“结筋病灶点”针刺结合核心稳定训练治疗颈型颈椎病临床观察
|
摘要
目的:观察"结筋病灶点"针刺结合核心稳定训练治疗颈型颈椎病临床疗效。方法:随机将60例颈型颈椎病患者分为两组,治疗组30例采用"结筋病灶点"针刺结合核心稳定训练,对照组30例采用常规针刺疗法。两组患者均每天予1次,5d为一个疗程,治疗2个疗程,疗程间隔2d。结果:两组在治疗1个疗程后及治疗2个疗程后进行临床疗效比较,有显著性差异(P<0.05,P<0.01);两组治疗后颈椎功能障碍指数NDI和疼痛视觉模拟评分VAS与同组治疗前比较均有明显改善(P<0.01),在治疗1个疗程后治疗组改善优于对照组(P<0.05);在治疗2个疗程后及3个月随访,治疗组改善明显优于对照组(P<0.01);两组3个月随访复发率比较有显著性差异(P<0.05)。结论:用"结筋病灶点"针刺结合核心稳定训练,可以提高临床疗效。
Objective: To observe effects of acupuncture plus core stabilization training on cervical spondylosis. Methods: 60 patients were randomly divided into 2 groups. 30 cases in the treatment group were treated by acupuncture plus core stability training; 30 cases in the control group were treated by conventional acupuncture, with 1 times daily, 5 days as 1 course, for 2 courses. Results: After 1 course and 2 courses of treatment, there were significant differences of effects between groups(P<0.05, P<0.01). After treatment, the NDI and VAS in groups were significantly improved(P<0.01), the improvements in the treatment group were better than the control group after 1 course(P<0.05); in 2 courses and 3 months of follow-up, the improvements in the treatment group were significantly better than the control group(P<0.01). There were significant differences in recurrence rate between two groups in 3 months of follow-up(P<0.05). Conclusion: Acupuncture plus core stability training can improve the clinical effects.
Objective: To observe effects of acupuncture plus core stabilization training on cervical spondylosis. Methods: 60 patients were randomly divided into 2 groups. 30 cases in the treatment group were treated by acupuncture plus core stability training; 30 cases in the control group were treated by conventional acupuncture, with 1 times daily, 5 days as 1 course, for 2 courses. Results: After 1 course and 2 courses of treatment, there were significant differences of effects between groups(P<0.05, P<0.01). After treatment, the NDI and VAS in groups were significantly improved(P<0.01), the improvements in the treatment group were better than the control group after 1 course(P<0.05); in 2 courses and 3 months of follow-up, the improvements in the treatment group were significantly better than the control group(P<0.01). There were significant differences in recurrence rate between two groups in 3 months of follow-up(P<0.05). Conclusion: Acupuncture plus core stability training can improve the clinical effects.
引文
[1]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:186-189.
[2]薛立功.中国经筋学[M].北京:中医古籍出版社,2009:494-495.
[3]伍少玲,马超,伍时玲,等.颈椎功能障碍指数量表的效度与信度研究[J].中国康复医学杂志,2008,23(7):625-628.
[4]于杰,朱立国,秦杰,等.神经根型颈椎病复发标准的真实性和与可靠性评价[J].颈腰痛杂志,2011,32(6):433-437.
[5]刘帅,车涛.针灸治疗颈型颈椎病的研究进展[J].上海针灸杂志,2016,35(9):1136-1138.
[6]王峻良,顾非.近十年颈型颈椎病研究综述[J].颈腰痛杂志,2014,35(3):211-213.
[7]罗永宝,何纯青.颈型颈椎病理论研究概述[J].辽宁中医药大学学报,2010,12(5):46-47.
[8]陈博来,宁飞鹏,赵帅.颈型颈椎病颈椎退变规律的X光片分析[A].中华中医药学会骨伤分会第四届第三次学术年会暨国家中医药管理局“十一五”重点专科(专病)建设骨伤协作组经验交流会论文汇编[C].2008:66-70.
[9]陈勇,陈晶.核心稳定性训练的研究综述[J].宜春学院学报,2008,30(4):108-109,124.
[10]徐远红,王俊华,李海峰,等.运用压力生物反馈行腹横肌及多裂肌协同训练治疗下背痛[J].中国康复,2011,26(6):412-414.
[2]薛立功.中国经筋学[M].北京:中医古籍出版社,2009:494-495.
[3]伍少玲,马超,伍时玲,等.颈椎功能障碍指数量表的效度与信度研究[J].中国康复医学杂志,2008,23(7):625-628.
[4]于杰,朱立国,秦杰,等.神经根型颈椎病复发标准的真实性和与可靠性评价[J].颈腰痛杂志,2011,32(6):433-437.
[5]刘帅,车涛.针灸治疗颈型颈椎病的研究进展[J].上海针灸杂志,2016,35(9):1136-1138.
[6]王峻良,顾非.近十年颈型颈椎病研究综述[J].颈腰痛杂志,2014,35(3):211-213.
[7]罗永宝,何纯青.颈型颈椎病理论研究概述[J].辽宁中医药大学学报,2010,12(5):46-47.
[8]陈博来,宁飞鹏,赵帅.颈型颈椎病颈椎退变规律的X光片分析[A].中华中医药学会骨伤分会第四届第三次学术年会暨国家中医药管理局“十一五”重点专科(专病)建设骨伤协作组经验交流会论文汇编[C].2008:66-70.
[9]陈勇,陈晶.核心稳定性训练的研究综述[J].宜春学院学报,2008,30(4):108-109,124.
[10]徐远红,王俊华,李海峰,等.运用压力生物反馈行腹横肌及多裂肌协同训练治疗下背痛[J].中国康复,2011,26(6):412-414.