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悬吊训练结合针刺对慢性非特异性颈痛的疗效

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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.
Effect of suspension combined with acupuncture on chronic non-specific neck pain
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 com-bined group(n = 27)randomely.The suspension group underwent conventional suspension,the acupuncture group received conventional acupuncture treatment,and the combined group underwent suspension and acupunc-ture,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 treat-ment.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 mul-tifidus in patients with unilateral CNNP,while the combination of the two methods is better.

chronic non-specific neck painsuspensionacupuncture

马二浩、申岩、王尚全、董继革

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中国中医科学院望京医院,北京市 100102

慢性非特异性颈痛 悬吊训练 针刺

2024

中国康复理论与实践
中国残疾人康复协会,中国医师协会,中国康复研究中心

中国康复理论与实践

CSTPCD北大核心
影响因子:1.354
ISSN:1006-9771
年,卷(期):2024.30(2)
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