悬吊训练结合针刺对慢性非特异性颈痛的疗效

doi:10.3969/j.issn.1006-9771.2024.02.014

摘要/Abstract

摘要：

目的探讨悬吊训练结合针刺治疗慢性非特异性颈痛的效果。
方法 2022年3月至2023年3月选取望京医院康复门诊单侧慢性非特异性颈痛患者81例，随机分为悬吊组(n = 27)、针刺组(n = 27)和联合组(n = 27)。悬吊组进行常规悬吊训练，针刺组接受常规针刺治疗，联合组进行悬吊训练和针刺结合治疗，共6周。治疗前后，分别进行视觉模拟评分(VAS)和颈椎功能障碍指数(NDI)评价，采用超声成像评价颈长肌和多裂肌的横截面积。
结果治疗后，3组VAS、NDI评分以及颈长肌和多裂肌横截面积均显著改善(|t| > 4.473, P < 0.001)，且联合组优于悬吊组和针刺组(P < 0.05)。
结论悬吊训练和针刺均可改善慢性非特异性颈痛的疼痛症状和功能，增加颈长肌和多裂肌横截面积，结合应用效果更优。

关键词: 慢性非特异性颈痛, 悬吊训练, 针刺

Abstract:

Objective To explore the effect of suspension combined with acupuncture on chronic non-specific neck pain (CNNP).
Methods A total of 81 patients with unilateral CNNP from the rehabilitation outpatient clinic of Wangjing Hospital from March, 2022 to March, 2023 were divided into suspension group (n = 27), acupuncture group ((n = 27) and combined group (n = 27) randomely. The suspension group underwent conventional suspension, the acupuncture group received conventional acupuncture treatment, and the combined group underwent suspension and acupuncture, for six weeks. The Visual Analogue Scale (VAS), Neck Disability Index (NDI), and cross-sectional area (CSA) of longus colli and multifidus in the neck using ultrasound imaging were compared before and after treatment.
Results After treatment, the VAS and NDI score, and CSA of longus colli and multifidus improved in three groups (|t| > 4.473, P < 0.001), and the combined group was better than the other two groups (P < 0.05).
Conclusion Suspension and acupuncture can relief the pain, improve function, and increase CSA of longus colli and multifidus in patients with unilateral CNNP, while the combination of the two methods is better.

Key words: chronic non-specific neck pain, suspension, acupuncture

中图分类号:

R681.5

马二浩, 申岩, 王尚全, 董继革. 悬吊训练结合针刺对慢性非特异性颈痛的疗效[J]. 《中国康复理论与实践》, 2024, 30(2): 232-237.

MA Erhao, SHEN Yan, WANG Shangquan, DONG Jige. Effect of suspension combined with acupuncture on chronic non-specific neck pain[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(2): 232-237.

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项目	悬吊组 (n = 27)	针刺组 (n = 27)	联合组 (n = 27)	F/χ²值	P值
年龄/岁	31.76±6.98	31.95±8.21	32.61±7.04	0.417	0.632
病程/年	1.49±0.61	1.43±0.67	1.57±0.53	0.762	0.498
性别/n				1.087	0.256
男	14	15	11
女	13	12	16
侧别/n				0.582	0.509
左	11	13	10
右	16	14	17
身高/cm	165.02±7.65	164.80±8.21	164.20±7.82	0.275	0.784
体质量/kg	64.39±9.91	64.51±9.83	63.72±10.21	0.390	0.723
体质量指数/(kg·m^-2)	23.01±2.03	22.73±2.53	22.36±2.71	0.549	0.606

组别	n	治疗前	治疗后	t值	P值
悬吊组	27	6.71±1.97	3.25±1.84	7.258	< 0.001
针刺组	27	6.37±1.69	3.67±1.23	7.463	< 0.001
联合组	27	6.29±1.78	2.98±1.01^a,b	5.869	< 0.001
F值		0.153	4.327
P值		0.851	0.034

组别	n	治疗前	治疗后	t值	P值
悬吊组	27	24.85±5.06	13.94±2.25	8.651	0.021
针刺组	27	24.97±4.62	14.56±2.38	9.820	0.015
联合组	27	25.37±4.36	12.35±2.16^a,b	12.135	0.007
F值		0.367	5.365
P值		0.749	0.023

组别	n	治疗前	治疗后	t值	P值
悬吊组	27	1.07±0.41	1.28±0.28	-6.053	< 0.001
针刺组	27	1.02±0.36	1.13±0.29	-4.473	< 0.001
联合组	27	1.05±0.27	1.32±0.31^a,b	-7.299	< 0.001
F值		0.061	8.034
P值		0.945	< 0.001

组别	n	治疗前	治疗后	t值	P值
悬吊组	27	1.34±0.30	1.45±0.24	-6.865	< 0.001
针刺组	27	1.37±0.26	1.41±0.19	-6.166	< 0.001
联合组	27	1.35±0.21	1.56±0.22^a,b	-7.290	< 0.001
F值		0.084	8.674
P值		0.967	< 0.001