摘要
目的 探讨放散式体外冲击穴位点对老年慢性颈痛病人疼痛程度、运动能力的影响作用。方法 采用电脑随机数字表法将2020年1月至2021年1月中南大学湘雅三医院98例老年慢性颈痛病人,按照1∶1试验设计原则分为两组,各49例。对照组予以传统物理康复疗法,观察组予以物理康复联合放散式体外冲击穴位点,连续治疗15 d。观察比较两组临床疗效、不同时间点数字疼痛评分法(numerical rating scale,NRS)评分、颈椎功能障碍指数(NDI)、颈椎主动活动障碍、肌力和耐力、表面肌电信号及疼痛介质[前列腺素E2(PGE2)、P物质、神经肽Y(NPY)]变化。结果 观察组总有效率97.96%(48/49)高于对照组77.55%(38/49)(P<0.05)。治疗7 d、15 d观察组NRS评分分别为(3.00±0.49)分、(1.09±0.20)分,均低于对照组的(3.56±0.52)分、(1.78±0.36)分(P<0.05)。治疗7 d、15 d观察组颈椎功能障碍分别为(9.46±2.85)分、(5.12±2.10)分,颈椎主动活动障碍分别为(1.63±0.76)分、(0.58±0.32)分,均低于对照组的(12.10±3.10)分、(8.96±2.56)分,(2.10±0.53)分、(1.52±0.45)分(P<0.05)。治疗15 d观察组肌力、耐力分别为(29.63±3.12)mm、(35.98±2.56)s,均高于对照组(28.12±2.56)mm、(33.21±2.10)s(P<0.05)。治疗7d、15 d观察组血清PGE2、NPY、P物质水平均低于对照组(P<0.05);治疗15 d观察组22 mmHg、26 mmHg、30 mmHg气囊压力时表面肌电信号均低于对照组(P<0.05)。结论 放散式体外冲击穴位点有助于提高老年慢性颈痛病人疗效,减轻疼痛,改善颈椎功能和运动功能,增强肌肉肌力和耐力。
Objective To investigate the effect of discrete extracorporeal impact points on the pain level and motor ability of elderly patients with chronic neck pain.Methods Using a computerized random number table method,98 elderly patients with chronic neck pain in the Third Xiangya Hospital,Central South University from January 2020 to January 2021 were assigned into two groups according to the principle of 1:1 trial design,with 49 cases in each group.The control group received traditional physical rehabilitation therapy,and the observation group received physical rehabilitation combined with radiating external shock points for continuous treatment for 15 days.The clinical efficacy,pain level(NRS) scores at different time points,cervical spine dysfunction index(NDI),cervical active movement disorder,muscle strength and endurance,surface EMG signals and pain mediators [prostaglandin E2(PGE2),substance P](SP),neuropeptide Y(NPY)] changes were observed and compared.Results The total effective rate in the observation group was 97.96%(48/49),which was higher than that in the control group(77.55%)(38/49)(P<0.05);after 7 days and 15 days of treatment,the NRS scores in the observation group were(3.00±0.49) scores and(1.09±0.20) scores,respectively,which were lower than those in the control group [(3.56±0.52) scores and(1.78±0.36) scores](P<0.05);after 7 days and 15 days of treatment,the cervical dysfunction were(9.46±2.85) scores and(5.12±2.10) scores;and active movement disorder in the observation group were(1.63±0.76) scores and(0.58±0.32) scores,respectively,which were lower than those in the control group [(12.10±3.10) scores and(8.96±2.56) scores;(2.10±0.53)scores and(1.52±0.45) scores](P<0.05);after 15 days of treatment,the muscle strength and endurance in the observation group were(29.63±3.12) mm and(35.98±2.56) s,which were higher than those in the control group [(28.12±2.56) mm and(33.21±2.10) s](P<0.05);after 7 days and 15 days of treatment,the serum levels of PGE2,NPY,and SP in the observation group were lower than those in the control group(P<0.05);the surface electromyography signals at 22 mmHg,26 mmHg,and 30 mmHg in the observation group were lower than those in the control group(P<0.05).Conclusion Physical rehabilitation combined with radiating external impact points can help improve the curative effect of elderly patients with chronic neck pain,reduce pain,improve cervical and motor function,and increase muscle strength and endurance.
作者
管彬
李贵妃
刘艳
GUAN Bin;LI Guifei;LIU Yan(College of Medicine,Hunan Normal University,Changsha,Hunan 410000,China;Department of Traditional Chinese Medicine,The Third Xiangya Hospital,Central South University,Changsha,Hunan 410000,China)
出处
《安徽医药》
CAS
2024年第3期517-521,共5页
Anhui Medical and Pharmaceutical Journal
基金
湖南省科技创新计划项目(S2019JJQNJJ2311)。
关键词
颈痛
物理康复
放散式体外冲击穴位点
老年
疼痛程度
表面肌电信号
Neck pain
Physical rehabilitation
Radiating external impact points
Old age
Pain degree
Surface electromyog-raphy signal
