腹针结合运动疗法治疗颈型颈椎病临床观察

Clinical observation of abdominal acupuncture combined with kinetotherapy on cervical spondylosis

目的观察腹针结合运动疗法治疗颈型颈椎病的临床效果。方法选择2013年1月-2014年10月在深圳市福田区中医院门诊治疗的90例颈型颈椎病患者作为研究对象,按照数字随机表法将其分为两组,每组45例。观察组采用腹针结合运动疗法治疗,对照组采用电针治疗,比较两组治疗前后疼痛分级指数（PRI）、视觉模拟评分（VAS）、现有疼痛强度（PPI）评分、颈椎功能评分和血清β-内啡肽（β-EP）水平,并比较两组临床疗效。结果治疗前两组PRI、VAS、PPI、颈椎功能评分和血清β-EP水平比较差异无统计学意义（P〉0.05）,两组治疗后PRI、VAS、PPI评分均显著降低（P〈0.01）,且观察组低于对照组[（735±1.72）分比（9.86±2.08）分;（2.68±0.82）分比（4.12±1.13）分;（1 06±0.37）分比（1.71±0.43）分],差异均有高度统计学意义（t=3.238,P〈0.01;t=6.919,P〈0.01;t=7.687,P〈0.01）。两组治疗后颈椎功能评分和血清β-EP水平均升高（P〈0.01）,且观察组高于对照组[（25.37±3.20）分比（22.19±4.71）分;（232.49±29.09）ng/L比（211.24±24.61）ng/L],差异均有高度统计学意义（t=3.746,P〈0.01：t=3.741,P〈0.01）。观察组临床疗效优于对照组,差异有高度统计学意义（Z=7.168,P〈0.01）。结论腹针联合运动疗法治疗颈型颈椎病效果确切,方法简单,可有效改善患者临床症状,提高生活质量,值得临床推广应用。

Objective To observe the clinical efficacy of abdominal acupuncture combined with kinetotherapy on cervical spondylosis.Methods Ninety patients with cervical spondylosis for out-patient treatment in Futian Hospital of Traditional Chinese Medicine in Shenzhen City from January 2013 to October 2014 were selected as research objects and divided into two groups according to the random number table method,with 45 cases in each group.The observation group was treated with abdominal acupuncture combined with kinetotherapy,the control group was treated with electroacupuncture.The pain rating index（PRI）,visual analogue scale（VAS）,present pain intensity（PPI） score,cervical vertebra function score and serum beta endorphin（β-EP） level before and after treatment were compared between the two groups,and clinical curative effect was compared between two groups.Results There were no statistically significant differences in PRI,VAS,PPI,cervical vertebra function score and serum β-EP levels before treatment between the two groups（P〈0.05）,the PRI,VAS,PPI scores of the two groups after treatment were significantly decreased（P〈0.01）,and the indexes above in the observation group were lower than those of the control group[（7.35±1.72） scores vs（9.86±2.08） scores;（2.68±0.82） scores vs（4.12±1.13） scores;（1.06±0.37） scores vs（1.71±0.43） scores],there were highly statistically significant differences（t=3.238,P〈0.01;t=6.919,P〈0.01;t=7.687,P〈0.01）.The cervical vertebra function score and serum β-EP levels of the two groups after treatment were increased（P〈0.01）,and the indexes above in the observation group were higher than those of the control group[（25.37±3.20） scores vs（22.19±4.71）scores;（232.49±29.09） ng/L vs（211.24±24.61）ng/L],there were highly statistically significant differences（t=3.746,P〈0.01;t=3.741,P〈0.01）.The clinical efficacy of observation group was better than that of the control group,the difference was highly statistically significant（Z=7.168,P〈0.01）.Conclusion Abdominal acupuncture combined with kinetotherapy in the treatment of cervical spondylosis has exact therapeutic effect,the method is accurate and simple,which can effectively improve the clinical symptoms of the patients,enhance quality of life,it is worthy of clinical promotion and application.