两种康复治疗方案对办公室人员颈椎病的疗效观察

Observation of the effect of two rehabilitation treatments to staff in office with cervical spondylosis

目的 观察两种康复治疗方案对办公室人员颈椎病的疗效,尝试探索适宜该人群的康复治疗方案.方法 以患有颈椎病的办公室人员为研究对象,根据纳入排除标准,将37例患者按随机数字表法分为治疗A组（每周1次治疗,n=17）及治疗B组（每周1次治疗,n=20）.A组采用中频电疗及红外线治疗,B组采用中医推拿疗法.观察入组时、治疗10周后视觉模拟评分（VAS）及颈椎活动度（ROM）的变化.结果 与治疗前相比,两治疗组治疗后VAS评分显著降低（tA=12.91,tB=13.88,均P〈0.05）,两治疗组间VAS评分比较差异无统计学意义（t=0.22,P〉0.05）.与治疗前相比,两治疗组治疗后颈椎ROM范围均显著增加（tA前屈=-4.59,tA后伸=-5.13,tA左侧屈=-4.24,tA右侧屈=-3.25,tA左旋=-7.13,tA右旋=-7.47,tB前屈=-5.85,tB后伸=-7.28,tB左侧屈=-8.64,tB右侧屈=-8.38,tB左旋=-11.72,tB右旋=-11.95,均P〈0.05）.两治疗组间比较,治疗B组颈椎前屈、左侧屈、左旋范围增加幅度较治疗A组差异均有统计学意义（t前屈=-2.29,t左侧屈=-2.77,t左旋=-2.32,均P〈0.05）,后伸、右侧屈、右旋范围较治疗A组差异均无统计学意义（t后伸=-1.97,t右侧屈=-1.97,t右旋=-1.97,均P〉0.05）.结论 两种康复治疗方案均能改善被试办公室人员的颈部疼痛程度,在提高颈部活动范围方面治疗B组疗效优于治疗A组.

Objective To observe the effects of two rehabilitation programs to staff in office with cervical spondylosis,and to explore the appropriate rehabilitation program for this group of people.Methods There were 37 office personnel with cervical spondylosis were selected by the inclusion criteria.They were randomly divided into treatment group A（once a week,n=17） and treatment group B （once a week,n=20） according to the random number table method.The treatment group A took middle frequency electrotherapy and infrared therapy,while the treatment group B took tuina manipulation.The changes of visual analogue scale （VAS） and cervical range of movement （ROM） were observed after 10 weeks of treatment.Results Compared with before treatment,the VAS scores of the two treatment groups decreased with statistically significant difference after 10 weeks of treatment（tA=12.91,tB=13.88,all P〈0.05）.There was no significant difference in VAS score between the two treatment groups after treatment（t=0.22,P〉0.05）.Compared with before treatment,the cervical ROM of the two groups increased significantly after treatment（tA anteflexion=-4.59,tA posterior extension=-5.13,tA left flexion=-4.24,tA right flexion=-3.25,tA left circumflexion=-7.13,tA right circumflexion=-7.47,tB anteflexion=-5.85,tB posterior extension=-7.28,tB left flexion=-8.64,tB right flexion=-8.38,tB left circumflexion=-11.72,tB right circumflexion=-11.95,all P〈0.05）.There were significant differences in the increase range of flexion,left flexion and left circumflexion between the two treatment groups after treatment（tflexion=-2.29,tleft flexion=-2.77,tleft circumflexion=-2.32,all P〈0.05）,but posterior extension,right flexion and right circumflexion had no statistically significant diffferences（tposterior extension=-1.97,tright flexion=-1.97,tright circumflexion=-1.97,all P〉0.05）.Conclusion The two kinds of rehabilitation programs can relieve the neck pain of the office personnel,but treatment group B is better than treatment group A in increasing cervical ROM.