摘要
目的 分析项六针辅助颈项屈伸肌群增强练习治疗椎动脉型颈椎病的效果。方法 选取2019年2月—2020年10月期间重庆市大足区人民医院疼痛康复科收治的120例椎动脉型颈椎病作为研究对象,采用随机数字表法分为对照组与治疗组,每组各60例。常规治疗干预基础上,对照组开展颈项屈伸肌群增强练习,治疗组在对照组基础上联合项六针治疗。两组患者均治疗4周后,观察比较两组患者临床疗效、治疗前后颈椎功能[颈椎功能评分量表(Japanese Orthopaedic Associationscores, JOA)、颈椎活动度(ROM Range Motion, ROM)]、椎动脉血流动力学[平均血流速度(VM)、阻力指数(RI)及搏动指数(PI)]及生活质量[颈椎病临床评价量表(Clinicol assessment scale for cervical spondylosis, CASCS)]改善情况。结果 治疗后治疗组临床总有效率为93.33%(56/60)明显高于对照组81.67%(49/60),差异有统计学意义(P<0.05)。两组患者治疗后JOA评分均较治疗前升高,ROM评分均较治疗前降低,差异有统计学意义(P<0.05);且治疗组JOA评分较对照组明显升高,ROM评分较对照组明显降低,差异有统计学意义(P<0.05)。两组患者治疗后VM、RI、PI参数均较治疗前明显改善,差异有统计学意义(P<0.05);且治疗组VM参数较对照组明显升高,RI、PI参数较对照组明显降低,差异有统计学意义(P<0.05)。两组患者治疗后CASCS各维度评分均较治疗前升高,差异有统计学意义(P<0.05);且治疗组较对照组明显升高,差异有统计学意义(P<0.05)。结论 项六针辅助颈项屈伸肌群增强练习治疗椎动脉型颈椎病效果显著,有利于改善患者颈椎功能及生活质量,且可能与改变椎动脉血流动力学有关。
Objective To analyze the effects of nape needling at six acupoints-assisted neck flexor-extensor muscle group strengthening exercises in the treatment of vertebral artery cervical spondylosis.Method A total of 120 patients with vertebral artery cervical spondylosis treated in the People′s Hospital of Dazu, Chongqing from February 2019 to October 2020 were enrolled and divided into a control group(60)and a treatment group(60)by a random number table.In addition to the conventional treatment and intervention, the patients in the control group received neck flexor-extensor muscle group strengthening exercises, while those in the treatment group were treated by nape needling at six acupoints on the basis of the therapeutic protocol of the control group.All patients were treated for four weeks.The clinical efficacies, cervical spine functions[Japanese Orthopaedic Association(JOA)scores and Rang of Motion(ROM)scores],vertebral artery hemodynamics[(mean flow velocity(VM),resistance index(RI),and pulsatility index(PI)],and quality of life[Clinical Assessment Scale for Cervical Spondylosis(CASCS)score]of the two groups were compared before and after treatment.Results The total clinical effective rate in the treatment group was 93.33%(56/60),higher than 81.67%(49/60)in the control group(P<0.05).JOA score increased and ROM score decreased in both groups after treatment(P<0.05),and JOA score was higher and ROM score was lower in the treatment group than those in the control group(P<0.05).After treatment, VM, RI, and PI in both groups were improved as compared with those before treatment(P<0.05),and VM washigher, and RI and PI were lower in the treatment group than those in the control group(P<0.05).After treatment, the scores of CASCS in both groups increased as compared with those before treatment(P<0.05),and the treatment group was higher than the control group(P<0.05).Conclusion Thenape needling at six acupoints-assisted neck flexor-extensor muscle group strengthening exercises are effective in treating vertebral artery cervical spondylosis, and can improve the cervical spine function and quality of life of patients.The underlying mechanism may be related to changes in vertebral artery hemodynamics.
作者
罗义玲
杨智
陈志
许多
黄秀官
覃遵涛
LUO Yi-ling;YANG Zhi;CHEN Zhi;XU Duo;HUANG Xiu-guan;TAN Zun-tao(Pain Rehabilitation Department,People′s Hospital of Dazu,Chongqing402360;Health Services Center,People′s Hospital of Dazu,Chongqing402360)
出处
《世界中西医结合杂志》
2022年第3期538-542,共5页
World Journal of Integrated Traditional and Western Medicine
基金
2018重庆市卫生计生委医学科研项目(2018MSXM078)。
关键词
椎动脉型颈椎病
颈项屈伸肌群增强练习
项六针
血流动力学
Vertebral Artery Cervical Spondylosis
Neck Flexor-Extensor Group Strengthening Exercises
Nape Needling at Six Acupoints
Hemodynamics
作者简介
通信作者:覃遵涛,Email:zhansha904674712@163.com。
