针刺夹脊穴配合颈深屈肌训练治疗慢性非特异性颈痛

目的探讨针刺夹脊穴配合颈深屈肌训练治疗慢性非特异性颈痛的疗效。方法将60例诊断为慢性非特异性颈痛患者随机分成试验组和对照组,各30例。试验组干预措施为针刺夹脊穴配合颈深屈肌训练;对照组为单纯针刺夹脊穴治疗。对2组患者治疗前后的病情用视觉模拟评分量表(visual analogue scale,VAS)和颈椎功能障碍指数评分量表(neck disability index,NDI)进行评定,并将2组结果进行统计学分析。结果试验组与对照组在治疗前的VAS与NDI评分差异无统计学意义(P>0.05);2组治疗后组内与组间VAS与NDI评分差异均具有统计学意义(P<0.05)。结论针刺夹脊穴配合颈深屈肌训练可减轻患者颈痛强度及改善颈椎功能,对慢性非特异性颈痛具有良好的治疗效果。

辨位定点针刀松解术治疗颈椎病的临床研究

目的:观察辨位定点针刀松解术治疗颈椎病的临床疗效。方法:将60例颈椎病患者随机分为针刀治疗组和针刺对照组,每组30例。针刀治疗组根据患者不同的临床症状分型,进行针刀松解术治疗,每周1次,3周为1个疗程;针刺对照组选取主穴为天柱、大椎、后溪、颈椎夹脊穴,同时根据不同证型配穴加减,每周4次,3周为1个疗程。两组患者共治疗1个疗程后进行疗效评定。疗效评定标准以患者临床症状、体征改善程度和NPQ颈痛量表为主。结果:针刀治疗组总有效率为93.3%,与针刺对照组总有效率为66.7%比较,差异具有统计学意义(P<0.05)。两组患者治疗前后NPQ评分量表差值比较有显著性差异(P<0.05)。结论:辨位定点针刀松解术能显著改善颈椎病患者的临床症状,对不同分型的颈椎病患者都具有肯定疗效,并且在临床治愈率和远期疗效方面优于针刺疗法,值得临床上推广和应用。

Observation on clinical efficacy of warm needling moxibustion plus Mulligan dynamic joint mobilization for cervical radiculopathy

Objective:To observe the clinical efficacy of warm needling moxibustion plus Mulligan dynamic joint mobilization for cervical radiculopathy.Methods:A total of 60 cases with cervical radiculopathy were randomly divided into group A,group B and group C by random digital table,20 cases in each group.The patients in three groups were treated with similar warm needling moxibustion.Group A only received warm needling moxibustion;group B was treated with warm needling moxibustion plus Mulligan dynamic joint mobilization;group C was treated with warm needling moxibustion plus cervical traction.Before the treatment and after 12 sessions of treatment,the patients in the three groups were assessed for score of pain and range of motion(ROM).Results:By 12 sessions of the treatments,the scores of pain were obviously decreased in the three groups,with statistical significances(all P〈0.05),and the pain scores of group B and group C were significantly different from the score of group A(both P〈0.05).ROM of the neck was increased than before the treatment in the three groups,with statistical significances(all P〈0.05),and the ROM of the neck of group B was significantly different from those of group A and group C(both P〈0.05).Conclusion:Warm needling moxibustion plus Mulligan dynamic joint mobilization can effectively improve the neck ROM and relieve pain in patients with cervical radiculopathy.

天津某高校大学生视屏时间体力活动与颈肩痛的相关性

目的了解天津市某高校大学生视屏时间、体力活动与颈肩痛之间的关系,为促进大学生身体健康提供参考。方法于2021年4—6月,采用中文版肌肉骨骼疾患问卷对随机整群抽取的904名天津理工大学在校大学生进行调查,通过二元Logistic回归分析了解视屏时间、体力活动与颈肩痛之间的关联。结果大学生性别间颈肩痛发病率差异有统计学意义(χ^(2)=24.35,P<0.05)。二元Logistic回归分析显示,视屏时间>6 h/d与男生颈肩痛的发生呈正相关(OR=4.55),体力活动>150 min/周与女生颈肩痛的发生呈负相关(OR=0.63)(P值均<0.05)。本科生与研究生群体及大学生整体体力活动>150 min/周与颈肩痛发生均呈负相关(OR值分别为0.52,1.26,0.61),视屏时间>6 h/d与颈肩痛发生呈正相关(OR值分别为2.39,6.18,2.97)(P值均<0.05),在男生及本科、研究生群体中均发现高视屏时间×高体力活动人群较低视屏时间×高体力活动人群的颈肩痛风险升高(OR值分别为2.96,2.35,2.93)(P值均<0.05)。结论体力活动不足与视屏时间过长会增加大学生颈肩痛的风险,体力活动不足对颈肩痛的影响弱于视屏活动。建议学校和家庭等多方面配合控制视屏时间,增加体育锻炼,进而预防大学生颈肩痛的发生。