摘要
目的探究穴位按摩联合以宗健脊十八式康复锻炼对颈型颈椎病患者颈椎功能、颈椎活动度和疼痛程度的影响。方法按照随机数字表法将2022年6月-2023年6月期间收治于南昌大学第一附属医院行颈型颈椎病治疗的84例患者分为对照组(42例)与研究组(42例),并对两组患者进行研究。在应用生活指导、心理干预以及日常饮食指导等常规护理前提下,对照组实施以宗健脊十八式康复锻炼干预,研究组实施穴位按摩联合以宗健脊十八式康复锻炼干预。比较两者患者的临床疗效、颈椎功能[颈椎病临床评价量表(CASCS)评分、颈椎功能障碍指数量表(DNI)评分],颈椎活动度(前屈、后伸、左屈、右屈、左旋、右旋角度)以及疼痛程度[视觉模拟疼痛评分(VAS)]的差异。结果治疗后,研究组患者的临床总有效率为90.48%,高于对照组患者的73.81%(P<0.05);治疗后,两组患者的CASCS评分高于治疗前,且研究组高于对照组(P<0.05);治疗后,两组患者的DNI、VAS评分低于治疗前,且研究组低于对照组(P<0.05);治疗后,两组患者颈椎活动度的各项得分均高于治疗前,且研究组高于对照组(P<0.05)。结论穴位按摩联合以宗健脊十八式康复锻炼不仅能有效改善患者的颈椎疼痛及颈椎功能,还能扩大其颈椎的活动度。
Objective To explore the effect of acupoint massage combined with Yizong Jianji 18 style rehabilitation exercise on cervical function,cervical mobility,and pain level in patients with cervical spondylosis.Method According to the random number table method,84 patients admitted to the First Affiliated Hospital of Nanchang University for the treatment of cervical spondylosis from June 2022 to June 2023 were divided into a control group(42 cases)and a study group(42 cases),and the two groups of patients were studied.Under the premise of applying routine care such as life guidance,psychological intervention,and daily dietary guidance,the control group implemented Yizong Jianji 18 style rehabilitation exercise intervention,while the study group implemented acupoint massage combined with Yizong Jianji 18 style rehabilitation exercise intervention.Compare the clinical efficacy,cervical function(Clinical Evaluation Scale for Cervical Spondylosis,Cervical Dysfunction Index Scale),cervical range of motion(forward flexion,backward extension,left flexion,right flexion,left rotation,right rotation),and pain level(visual simulated pain score)between the two patients.Results After treatment,the total clinical effective rate of the study group patients was 90.48%,which was higher than 73.81%of the control group patients(P<0.05);after treatment,the CASCS scores of the two groups of patients were higher than before treatment,and the study group was higher than the control group(P<0.05);after treatment,the DNI and VAS scores of the two groups of patients were lower than before treatment,and the study group was lower than the control group(P<0.05);after treatment,the scores of cervical mobility in both groups of patients were higher than before treatment,and the study group was higher than the control group(P<0.05).Conclusion Acupoint massage combined with Yizong Jianji 18 style rehabilitation exercise can not only effectively improve cervical pain and function in patients,but also expand the range of motion of the patient's cervical spine.
作者
张爱华
吴霞
罗芹
王传骅
郭贵海
Zhang Aihua;Wu Xia;Luo Qin;Wang Chuanhua;Guo Guihai(Health Examination Center of the First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330000,China)
出处
《首都食品与医药》
2024年第13期150-153,共4页
Capital Food Medicine
基金
江西省中医药管理局科技计划项目(课题编号:2023A0202)。
关键词
颈型颈椎病
颈椎功能
以宗健脊十八式康复锻炼
疼痛
穴位按摩
Cervical spondylosis
Cervical function
Yizong Jianji 18 style rehabilitation exercise
Pain
Acupoint massage
