端提整脊法结合两式八段锦锻炼治疗青年颈型颈椎病的疗效观察

Efficacy observation of lifting chiropractic combined with two movements of Baduanjin exercise on the young patients suffered from neck type cervical spondylosis

关键词:  端提整脊法  八段锦锻炼  颈型颈椎病  疗效观察

Key words:  lifting chiropractic  Baduanjin exercise  neck type cervical spondylosis  effective observation

摘要:

[目的]探讨端提整脊法结合两式八段锦锻炼治疗青年颈型颈椎病的临床疗效。[方法]174例研究对象均来自汕头市中医医院，脱落5例，共有169例患者完成病例随访，其中整脊锻炼组88例，电针组81例。整脊锻炼组通过端提整脊法结合两式八段锦锻炼治疗，而电针组则采用电针治疗。观察两组患者治疗后的疗效评定，治疗前、后及治疗后6个月、1 a的疼痛视觉模拟评分法（VAS）和颈痛量表（NPQ）评分变化。[结果]整脊锻炼组和电针组治疗后的总有效率分别为95.5%和90.1%，两组患者治疗后各时间点的VAS、NPQ评分百分比均低于治疗前（P<0.05），且整脊锻炼组的疗效改善优于电针组（P<0.05）。随访1 a期间整脊锻炼组复发2例，电针组复发7例，两组比较差异有统计学意义（P<0.05）。[结论]端提整脊法结合两式八段锦锻炼治疗青年颈型颈椎病在缓解患者颈肩部疼痛和总体疗效上优于电针治疗，复发率比电针治疗低，能很好地改善患者的颈肩部疼痛和恢复颈椎的力学平衡。

Abstract:

[Objective] To observe the clinical effect of lifting chiropractic combined with two movements of Baduanjin exercise for the treatment of the young patients suffered from neck type cervical spondylosis.[Methods] A total of 174 patients who came from the Shantou Hospital of Traditional Chinese Medicine diagnosed enrolled in the study,among them 5 patients quitted,and 169 patients completed the study. They were randomly assigned into the chiropractic-exercise group (88 cases) and the electro-acupuncture group (81 cases). Chiropractic-exercise group were treated by lifting chiropractic combined with two movements of Baduanjin exercise,and electro-acupuncture group were treated by electro-acupuncture. The clinical efficacy after treatment were observed. The Visual Analogue Scale (VAS) and Neck Pain Questionnaire(NPQ)percentage score were observed before and after treatment,as well as at 6 months and 12 months after treatment.[Results] The total effective rate in the chiropractic-exercise group and in the electro-acupuncture group were 95.5% and 90.1%. Compared with those before treatment,the VAS scores and NPQ percentage scores at all the observation time points after treatment were reduced in the two groups (P<0.05),and the efficacy of chiropractic-exercise group was better than the electro-acupuncture group (P<0.05). 2 patients relapsed in the chiropractic-exercise group and 7 patients relapsed in the electro-acupuncture group during the 12 months follow-up,and there was significant difference between two groups (P<0.05).[Conclusion] The lifting chiropractic combined with two movements of Baduanjin exercise method was superior to electro-acupuncture method in the treatment of young patients with neck type cervical spondylosis,and had a lower risk of relapse than those in the electro-acupuncture group. It can primely help to alleviate the neck and shoulder pain and restore the cervical balance.