[1]赵胜杰 赵文娟 罗桂华 李杰 李秀芹 闫明亮.针刺疗法及八段锦为主的运动处方干预颈型颈椎病临床研究[J].现代中医药,2023,(03):071-75.[doi:10.13424/j.cnki.mtcm.2023.03.014]
　ZHAO Shengjie ZHAO Wenjuan LUO Guihua LI Jie LI XiuqinYAN Mingliang.Clinical Research on Acupuncture Therapy and Exercise Prescription Intervention with Baduanjin as Main Therapy for Cervical Spondylosis[J].Modern Traditional Chinese Medicine,2023,(03):071-75.[doi:10.13424/j.cnki.mtcm.2023.03.014]
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针刺疗法及八段锦为主的运动处方干预颈型颈椎病临床研究()
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《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2023年03期
页码:
071-75
栏目:
出版日期:
2023-05-24

文章信息/Info

Title:
Clinical Research on Acupuncture Therapy and Exercise Prescription Intervention with Baduanjin as Main Therapy for Cervical Spondylosis
文章编号:
1672-0571(2023)03-0071-05
作者:
赵胜杰1 赵文娟1 罗桂华2 李杰2 李秀芹2 闫明亮3
1.陕西中医药大学附属医院，陕西 咸阳 712000；
2.陕西中医药大学，陕西 咸阳 7120003；
3.北京大学第三医院延安分院/延安市中医院，陕西 延安 716099
Author(s):
ZHAO Shengjie1 ZHAO Wenjuan1 LUO Guihua21 LI Jie2 LI Xiuqin2YAN Mingliang3
1.Affiliated Hospital of Shaanxi University of Chinese Medicine,Shaanxi Xianyang 712000,China；
2.Shaanxi University of Chinese Medicine,Shaanxi Xianyang 712003,China；
3.Yan’an Branch of Peking University Third Hospital/Yan’an Chinese Medicine Hospital,Shaanxi Yanan 716099,China
关键词:
关键词：颈型颈椎病; 针刺; 运动处方; 八段锦; 临床研究
Keywords:
Key words:Cervical spondylosis; Acupuncture; Exercise prescription; Baduanjin; Clinical research
分类号:
R274
DOI:
10.13424/j.cnki.mtcm.2023.03.014
文献标志码:
A
摘要:
摘 要：目的 观察针刺疗法结合主动健康观念（运动处方）干预颈型颈椎病与传统经典针刺疗法的疗效。方法 将120例颈型颈椎病患者的按治疗顺序号利用随机数字表进行随机均分对照组（针刺疗法组）和治疗组（以八段锦为主的运动处方组），每组60例进入统计分析。两组分别行针刺疗法和以八段锦为主的运动处方干预，两组患者均治疗4周。治疗前后采用VAS疼痛积分评价疼痛情况，颈椎功能障碍指数（NDI）评价颈椎功能障碍程度，观察治疗前后各项指标的变化。结果 治疗结束后，针刺疗法组与运动处方组患者VAS评分、NDI评分均较治疗前显著下降,运动处方组治疗前后各项评分下降值接近于针刺疗法组。结论 针刺疗法及运动处方干预颈型颈椎病均有效果，运动处方干预颈型颈椎病为颈型颈椎病治疗提供了更加经济有效的治疗思路。
Abstract:
Abstract：Objective To study the therapeutic effect of acupuncture therapy combined with active health concept (exercise prescription) on cervical spondylosis and traditional classical acupuncture therapy.Methods 120 patients with cervical spondylosis were randomly divided into a control group (acupuncture therapy group) and a treatment group (exercise prescription group mainly composed of Baduanjin) using a random number table according to the treatment sequence number.60 patients in each group were included in statistical analysis.Two groups were treated with acupuncture therapy and exercise prescription intervention mainly consisting of Baduanjin.Both groups of patients were treated for 4 weeks.Before and after treatment,VAS pain score was used to evaluate the pain situation,and the cervical dysfunction index (NDI) was used to evaluate the degree of cervical dysfunction.The changes in various indicators before and after treatment were observed.Results After treatment,the VAS score and NDI score of patients in the acupuncture therapy group and the exercise prescription group significantly decreased compared to before treatment.The decrease in various scores before and after treatment in the exercise prescription group was similar to that in the acupuncture therapy group.Conclusion Acupuncture therapy and exercise prescription intervention have both effects on cervical spondylosis,and exercise prescription intervention provides a more cost’effective and effective treatment approach for cervical spondylosis.

