自创PNF颈椎操治疗大学生颈型颈椎病的疗效探讨
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摘要
目的观察分析自创PNF颈椎操对大学生颈型颈椎病的疗效。方法方便选取2017年2月—2018年1月江苏医药职业学院招募的60例患有颈型颈椎病的在校大学生志愿者,随机均分为自创PNF颈椎操治疗组(30例)及对照组(30例)。对照组仅采用推拿治疗配合健康宣教,治疗组在对照组的治疗基础上联合使用自创PNF颈椎操。比较两组志愿者治疗前后颈肩部的疼痛及临床疗效情况。结果治疗2个疗程后,治疗组颈肩部疼痛(2.73±1.25)分较治疗前(5.15±0.97)分明显改善(t=11.12,P=0.00),对照组VAS评分(4.08±1.29)分也较治疗前(5.19±1.19)分有所降低(t=5.06,P=0.00),两组间比较,差异有统计学意义(t=-4.12,P<0.05);治疗组治愈7例、显效12例、有效9例、总有效率93.33%,对照组治愈3例、显效10例、有效9例、总有效率73.33%,两组间比较,治疗组优于对照组,差异有统计学意义(Z=-2.071,P<0.05)。结论自创PNF颈椎操配合推拿治疗及健康宣教可一定程度减轻大学生的颈肩部疼痛问题,改善颈椎功能,且效果好于仅进行推拿治疗配合健康宣教。
Objective This paper tries to observe and analyze the effect of self-created PNF cervical vertebra exercises on cervical spondylosis of college students. Methods From February 2017 to January 2018, 60 university student volunteers with cervical spondylosis were recruited conveniently at the Jiangsu College of Pharmacy and were randomly divided into the PNF cervical spondylosis group(30 cases) and the control group(30 cases). The control group only used massage therapy with health education. The treatment group used the PNF cervical spondylosis combined with the control group. The pain of neck and shoulder and clinical efficacy were compared between the two groups of volunteers before and after treatment.Results After 2 courses of treatment, the neck and shoulder pain in the treatment group(2.73±1.25)points was significantly improved compared with that before treatment(5.15±0.97)points,(t=11.12, P=0.00), and the control group VAS score(4.08±1.29)points was also higher than before treatment(5.19±1.19)points,(t=5.06, P=0.00). Between the two groups, the difference was statistically significant(t=-4.12,P<0.05); the treatment group was cured in 7 cases, markedly in 12 cases, effective in 9 cases. The total effective rate was 93.33%. In the control group, 3 cases were cured, 10 cases were markedly effective, and9 cases were effective. The total effective rate was 73.33%. Between the two groups, and the treatment group was superior to the control group. The difference was statistically significant(Z=-2.071,P<0.05). Conclusion Self-created PNF cervical spondylosis combined with massage therapy and health education can reduce the degree of neck and shoulder pain of college students, improve cervical function, and the effect is better than only massage therapy with health education.
Objective This paper tries to observe and analyze the effect of self-created PNF cervical vertebra exercises on cervical spondylosis of college students. Methods From February 2017 to January 2018, 60 university student volunteers with cervical spondylosis were recruited conveniently at the Jiangsu College of Pharmacy and were randomly divided into the PNF cervical spondylosis group(30 cases) and the control group(30 cases). The control group only used massage therapy with health education. The treatment group used the PNF cervical spondylosis combined with the control group. The pain of neck and shoulder and clinical efficacy were compared between the two groups of volunteers before and after treatment.Results After 2 courses of treatment, the neck and shoulder pain in the treatment group(2.73±1.25)points was significantly improved compared with that before treatment(5.15±0.97)points,(t=11.12, P=0.00), and the control group VAS score(4.08±1.29)points was also higher than before treatment(5.19±1.19)points,(t=5.06, P=0.00). Between the two groups, the difference was statistically significant(t=-4.12,P<0.05); the treatment group was cured in 7 cases, markedly in 12 cases, effective in 9 cases. The total effective rate was 93.33%. In the control group, 3 cases were cured, 10 cases were markedly effective, and9 cases were effective. The total effective rate was 73.33%. Between the two groups, and the treatment group was superior to the control group. The difference was statistically significant(Z=-2.071,P<0.05). Conclusion Self-created PNF cervical spondylosis combined with massage therapy and health education can reduce the degree of neck and shoulder pain of college students, improve cervical function, and the effect is better than only massage therapy with health education.
引文
[1]曹丽,高兵,黄倩,等.在校大学生颈型颈椎病的患病现状及相关影响因素分析[J].世界最新医学信息文摘,2017,17(33):63-69.
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[6]商强强.中医药保守治疗颈椎病的研究概述[J].中国实用医药,2017,12(34):187-188.
[7]刘彬.推拿治疗颈型颈椎病的临床研究进展[J].湖南中医杂志,2017,33(7):207-209.
[8]孙黎明.颈型颈椎病的中医推拿手法治疗临床疗效评价[J].中国农村卫生,2017(21):65-67.
[9]赵春竹,刘钊君,于印.PNF技术在骨骼-肌肉疾病疼痛康复治疗中的作用[J].世界最新医学信息文摘,2016,16(17):101-102.
[10]张水亮.麦肯基力学技术联合PNF技术治疗颈椎间盘突出症效果分析[J].系统医学,2016(3):37-39.
[11]吴李娜,黄鹰,温屯清.中药合PNF技术治疗颈椎病的疗效观察[J].大家健康:学术版,2016(3):74-75.
[12]刘宗玮.自创颈椎操在预防治疗颈型颈椎病的临床研究[J].世界最新医学信息文摘,2018(9):158-159.
[13]秦标,王宁,杨丽艳,等.自创颈椎操在颈型颈椎病康复中的应用[J].实用医学杂志,2017,33(11):1835-1837.
[2]赵兵德,林定坤,王羽丰,等.青年颈型颈椎病发病特点及诊治策略[J].新中医,2017,49(7):81-84.
[3]李增春,陈德玉,吴德升,等.第三届全国颈椎病专题座谈会纪要[J].中华外科杂志,2008(23):1796-1799.
[4]李国锐.《中医病症诊断疗效标准》出台[J].标准化信息,1995(2):5.
[5]李树功.颈型颈椎病的影像诊断和评价[J].中西医结合心血管病电子杂志,2017,5(25):6-8.
[6]商强强.中医药保守治疗颈椎病的研究概述[J].中国实用医药,2017,12(34):187-188.
[7]刘彬.推拿治疗颈型颈椎病的临床研究进展[J].湖南中医杂志,2017,33(7):207-209.
[8]孙黎明.颈型颈椎病的中医推拿手法治疗临床疗效评价[J].中国农村卫生,2017(21):65-67.
[9]赵春竹,刘钊君,于印.PNF技术在骨骼-肌肉疾病疼痛康复治疗中的作用[J].世界最新医学信息文摘,2016,16(17):101-102.
[10]张水亮.麦肯基力学技术联合PNF技术治疗颈椎间盘突出症效果分析[J].系统医学,2016(3):37-39.
[11]吴李娜,黄鹰,温屯清.中药合PNF技术治疗颈椎病的疗效观察[J].大家健康:学术版,2016(3):74-75.
[12]刘宗玮.自创颈椎操在预防治疗颈型颈椎病的临床研究[J].世界最新医学信息文摘,2018(9):158-159.
[13]秦标,王宁,杨丽艳,等.自创颈椎操在颈型颈椎病康复中的应用[J].实用医学杂志,2017,33(11):1835-1837.