针刺联合补肾化瘀通络方对中青年颈椎生理曲度及日常生活能力的影响

Effects of Acupuncture Combined with Bushen Huayu Tongluo Recipe(补肾化瘀通络方) on Middle and Young Cervical Physiological Curvature and Daily Living Ability

目的:探讨针刺联合补肾化瘀通络方对中青年颈椎生理曲度及日常生活能力的影响。方法:选取108例中青年颈椎生理曲度异常患者,按照随机数字表法分为治疗组与对照组各54例。对照组在基础综合治疗上给予补肾化瘀通络方治疗,治疗组在对照组基础上联合针刺治疗。对比两组治疗前后颈背疼痛、肌肉僵直痛及头晕头痛(VAPS)评分、日常生活能力(ADL)评分、负性情绪[焦虑(HAMA)、抑郁(HAMD)]评分及生活质量评分,并统计两组颈椎曲度改善率。结果:两组治疗前颈背疼痛、肌肉僵直痛及头晕头痛VAPS评分比较,差异均无统计学意义(P>0.05),治疗组治疗后各项分值均低于对照组,差异有统计学意义(P<0.05);治疗组治疗后颈椎曲度改善率为92.59%,对照组为62.96%,两组比较,差异有统计学意义(P<0.05);治疗前治疗组ADL评分与对照组比较,差异无统计学意义(P>0.05);治疗后治疗组高于对照组,差异有统计学意义(P<0.05);治疗组治疗前HAMA、HAMD分值与对照组比较,差异无统计学意义(P>0.05),治疗后,治疗组低于对照组,差异有统计学意义(P<0.05);治疗前治疗组生活质量评分与对照组相比,差异无统计学意义(P>0.05),治疗后治疗组高于对照组,差异有统计学意义(P<0.05)。结论:给予颈椎生理曲度异常针刺联合补肾化瘀通络方治疗,可有效缓解患者临床症状,改善颈椎生理曲度,进而有利于提高日常生活能力,缓解患者负性情绪,促进生活质量改善。

Objective： To investigate the effects of acupuncture combined with Bushen Huayu Tongluo recipe （补肾化瘀通络方, BSHYHLR） on middle and young cervical physiological curvature and daily living ability. Methods： The 108 patients with abnormal cervical physiological curvature were randomly divided into observation group and control group, 54 cases in each group. The control group was treated with BSHYHLR, and the observation group on this basis combined with acupuncture treatment. Neck pain, muscle stiffness pain and dizziness headache （VAPS） scores, daily living ability （ADL） score, negative mood [anxiety （HAMA）, depression （HAMD）] scores and quality of life scores were compared between the two groups before and after treatment, and the cervical curvature improvement rate of two groups were observed. Results： There was no significant difference in the neck pain, muscle stiffness pain and dizziness headache VAPS scores between the two groups before treatment （P〉0.05）, but after treatment, each score of the observation group was lower than those of the control group, the difference was statistically significant （P〈0.05）; The improvement rate of cervical curvature in the observation group was 92.59% and 62.96% in the control group after treatment, the difference was statistically significant （P〈0.05）; There was no significant difference in the ADL score between the two groups before treatment （P〉0.05）, but after treatment, the observation group was significantly higher than that of the control group; There was no significant difference in the HAMA and HAMD scores between the two groups before treatment （P〉0.05）, but after treatment, the observation group was significantly lower than that of the control group; There was no significant difference in the quality of life scores between the two groups before treatment （P〉0.05）, but aftertreatment, the observation group was higher than the control group, the difference was statistically significant （P〈 0.05）. Conclusion： Treatment of abnormal cervical physiological curvature using acupuncture combined with BSHYHLR can effectively relieve the clinical symptoms and improve the cervical physiologicalcurvature, which is beneficial to improve the daily IMng ability, relieve the negalive emolion and promote lhe improvement of the qualily of life.