参考文献/References:

［1］唐锦忠,张立男,张泓,等.基于颈部软组织张力探讨悬吊循经弹拨结合麦肯基疗法对颈型颈椎病的疗效及机制［J］.湖南中医药大学学报,2020,40(5):592-596.
［2］郭现辉,李伟彪,潘富伟.郑州市颈型颈椎病患者的流行病学调查分析［J］.按摩与康复医学,2019,10(2):21-23.
［3］沈杰,席军府,徐德应,等.肌肉能量技术配合物理疗法治疗颈型颈椎病的疗效观察［J］.颈腰痛杂志,2016,37(5):440-441.
［4］章薇,李金香,娄必丹,等.中医康复临床实践指南·项痹(颈椎病)［J］.康复学报,2020,30(5):337-342.
［6］蔡耿喜,赵洋,梁玉珊,等.针灸治疗颈型颈椎病取穴规律探究［J］.中国全科医学,2013,16(41):4182-4186.
［7］张海华,黄润泽,李知行,等.基于数据挖掘针灸治疗颈型颈椎病用穴规律探究［J］.针灸临床杂志,2016,32(9):81-85.
［8］麦吉么吾甲,赵雨,文谦,等.不同疗程电针治疗对颈型颈椎病患者疗效及依从性的影响:一项小样本随机对照研究［J］.针刺研究,2019,44(11):835-839.
［9］ChadE.Cook,骨科手法治疗循证疗法［M］.常祺,译.天津:天津出版传媒集团天津科技翻译出版有限公司,2020:55-94.
［10］Paul Jackson Mansfield,Donald A.Neumann.基础肌动学［M］.郭怡良,李映琪,译.台湾:台湾爱斯维尔有限公司,2013:189-197.
［11］张琦,贾桂君.中华传统养生功法健身气功八段锦［M/CD］.济南:齐鲁电子音像出版社,2017.
［12］张泓.康复评定学［M］.北京：中国中医药出版社，2017.
［13］国家中医药管理局.中医病证诊断疗效标准［M］.南京：南京大学出版社，1994.
［14］陈莉,何祥伟.铍针配合中医导引治疗颈型颈椎病的疗效观察［J］.中国中医急症,2021,30(2):306-309.
［15］朱富婷,杨洁.古典针刺手法治疗颈型颈椎病的随机对照试验的系统评价与Meta分析［J］.成都中医药大学学报,2021,44(1):86-90,95.
［16］熊俊龙,黄钦,朱博文,等.范炳华特色推拿法治疗颈型颈椎病的临床疗效观察［J］.浙江中医药大学学报,2020,44(12):1222-1225,1229.
［17］方婷,刘福水,谢洪武,等.针刀与针灸治疗颈型颈椎病疗效比较的Meta分析［J］.辽宁中医杂志,2017,44(11):2244-2247.
［18］王雁慧.针灸治疗颈椎病的临床疗效分析及机理探讨［J］.中医临床研究,2020,12(8):94-96.
［19］王敬一,岳涵,李华南,等.推拿手法治疗颈型颈椎病临床选穴配伍规律研究［J］.中医药导报,2021,27(5):178-181,189.
［20］吴鸿伟,李超雄.颈舒颗粒联合理筋手法治疗风寒湿阻型颈型颈椎病疗效观察［J］.福建中医药,2021,52(3):16-18.
［21］李冠德.颈三针与颈夹脊穴治疗神经根型颈椎疗效临床研究［D］.广州:广州中医药大学,2015.
［22］陈明星,程为平.从解剖学角度浅析风池穴的临床应用［J］.中医药导报,2017,23(1):84-86.
［23］王志磊,张娟.针刺结合八段锦治疗颈型颈椎病的理论探讨［J］.中医临床研究,2020,12(36):130-133.
［24］Thomas W.Myers.《解剖列车——徒手与动作治疗的肌筋膜经线》的原文摘录［M］.关玲,周维全,瓮长水译.北京:军事医学科学出版社,2015:109-199.
［25］刘浩月.健身气功八段锦功法及价值和推广研究［J］.当代体育科技,2021,11(2):185-187.
［26］闭英生,周宾宾,冯振奋,等.八段锦防治颈椎病研究进展［J］.河南中医,2021,41(4):632-636.
［27］酒井均(Hitoshi Sakai)编著.赵鸿龙译.人体肌肉地图:史无前例的肌肉热潮来袭!［M］.新北:枫书坊文化出版社,2017:30-80.
［28］Cid MM,Januario LB,Zanca GG,et al.Normalization of the trapezius sEMG signal’a reliability study on women with and without neckshoulder pain［J］.Brazilian Journal of Physical Therapy,2018,22(2):110-119.

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备注/Memo

备注/Memo:
基金项目：陕西省教育厅智库依托项目（20JT015）；陕西省体育局常规科研项目（2020257）；陕西中医药大学附属医院科研项目（2020ZWBKF002）
更新日期/Last Update: 2023-05-18