铜砭刮痧疗法联合独活寄生汤治疗风寒湿痹型神经根型颈椎病颈肩痛OA
Combined Effect of Copper-Gua Sha Therapy and Pubescent Angelica and Tailus Decoction on Neck and Shoulder Pain Caused by Nerve-Root Type Cervical Spondylosis of Wind-Cold-Dampness Type
目的:探讨铜砭刮痧疗法联合独活寄生汤对神经根型颈椎病颈肩痛患者的疼痛症状及睡眠质量的影响.方法:选择符合纳入标准的神经根型颈椎病颈肩痛患者130例,依据随机数字表随机分为对照组和研究组,每组各65例.对照组患者给予独活寄生汤和颈部保健运动康复干预,研究组在对照组治疗基础上给予铜砭刮痧干预,均干预4周.比较干预3、7、14 d患者颈痛量表(NPQ)评分、疼痛视觉模拟(VAS)评分、颈椎功能障碍指数(NDI)评分变化情况,并在干预30 d后比较两组患者匹兹堡睡眠质量指数(PSQI)的变化情况.结果:与对照组比较,干预3、7、14 d,研究组NPQ评分、VAS评分、NDI评分低于对照组(P<0.05,P<0.001).NPQ评分、VAS评分、NDI评分主体内效应(F时点、F交互)、主体间效应(F组间)比较,差异具有统计学意义(P<0.001).与治疗后比较,两组PSQI入睡速度、睡眠时间、主观睡眠质量、睡眠障碍、助眠药物、日间活动和总分均降低(P<0.05),研究组睡眠效率降低(P<0.05);与对照组比较,研究组干预30 d后PSQI睡眠时间、主观睡眠质量、睡眠效率、睡眠障碍、助眠药物、日间活动、总分更低(P<0.05).结论:铜砭刮痧疗法联合独活寄生汤可显著改善神经根型颈椎病颈肩痛患者的疼痛症状及睡眠质量,促进功能恢复.
Objective:To investigate the effects of combined Copper-Gua Sha therapy and Pubescent Angelica and Tailus Decoction on pain symptoms and sleep quality in patients with neck and shoulder pain caused by nerve-root type cervical spondylosis.Methods:A total of 130 patients with neck and shoulder pain caused by nerve-root type cervical spondylosis who met the inclusion criteria were randomly divided into a control group and a study group,with 65 patients in each group,using a random number table.The control group received Pubescent Angelica and Tailus Decoction and cervical health exercise rehabilitation intervention,while the study group received the same in addition to Copper-Gua Sha therapy.Both interventions lasted for 2 weeks.The changes in Neck Pain Questionnaire(NPQ)scores,Visual Analog Scale(VAS)scores,and Neck Disability Index(NDI)scores were compared at 3,7,and 14 days of intervention.Additionally,the Pittsburgh Sleep Quality Index(PSQI)was compared between the two groups 30 days after the intervention.Results:Compared with the control group,the study group had significantly lower NPQ,VAS,and NDI scores at 3,7,and 14 days of intervention(P<0.05,P<0.001).The within-subject effects(F-time points,F-interaction)and between-subject effects(F-group)of NPQ,VAS,and NDI scores were statistically significant(P<0.001).Compared with pre-treatment,both groups showed reductions in PSQI subscales including sleep latency,sleep duration,subjective sleep quality,sleep disturbances,use of sleep medications,daytime dysfunction,and total score(P<0.05),with the study group showing a reduction in sleep efficiency(P<0.05).The study group also had significantly lower PSQI scores for sleep duration,subjective sleep quality,sleep efficiency,sleep disturbances,use of sleep medications,daytime dysfunction,and total score compared to the control group after 30 days of intervention(P<0.05).Conclusion:Copper-Gua Sha therapy combined with Pubescent Angelica and Tailus Decoction Decoction can significantly improve pain symptoms and sleep quality in patients with neck and shoulder pain caused by nerve-root type cervical spondylosis,and promote functional recovery.
张茹佳;段婧;李艳芬;杨洁洁
河南中医药大学第三附属医院,河南 郑州 450000
神经根型颈椎病颈肩痛铜砭刮痧颈部保健运动康复疼痛睡眠质量
Cervical radiculopathyNeck-shoulder painCopper-Gua ShaNerve-root type cervical spondylosisPainSleep quality
《中医药信息》 2024 (010)
43-48 / 6
河南省科技发展计划项目(222102310257)
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