针灸联合理疗康复在颈椎病治疗中的应用研究

Application study on acupuncture and moxibustion combined with physical therapy rehabilitation in treatment of cervical spondylosis

[目的]探讨针灸联合理疗康复在颈椎病治疗中的应用效果。[方法]将2014年5月—2016年8月在我院针灸科治疗的100例颈椎病病人随机分为两组,对照组采用常规理疗康复和护理,观察组采用针灸联合理疗康复配合针对性的护理,比较两组临床疗效、症状改善情况、椎基底动脉血流速度、生活质量。[结果]观察组总有效率为94.00%,对照组总有效率为70.00%,两组比较差异有统计学意义(P<0.05);观察组治疗后颈部疼痛评分(0.7分±0.8分)低于对照组(1.9分±0.5分),颈性眩晕症状与功能评估量表(ESCV)评分(24.1分±4.6分)高于对照组(16.4分±4.3分),两组比较差异均有统计学意义(P<0.05);观察组治疗后左侧椎动脉(LVA)、右侧椎动脉(RVA)、基底动脉(BA)收缩期平均血流速度明显较对照组加快,两组比较差异有统计学意义(P<0.05);观察组治疗后躯体疼痛、生理职能、生理功能、社会功能、精神健康、精力、情感职能、整体健康状况评分高于对照组,两组比较差异有统计学意义(P<0.05)。[结论]针灸联合理疗康复治疗颈椎病配合针对性护理干预能够改善颈椎周围的血液循环,松解肌肉粘连,消除炎症刺激,减轻疼痛,促进颈椎生理功能的恢复。

Objective:To probe into the application effect of acupuncture and moxibustion combined with physical therapy rehabilitation for cervical spondylosis.Methods:A total of 100 patients with cervical spondylosis treated with acupuncture and moxibustion in our hospital from May 2014 to August 2016 were randomly divided into two groups.The patients in control group were treated with conventional physical therapy rehabilitation and nursing.The patients in observation group were treated with acupuncture and moxibustion combined with physical therapy.The clinical efficacy,symptom improvement,blood flow velocity of vertebrobasilar artery and quality of life were compared between both groups.Results:The total effective rate was 94.00%in observation group and 70.00%in control group.There was statistically significant difference between both groups(P<0.05).The score of neck pain after treatment(0.7±0.8)in observation group was lower than that in control group(1.9±0.5).ESCV score(24.1±4.6)was higher than that in control group(16.4±4.3),and the difference between both groups was statistically significant(P<0.05).The mean blood flow velocity of left ventricle(LVA),right vertebral artery(RVA)and basilar artery(BA)in observation group were significantly higher than those in control group(P<0.05),and the difference was statistically significant.The scores of physical pain,physiological function,physiological functions,social function,mental health,energy,emotional function and overall health status in observation group were higher than those in control group.The difference between both groups was statistically significant(P<0.05).Conclusions:Acupuncture and moxibustion combined with physical therapy rehabilitation treatment of cervical spondylosis with targeted care intervention could improve the blood circulation around the cervical spine,the release of muscle adhesions,eliminate inflammation,reduce pain and promote the recovery of cervical physiological function.