针刺疗法及八段锦为主的运动处方干预颈型颈椎病临床研究

Clinical Research on Acupuncture Therapy and Exercise Prescription Intervention with Baduanjin as Main Therapy for Cervical Spondylosis

目的观察针刺疗法结合主动健康观念(运动处方)干预颈型颈椎病与传统经典针刺疗法的疗效。方法将120例颈型颈椎病患者的按治疗顺序号利用随机数字表进行随机均分对照组(针刺疗法组)和治疗组(以八段锦为主的运动处方组),每组60例进入统计分析。两组分别行针刺疗法和以八段锦为主的运动处方干预,两组患者均治疗4周。治疗前后采用VAS疼痛积分评价疼痛情况,颈椎功能障碍指数(NDI)评价颈椎功能障碍程度,观察治疗前后各项指标的变化。结果治疗结束后,针刺疗法组与运动处方组患者VAS评分、NDI评分均较治疗前显著下降,运动处方组治疗前后各项评分下降值接近于针刺疗法组。结论针刺疗法及运动处方干预颈型颈椎病均有效果,运动处方干预颈型颈椎病为颈型颈椎病治疗提供了更加经济有效的治疗思路。

Objective To study the therapeutic effect of acupuncture therapy combined with active health concept(exercise prescription)on cervical spondylosis and traditional classical acupuncture therapy.Methods 120 patients with cervical spondylosis were randomly divided into a control group(acupuncture therapy group)and a treatment group(exercise prescription group mainly composed of Baduanjin)using a random number table according to the treatment sequence number.60 patients in each group were included in statistical analysis.Two groups were treated with acupuncture therapy and exercise prescription intervention mainly consisting of Baduanjin.Both groups of patients were treated for 4 weeks.Before and after treatment,VAS pain score was used to evaluate the pain situation,and the cervical dysfunction index(NDI)was used to evaluate the degree of cervical dysfunction.The changes in various indicators before and after treatment were observed.Results After treatment,the VAS score and NDI score of patients in the acupuncture therapy group and the exercise prescription group significantly decreased compared to before treatment.The decrease in various scores before and after treatment in the exercise prescription group was similar to that in the acupuncture therapy group.Conclusion Acupuncture therapy and exercise prescription intervention have both effects on cervical spondylosis,and exercise prescription intervention provides a more cost-effective and effective treatment approach for cervical spondylosis.