patients with cervical spondylosis enrolled in Zhejiang University of Chinese Medicine from November to December 2020 were selected,and 60 patients with cervical spondylosis were randomly divided into the exercise group and the conventional Mi word exercise group by random number table method,with 30 patients in each group.Patients in the exercise group took the exercise method “Crane Drinking Water” and patients in the conventional Mi word exercise group took the conventional Mi word exercise.Patients in both groups exercised once a day,and 4 weeks was a course of exercise.Before treatment,the patients were given a screening of pressure pain points,and the results showed that the pressure pain points of patients in the two groups were mostly at the Jianjin points(肩井穴,GB21) and the C3 Jiaji points(夹脊穴,EX-B2),which were used as the collection points of the pressure pain threshold.Before and after treatment,the visual analogue scale(VAS) scores,the Northwick Park neck-pain questionnaire(NPQ) scores and pressure pain threshold(PPT) of Jianjin points and C3 Jiaji points were recorded and used to evaluate the efficacy.Results:The scores of VAS and NPQ were decreased in two groups after 4 weeks of treatment(P<0.05).The pressure pain threshold of Jianjin points in two groups were both significantly improved after treatment(P<0.05).The pressure pain threshold of C3 Jiaji points in the exercise group was significantly improved(P<0.05),but there was no significant difference in the other group(P>0.05).The total efficacy rate in the exercise group was 86.67%(26/30),which was higher than 63.33%(19/30) in the conventional Mi word exercises group(P<0.05).Conclusion:Both the exercise therapy and conventional Mi word exercises could relieve neck pain of cervical spondylosis,but the form

关 键 词：颈椎病 功法 颈痛量表评分 压痛阈 视觉模拟评分法评分 

分 类 号：R274[医药卫生—中医骨伤科学]