易筋经锻炼联合颈部推拿疗法治疗落枕的临床疗效观察

Clinical observation on Yi Jin Jing(Sinew-transforming Qigong Exercises)plus tuina on the neck for stiff neck

目的:观察易筋经锻炼联合颈部推拿治疗落枕的临床疗效.方法:将符合筛选标准的60例落枕患者按就诊顺序分为2组,每组30例.对照组接受颈部推拿治疗,每次30 min,每天1次;观察组在接受与对照组相同的颈部推拿治疗基础上进行易筋经锻炼,每次练习时间不少于30 min,每天1次.分别于治疗前、治疗1次、3次和5次后进行视觉模拟量表(VAS)评分以评价颈痛程度.结果:治疗过程中,观察组和对照组各脱落2例.治疗后,观察组总有效率为92.9%,对照组为82.1%,两组总有效率有统计学差异(P<0.05).观察组三个时间点的VAS评分均显著低于对照组(均P<0.05).结论:颈部推拿加易筋经练习能有效减轻落枕患者的颈痛,改善颈椎活动度,其疗效优于单独颈部推拿治疗.

Objective:To observe the effect of Yi Jin Jing(Sinew-transforming Qigong Exercises)plus tuina on the neck for stiff neck.Methods:A total of 60 patients with stiff neck who met the screening criteria were selected and randomly divided into two groups,with 30 cases in each group.Patients in the control group received tuina on the neck,30 min every time,once a day,while patients in the observation group practiced Yi Jin Jing(Sinew-transforming Qigong Exercises)plus the same tuina therapy as the control group,and Yi Jin Jing(Sinew-transforming Qigong Exercises)was conducted for more than 30 min every time,once a day.Visual analog scale(VAS)scores were observed before treatment,and after 1 time,3 times and 5 times of treatment to evaluate the degree of neck pain.Results:During the treatment,each group had 2 dropouts.After treatment,the total effective rate was 92.9%in the observation group versus 82.1%in the control group,showing a statistical significance(P<0.05).The VAS scores in the observation group at the three time points were significantly lower than those in the control group(all P<0.05).Conclusion:Yi Jin Jing(Sinew-transforming Qigong Exercises)plus tuina on the neck can effectively relieve neck pain and improve cervical range of motion in patients with stiff neck,and can achieve a better effect than tuina alone.