针刺联合颈部抗阻力训练治疗颈型颈椎病的临床疗效观察

Observation on Clinical Efficacy of Acupuncture Combined with Neck Resistance Training in Treatment of Neck Cervical Spondylosis

目的:观察针刺联合颈部抗阻力训练治疗颈型颈椎病的临床疗效。方法:选取2019年6—12月中国中医科学院广安门医院南区骨伤科及门诊收治的颈型颈椎病患者78例,随机分成治疗组和对照组,每组39例。治疗组采用针刺联合颈部抗阻力训练治疗,对照组采用针刺加颈椎牵引治疗。评价两组患者治疗后的临床疗效及疼痛、临床症状评分、复发率情况。结果:两组患者经过治疗后总有效率差异无统计学意义(P>0.05);对照组临床控制率明显低于治疗组,差异具有统计学意义(P<0.05)。两组患者治疗14 d及6个月疼痛、临床症状评分与治疗前相比较,差异具有统计学意义(P<0.05);且治疗组优于对照组。治疗结束后6个月随访,两组复发率相比较,治疗组明显低于对照组,差异具有统计学意义(P<0.05)。结论:针刺联合颈部抗阻力训练治疗对减轻颈型颈椎病患者颈椎疼痛,改善临床症状效果较好,且安全性高,疗效稳定,复发率低,值得重视及推广。

Objective:To observe the clinical efficacy of acupuncture combined with neck resistance training in treatment of neck cervical spondylosis.Methods:From June 2019 to December 2019,78 patients with neck cervical spondylosis who were admitted to the Department of Orthopedics and Traumatology and Department of Outpatient in the South Campus of Guang'anmen Hospital of China Academy of Chinese Medical Sciences were selected.They were randomly divided into treatment group and control group,with 39 cases in each group.The treatment group was treated with acupuncture combined with neck resistance training,and the control group was treated with acupuncture and cervical traction.The clinical efficacy,pain score,clinical symptom score,and recurrence rate of the two groups after treatment were evaluated.Results:There was no significant difference in the total effective rate between the two groups after treatment(P>0.05).The clinical control rate in the control group was significantly lower than that in the treatment group,and the difference was statistically significant(P<0.05).There were statistically significant differences in the pain and clinical symptom scores between the two groups after 14 d of treatment and 6 months of treatment compared with those before treatment(P<0.05);and the treatment group was better than the control group.During 6-month follow-ups after the end of treatment,the recurrence rate in the treatment group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Acupuncture combined with neck resistance training has a good effect on alleviating cervical pain and improving clinical symptoms in patients with neck cervical spondylosis,with high safety,stable efficacy and low recurrence rate,which is worthy of attention and promotion.