易筋经功法配合骨通贴膏对颈型颈椎病颈椎生理曲度的影响

Effects of Yijinjing exercising combined with Gutong plaster on physiology curvature of cervical spondylosis with cervival type

目的观察易筋经功法配合骨通贴膏对颈型颈椎病颈椎生理曲度的影响及临床疗效。方法将68例颈型颈椎病患者随机分为2组。治疗组34例练习易筋经第3势(韦驮献杵第三势)及第7势(九鬼拔马刀势)并配合骨通贴膏外敷治疗,对照组34例行颈椎牵引疗法治疗。2组均10 d为1个疗程,共治疗4个疗程。比较2组治疗前后颈椎功能障碍指数量表(NDI)及疼痛视觉模拟评分法(VAS)评分变化,并统计临床疗效;收集相关影像学资料及数据,采用Borden测量法测量2组治疗前及治疗结束3个月后颈椎生理曲度(颈椎弧弦距)变化。结果 2组治疗后NDI评分和VAS评分均较本组治疗前降低,且治疗组低于对照组,比较差异均有统计学意义(P<0.05)。治疗组治疗结束3个月后颈椎弧弦距较本组治疗前明显增加,治疗前后差值大于对照组,比较差异均有统计学意义(P<0.05);对照组治疗结束3个月后颈椎弧弦距较本组治疗前无明显变化(P>0.05)。治疗组愈显率91.18%,对照组79.41%,2组愈显率比较差异有统计学意义(P<0.01),治疗组高于对照组。结论易筋经功法配合骨通贴膏能够改善颈型颈椎病颈椎生理曲度,提高治疗效果。

Objective To observed the clinical effects of Yijinjing exercising combined with Gutong plaster on physiology curvature of cervical spondylosis with cervical type. Methods 68 cases with cervical spondylosis were randomly divided into two groups. 34 cases in treatment group were treated by of Yijinjing including the 3th posture-weituoxianchu and the 7th posture-jiuguibamadao combined with gutong plaster. 34 cases in control group were treated by cervical traction. The treatment course was 10 d in two groups for 4 courses. The changes of neck disability index（ NDl） and visual analogue scale（ VAS） before and after treatment were compared in two groups and the clinical effects were evaluated. Collecting the related imaging material and data,and the physiology curvature of cervical before and 3 months after the end of treatment was measured by Borden method. Results The scores of VAS and NDl were reduced,and which in treatment group were lower than those in control group（ P〈0. 05）. The are chord distance of cervical spine after treatment were obviously increased in treatment group,and the difference between before and after treatment was higher than that in control group（ P〈0. 05）. There was no statistical difference on the are chord distance of cervical between before and after treatment in control group（ P〉0. 05）. The cure-effective rate in treatment group（ 91. 18%） was superior to that in control group（ 79. 41%,P〉0. 05）. Conclusion Yijinjing exercising combined with gutong plaster can improve the physiology curvature with cervical spondylosis with cervical type,and increase the efficacy.