摘要
目的 探讨四子散热敷配合颈椎“三三操”对颈椎病病前状态的干预效果.方法 选择2012年5月～2013年12月在佛山市顺德区中医院门诊和体检人群中选择颈椎病病前状态160例,将其分成A、B、C、D四组,每组各40例.四组均进行常规日常生活自我干预,A组口服美洛昔康,B组用四子散热敷颈部,C组做颈椎“三三操”锻炼,D组进行四子散热敷结合颈椎“三三操”锻炼.干预后症状体征采用简化McGill量表及颈椎病病前状态评估表评定,对颈椎病病前状态、症状复发次数、颈椎病发生率、不良反应情况进行比较.结果 干预1年时D组疼痛分级指数（感觉、情感、总分）、视觉模拟评分、现有疼痛强度得分均低于A、B、C组,B、C组各项得分低于A组,差异有统计学意义（P＜0.05）.干预1年时D组自觉症状、临床检查、日常活动动作得分及总分均高于A、B、C组,B、C组各项得分高于A组,差异有统计学意义（P＜0.05）.D组复发率及发展为典型颈椎病的比率均明显低于A、B、C组,B、C组低于A组,差异有统计学意义（P＜0.05）.结论 四子散热敷配合颈椎“三三操”治疗颈椎病病前状态效果确切,安全性高,值得临床推广应用.
Objective To investigate the effect of Sizi Powder fomentation combined with cervical vertebrae ＂threethree exercises＂ for intervention of premorbid state of cervical spondylosis.Methods 160 cases with premorbid state of cervical spondylosis in Outpatient Department and taken physical examination in Shunde Hospital of Traditional Chinese Medicine in Foshan City from May 2012 to December 2013 were collected,and they were divided into group A,B,C,D,each group had 40 cases.Four groups were all given routine self-intervention of daily life,group A was given oral Meloxicam,group B was given Sizi Powder fomentation,group C was taken ＂three-three exercises＂,group D was given Sizi Powder fomentation combined with cervical vertebrae ＂three-three exercises＂.After the intervention,the changes of symptoms and signs were evaluated by simplified McGill scale and assessment table for premorbid state of cervical spondylosis.The premorbid state of cervical spondylosis,recurrent number of symptoms,incidence of cervical spondylosis and adverse reactions were compared.Results After intervention for one year,the pain rating index （feel,emotion,total score）,visual analogue scale,present pain intensity scores in group D were lower than those in group A,B and C,which of group B,C were lower than group A,the differences were statistically significant （P ＜ 0.05）.After intervention for one year,the symptoms,clinical examination,daily activities and movements scores in group D were higher than those in group A,B and C,which of group B,C were higher than group A,the differences were statistically significant （P ＜ 0.05）.The recurrence rate and rate of developing into typical cervical spondylosis in group D were significantly lower than those of group A,B and C,which of group B,C were lower than group A,the differences were statistically significant （P ＜ 0.05）.Conclusion Sizi Powder fomentation combined with cervical vertebrae ＂three-three exercises＂ for treatment of premorbid state of cervical spondylosis has a definite effective,which is highly safe and worthy to be promoted and applied in clinic.
出处
《中国医药导报》
CAS
2015年第13期124-127,共4页
China Medical Herald
基金
广东省中医药局建设中医药强省科研课题(20142172)
关键词
颈椎病
病前状态
四子散
三三操
Cervical spondylosis
Premorbid state
Sizi Powder
Three-three exercises
