摘要
目的 观察针刀疗法联合头部自重后伸牵引治疗颈肩综合征的临床疗效。方法 将我院100例颈肩综合征患者随机分为对照组和实验组各50例。对照组采用针刀治疗,实验组在对照组的基础上加用头部自重后伸牵引治疗。比较两组患者治疗前后的临床疗效、疼痛数字评价量表(NRS)、颈部功能障碍指数(NDI)、颈椎摄正侧位X片测量Borden值、椎间隙高度变化、血清中白介素-6(IL-6)、肿瘤坏死因子(TNF-)、C反应蛋白(CRP)水平及汉密顿焦虑量表(HAMA)。结果 治疗后,实验组总有效率高于对照组(P<0.05);两组NDI评分、NRS评分及Borden氏测量值、血清炎性因子IL-6、TNF-、CRP水平变化及汉密顿焦虑量表(HAMA)均较前改善(P<0.05);两组间NDI评分、NRS评分及Borden氏测量值、血清炎性因子IL-6、TNF-α、CRP水平变化、HAMA及椎间隙变化高度对比,实验组优于对照组(P<0.05)。结论 针刀联合头部自重后伸牵引治疗颈肩综合征患者能加速患者颈肩功能恢复,降低NRS、NDI及HAMA评分,降低血清炎性因子,改善颈椎生理曲度,提高生活质量。
Objective To observe the clinical effect of acupotomology combined with head self-weight extension and traction in treatment of neck and shoulder syndrome. Methods A total of 100 patients with neck and shoulder syndrome were randomly divided into control group and experimental group,50 cases in each group. Control group was treated with acupotomy,and experimental group was treated with head extension and traction on the basis of control group. The clinical efficacy,pain number rating scale(NRS),neck function disturbance index(NDI),Borden value measrured by X-ray of cervical spine in front and side position,intervertebral disc heightchange,detection of serum interleukin(IL)-6,tumor necrosis factor-(TNF-)and C-reactive protein(CRP)level and Hamilton Anxiety Table(HAMA)before and after treatment were compared between the two groups. Results After treatment,the total effective rate of experimental group was higher than that of control group(P<0.05);the changes of NDI score,NRS score,Borden’s measurement,serum inflammatory factors IL-6,TNF-α,CRP and Hamilton anxiety scale(HAMA)in both groups were improved(P<0.05),and experimental group was superior to control group(P<0.05),and the changes in vertebral space in observation group were better than control group(P<0.05). Conclusion In the treatment of patients with neck and shoulder syndrome,acupotomology combined with head self-weight posterior extension traction can accelerate the recovery of neck and shoulder function,reduce NRS,NDI and HAMA scores,reduce serum inflammatory factors,improve cervical physiological curvature,and improve the quality of life.
作者
王昊
董晓俊
徐平
奚海翔
邢鑫
WANG Hao;DONG Xiao-jun;XU Ping;XI Hai-xiang;XING Xin(College of Acu-Moxibustion,Hubei University of Chinese Medicine,Wuhan 430014;Hospital of TCM Affiliated to Hubei University of Chinese Medicine/Wuhan Hospital of TCM,Wuhan 430014)
出处
《湖北中医药大学学报》
2022年第3期61-63,共3页
Journal of Hubei University of Chinese Medicine
基金
湖北省卫健委中医药科研重点项目(项目编号:ZY2019Z009)。
关键词
颈肩综合征
针刀疗法
头部自重后伸牵引
Neck and shoulder syndrome
Acupotomology
Head weight extension and traction treatment
