颈部康复操训练联合艾灸治疗神经根型颈椎病临床研究  

Clinical study of cervical vertebra rehabilitation gymnastics combined with moxibustion therapy on patients with cervical spondylotic radiculopathy

作　　者：高滢滢 黄志雄 李明伟 GAO Yingying;HUANG Zhixiong;LI Mingwei(Department of Orthopedics,Fuyang Traditional Chinese Medicine Hospital,Fuyang,Anhui 236000)

机构地区：[1]安徽省阜阳市中医医院骨伤科,安徽阜阳236000

出　　处：《河北中医》2025年第3期468-471,476,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：2022年度安徽省卫生健康科研项目(编号:AHWJ2022b093)。

摘　　要：目的观察颈部康复操训练联合艾灸对神经根型颈椎病患者临床症状、颈椎功能的影响。方法选取2023年1月至2024年1月安徽省阜阳市中医医院收治的神经根型颈椎病患者80例,按照随机数字表法分为对照组(n=40)、治疗组(n=40)。对照组患者行艾灸治疗,治疗组在对照组基础上行颈部康复操训练治疗。对比2组患者治疗前后颈椎功能[颈椎功能障碍指数量表(NDI)]、改良Barthel指数(MBI)评分、中医证候评分、疼痛程度[疼痛视觉模拟评分法(VAS)、现有疼痛强度(PPI)评分]、颈椎活动度、生活质量[健康状况调查简表(SF-36)评分],并比较2组临床疗效。结果2组治疗后NDI、各项中医证候评分及PPI、VAS评分均较本组治疗前降低(P<0.05),且治疗组治疗后低于对照组(P<0.05)。2组治疗后MBI评分、颈椎左、右屈曲、前屈、后伸活动度、SF-36各维度评分均较本组治疗前升高(P<0.05),且治疗组治疗后高于对照组(P<0.05)。治疗组和对照组总有效率分别为97.50%(39/40)、77.50%(31/40),治疗组总有效率高于对照组(P<0.05)。结论颈部康复操训练联合艾灸治疗神经根型颈椎病可缓解临床症状,减轻疼痛程度,促进颈椎功能恢复,并提高日常生活质量。Objective To observe the effects of cervical vertebra rehabilitation gymnastics combined with moxibustion therapy on clinical symptoms and cervical function in patients with cervical spondylotic radiculopathy(CSR).Methods Eighty CSR patients admitted to Fuyang Traditional Chinese Medicine Hospital from January 2023 to January 2024 were randomised 1∶1 to receive moxibustion therapy(control group)or cervical vertebra rehabilitation gymnastics+moxibustion therapy(treatment group).The aim was to compare Neck Disability Index(NDI),modified Barthel Index(MBI)score,traditional Chinese medicine(TCM)syndrome score,visual analogue scale(VAS)score for pain,Present Pain Intensity(PPI)scale,cervical range of motion(CROM),36-item Short Form Health Survey(SF-36)between groups before and after treatment.The curative effect was assessed.Results After treatment,the scores of NDI,TCM syndrome,PPI,VAS in the both groups were significantly decreased(P<0.05),which were significantly decreased in the treatment group than in the control group(P<0.05).MBI,CROM(left and right flexion,anteflexion and extension),SF-36 score in the both groups were significantly increased(P<0.05),the increase in the treatment group was more common than the control group(P<0.05).The overall effective rate in the treatment group was significantly higher than that in the control group(97.50%[39/40]vs 77.50%[31/40],P<0.05).Conclusion For CSR patients,cervical vertebra rehabilitation gymnastics combined with moxibustion therapy can relieve clinical symptoms,reduce pain,promote recovery of cervical spine function,and improve the quality of life.

关 键 词：颈椎病 灸法 颈部康复操 

分 类 号：R681.531.09[医药卫生—骨科学] R246.21[医药卫生—外科学]