摘要
目的探讨中老年神经根型颈椎病(CSR)患者采取稳定肌训练结合雷火灸的干预效果。方法选取2021年1月至2022年3月就诊于无锡市中医医院的80例中老年CSR患者,按随机信封法分为2组,各40例。对照组开展常规护理干预,观察组在对照组干预方式的基础上开展稳定肌训练联合雷火灸。比较2组患者在干预前后的视觉模拟评分法(VAS)、颈椎功能障碍指数(NDI)评分,以及颈椎活动度变化和临床疗效。结果干预4周后,观察组的治疗总有效率比对照组更高(P<0.05)。干预2周和4周后,2组的VAS和NDI评分均比干预前下降(P均<0.05),且观察组均比同期对照组更低(P均<0.05)。干预4周后,2组的颈椎前屈、左屈、右屈、后伸、左旋和右旋的活动度均增大(P均<0.05),且观察组均比对照组更大(P均<0.05)。结论稳定肌训练结合雷火灸能有效缓解中老年CSR患者的疼痛程度,促进颈椎功能的恢复,改善颈椎活动度,疗效显著。
Objective To explore the intervention effect of stabilizer muscle training combined with thunder-fire moxibustion in the middle-aged and elderly patients with cervical spondylotic radiculopathy(CSR).Methods A total of 80 middle-aged and elderly CSR patients at Wuxi Traditional Chinese Medicine Hospital from January 2021 to March 2022 were enrolled and divided into two groups by random envelope method,with 40 cases in each group.The control group was given routine nursing intervention,while the observation group was given stabilizer muscle training combined with thunder-fire moxibustion based on the intervention method of the control group.The Visual Analogue Scale(VAS)scores,Neck Disability Index(NDI)scores before and after the intervention,changes in cervical spine mobility,and clinical efficacy were compared between the two groups.Results After 4 weeks of intervention,the total effective rate of intervention in the observation group was higher than that in the control group(P<0.05).After 2 and 4 weeks of intervention,the VAS and NDI scores of the two groups were significantly lower than those before the intervention(all P<0.05),and the scores of the observation group were lower than those of the control group on the corresponding period(all P<0.05).After 4 weeks of intervention,the cervical spine range of motion of flexion,extension,left lateral flexion,right lateral flexion,left rotation,and right rotation increased in the two groups(all P<0.05),and the ranges of motion of the observation group were greater than those of the control group(all P<0.05).Conclusion Stabilizer muscle training combined with thunder-fire moxibustion can effectively relieve the pain of middle-aged and elderly CSR patients,promote the recovery of cervical spine function,and improve the cervical spine mobility,which has a significant curative effect.
作者
冯卫华
施思
陈宵
吴菁
汤国芳
FENG Weihua;SHI Si;CHEN Xiao;WU Jing;TANG Guofang(Department of Spine,Wuxi Traditional Chinese Medicine Hospital,Wuxi,Jiangsu,214000,China)
出处
《中西医结合护理（中英文）》
2022年第8期54-57,共4页
Journal of Clinical Nursing in Practice
基金
无锡市中医药管理局科技项目(ZYKJ2021111)。
关键词
神经根型颈椎病
中老年
稳定肌训练
雷火灸
颈椎活动度
cervical spondylotic radiculopathy
middle-aged and elderly people
stabilizer muscle training
thunder-fire moxibustion
cervical spine mobility
