摘要
目的 评价电揿针联合Pilates治疗对神经根型颈椎病(CSR)患者临床疗效的影响。方法 90例CSR患者随机分为Pilates组、电揿针组和综合组(每组30例)。Pilates组均予Pilates运动干预;电揿针组在风池和大杼穴实施电揿针治疗;综合组实施电揿针和Pilates联合干预。比较各组患者治疗前后CSR评分系统(SSCR)、McGill疼痛量表(SF-MPQ)、颈椎残障功能量表评分(NDI)、白细胞介素6(IL-6)水平、疗程及复发率。结果 三组干预措施均能有效改善SSCR、SF-MPQ、NDI评分和IL-6水平(P<0.05)。综合组在降低SF-MPQ评分上优于其他两组(P<0.05);电揿针组和综合组疗程短于Pilates组(P<0.05)。随访3个月、6个月及1年患者复发率情况,电揿针组:6.67%、20.00%、33.33%;Pilates组:0、3.33%、6.67%;综合组:3.33%、3.33%、6.67%。随访3个月和6个月时三组复发率比较差异无统计学意义(修正P>0.016 7);随访1年Pilates组和综合组复发率低于电揿针组(修正P<0.016 7)。结论 电揿针联合Pilates运动干预治疗CSR可缩短疗程并降低其复发率。
Objective To evaluate the effect of electro-press acupuncture combined with Pilates on the clinical efficacy of patients with cervical radiculopathy.Methods 90 CSR patients were randomized into Pilates,electro-press acupuncture and integrated groups(n=30).The Pilates group gave Pilates exercise intervention;the electro-press acupuncture group was treated at FengChi and Dazhu acupuncture point;the integrated group performed the combined intervention of electropress and Pilates.We compared the patients with Symptom Severity and Clinical Response Scale for Cervical Radiculopathy(SSCR),Short-Form McGill Pain Questionnaire(SF-MPQ),Neck Disability Index(NDI)scores,Interleukin 6(IL-6)levels,treatment course and relapse rate before and after treatment.All three groups of interventions were effective in improving SSCR,SF-MPQ,NDI scores and IL-6 levels(P<0.05).The comprehensive group was better than the other two in reducing the SF-MPQ scores(P<0.05);the electro-press acupuncture group and the comprehensive groups were shorter than the Pilates(P<0.05);The recurrence rate for the Pilates group and the comprehensive group was 3.33%at the six-month follow-up;the recurrence rate for the electro-press acupuncture group was 20%.Recurrence rates of patients followed up at 3 months,6 months,and 1 year:the electro-press acupuncturee group:6.67%,20.00%,33.33%;the Pilates group:0,3.33%,6.67%;the comprehensive group:3.33%,3.33%,6.67%.There was no significant difference in recurrence rate between the three groups at 3 months and 6 months(adjusted P>0.0167);the recurrence rate of the Pilates group and the comprehensive group was lower than that of the electro-acupuncture group after 1 year(adjusted P<0.0167).Conclusion The combined intervention of electro-press acupuncture and Pilates exercise can shorten the course of treatment and reduce the recurrence rate.
作者
丁玉菊
吴安源
朱希成
方琼
沈珊
DING Yuju;WU Anyuan;ZHU Xicheng;FANG Qiong;SHEN Shan(Department of Rehabilitation,Hefei No.8 People′s Hospital,Hefei 238000;Rehabilitation Teaching and Research Section,Hefei Vocational and Technical College,Hefei 238000)
出处
《颈腰痛杂志》
2025年第4期681-685,共5页
The Journal of Cervicodynia and Lumbodynia
基金
“十四五”合肥市中医优势专科建设项目(HFSZYYSZKJS2021-7、HFSZYYSZKJS2021-8)
2022年合肥职业技术学院自然科学研究资助项目(2022Axfsyy01、2022Akyjj15)。
关键词
颈椎病
神经根型
电揿针
Pilates运动疗法
中西医结合
中长期疗效
cervical spondylosis
radiculopathy
electro-press acupuncture
Pilates exercise therapy
integrated Chinese and western medicine
medium and long term efficacy
作者简介
丁玉菊,女,硕士,副主任医师;通信作者:吴安源,男,本科,主任医师。
