《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

中医推拿联合功法训练治疗慢性非特异性颈痛的效果①

张佳玮1，王刚1，李飞1，王艳1，马玲1，卢茜1，王诗忠2，毕胜1   

  1. 1. 解放军总医院康复医学中心，北京市100853；2.福建中医药大学，福建福州市350122。
  • 出版日期:2016-04-25 发布日期:2016-06-01

Effect of Tuina Combined with Traditional Chinese Exercise on Nonspecific Chronic Neck Pain

ZHANG Jia-wei1, WANG Gang1, LI Fei1, WANG Yan1, MA Ling1, LU Xi1, WANG Shi-zhong2, BI Sheng1   

  1. 1. Rehabilitation Center of Chinese PLA General Hospital, Beijing 100853, China; 2. School of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian 350122, China
  • Published:2016-04-25 Online:2016-06-01

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摘要： 目的分析中医推拿联合功法训练治疗慢性非特异性颈痛(NCNP)的效果。方法2014 年10 月~2015 年10 月本院门诊纳入NCNP患者80 例，随机分为观察组(n=40)和对照组(n=40)。观察组进行中医推拿联合功法训练，对照组采用颈椎间歇牵引。每周5 次，治疗2 周。分别在干预前、干预后即刻和1 个月随访时，采用疼痛视觉模拟评分(VAS)和颈椎功能障碍指数(NDI)进行评价。结果77 例患者完成训练和随访。干预后，两组VAS和NDI 均显著下降(t>9.330, P<0.001)。观察组干预后和1 个月随访时，VAS评分明显低于对照组(F>8.338, P<0.01)；观察组1 个月随访时的NDI评分明显低于对照组(F=9.053, P=0.004)。结论中医推拿联合功法可有效缓解颈痛、改善颈椎功能，效果优于颈椎间歇牵引。

关键词: 颈痛, 视觉模拟评分, 颈椎功能障碍指数, 间歇牵引

Abstract: Objective To explore the effect of Tuina combined with Traditional Chinese exercise (TCE) on nonspecific chronic neck pain (NCNP). Methods 80 eligible patients were recruited in our hospital from October, 2014 to October, 2015. They were randomized to observation group (n=40) and control group (n=40). The observation group received Tuina combined with TCE, and the control group received intermittent cervical traction, 5 times a week for 2 weeks. They were assessed with Visual Analog Scale (VAS) and Neck Disability Index (NDI) before, immediately after intervention, and at 1 month follow-up. Results 77 patients completed the treatment and follow-up. The scores of VAS and NDI significantly decreased after a 2-week intervention (t>9.330, P<0.001) in both groups. The VAS score were significantly lower in the observation group than in the control group immediately after intervention and at 1-month follow-up (F>8.338, P< 0.01). The NDI score was significantly lower in the observation group than in the control group at 1-month follow-up (F=9.053, P=0.004). Conclusion Tuina combined with TCE could relieve pain and improve cervical function in patients with NCNP, which was superior to intermittent cervical traction.

Key words: neck pain, Visual Analog Scale, Neck Disability Index, intermittent traction