中药熏洗配合功能训练治疗颈型颈椎病疗效观察

Efficacy Observation of Chinese Medicinal Fumigation and Washing Combined withFunctional Exercise on Cervical Spondylopathy

目的:观察中药熏洗治疗中配合功能训练对颈型颈椎病患者的治疗效果。方法:将62例颈型颈椎病患者按随机数字表法分为对照组和观察组各31例。对照组接受中频电治疗,并在正常环境中进行功能训练;观察组接受中频电治疗、中药熏洗治疗,并在熏洗治疗中进行功能训练。在两组患者接受治疗前、治疗4周后及3个月随访时,分别用视觉模拟评分法(VAS)、颈椎功能障碍指数(NDI)评分量表及颈椎各方向的关节活动度对其进行评价。结果:治疗前两组患者VAS评分、NDI评分及颈椎各方向的关节活动度比较,差异无统计学意义(P>0.05)。治疗4周后及3个月随访时,两组患者VAS评分、NDI评分及颈椎各方向的关节活动度均较治疗前有明显改善(P<0.05);且观察组的改善程度比对照组显著,差异具有统计学意义(P<0.05)。结论:中药熏洗治疗中配合功能训练治疗颈型颈椎病可有效缓解疼痛,提高颈椎关节活动度。

Objective:To observe efficacy of Chinese medicinal fumigation and washing combined with functional exercise on cervical spondylosis.Methods:Using a random number table method,62 patients with cervical spondylosis were divided into control group and observation group,31 patients in each group.The control group received intermediate frequency electrotherapy and functional exercise in a normal environment;the observation group received intermediate frequency electrotherapy,Chinese medicinal fumigation and washing treatment,and functional training during fumigation and washing treatment.Before treatment,4 weeks and 3 months after treatment during the follow-up,patients in both groups were evaluated by visual analogue score(VAS),neck disability index(NDI)scale,and joint mobility in all directions of the cervical spine.Results:There was no statistically significant difference in VAS score,NDI score and joint mobility in all directions of the cervical spine between two groups before treatment(P>0.05).In the follow-up 4 weeks and 3 months after treatment,VAS score,NDI score and joint mobility of the cervical spine in all directions of the two groups were significantly improved compared with before treatment(P<0.05),and the improvement in the observation group was significantly higher than that in the control group with statistically significant difference(P<0.05).Conclusion:Chinese medicinal fumigation and washing combined with functional exercise in the treatment of cervical spondylosis can effectively relieve pain and improve the range of motion of cervical joints.