艾灸联合五禽戏治疗颈型颈椎病的疗效

doi:10.3969/j.issn.1000-8535.2022.04.010

摘要/Abstract

摘要： 目的探讨艾灸联合五禽戏治疗颈型颈椎病的疗效。方法选择我院2019年3月—2020年11月收治的116例颈型颈椎病患者作为研究对象,随机分为实验组和对照组,各58例。其中对照组患者给予艾灸常规治疗,观察组患者在上述治疗的基础上外加五禽戏康复治疗。比较2组患者治疗前后的颈部症状积分、颈椎活动度(ROM)评分、McGill疼痛问卷(MPQ)、Northwick Park颈部疼痛量表(NPQ)评分,观察2组疗效、不良反应及预后情况。结果实验组治疗有效率高于对照组,预后复发率低于对照组(P<0.05)。与治疗前相比,2组患者治疗后的NPQ评分、MPQ 评分、颈部症状积分、ROM评分均降低,且实验组降低更明显(P<0.05)。结论颈部症状积分、颈椎活动度及NPQ评分可以较好地对五禽戏联合艾灸治疗颈型颈椎病的疗效进行反映评价,具有一定的临床应用价值。

关键词: 艾灸联合五禽戏, 颈型颈椎病, 颈部症状积分, 颈椎活动度, NPQ评分

Abstract: Objective To explore the efficacy of moxibustion combined with Wuqinxi in treating cervical spondylosis. Methods The 116 patients with cervical spondylosis admitted to our hospital from March 2019 to November 2020 were selected as the research objects, and they were divided into experimental group and control group by random number method, with 58 cases in each group. The patients in the control group were given conventional moxibustion treatment, and the patients in the observation group were treated with Wuqinxi rehabilitation therapy on the basis of moxibustion. The scores of neck symptom, cervical spine range of motion (ROM), McGill pain questionnaire (MPQ), Northwick Park neck pain questionnaire(NPQ) scores before and after treatment were compared between the two groups, and the differences in clinical efficacy and prognosis of the two groups were observed. Results The effective rate of treatment in the experimental group was significantly higher than that of the control group, and the recurrence rate was significantly lower than that of the control group (P<0.05). Compared with that before treatment, NPQ score, MPQ score, neck symptom score, ROM score were significantly reduced in both groups after treatment, and the reduction of these indicators was more significant in the experimental group, with statistically significant differences (P<0.05). Conclusions The neck symptom score, cervical ROM and NPQ score could better reveal and evaluate the efficacy of Wuqinxi combined with moxibustion in the treatment of cervical spondylosis, and had certain clinical application value.

Key words: moxibustion combined with Wuqinxi, cervical cervical spondylosis, neck symptom score, cervical range of motion, NPQ score

李晓良, 伍永权, 葛占洲. 艾灸联合五禽戏治疗颈型颈椎病的疗效[J]. 广州医药, 2022, 53(4): 42-46.

LI Xiaoliang, WU Yongquan, GE Zhanzhou. The efficacy of moxibustion combined with Wuqinxi in treating cervical spondylosis[J]. Guangzhou Medical Journal, 2022, 53(4): 42-46.

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