传统功法五禽戏在颈型颈椎病康复护理中的应用

刘艳; 唐鸣歧; 江波; 江勇

doi:10.16766/j.cnki.issn.1674-4152.002615

传统功法五禽戏在颈型颈椎病康复护理中的应用

doi: 10.16766/j.cnki.issn.1674-4152.002615

刘艳¹,
唐鸣歧²,
江波¹,
江勇^3, ,

1.
安徽医科大学附属宿州医院康复医学科，安徽宿州 234000
2.
安徽医科大学附属宿州医院中医科，安徽宿州 234000
3.
蚌埠医学院第一附属医院康复医学科，安徽蚌埠 233004

基金项目:

安徽省高校继教教学改革项目 2019jxjj20

安徽省全科医学临床科研项目 2016QK023

详细信息

通讯作者:
江勇, E-mail: 498917800@qq.com

中图分类号: R681.55 R247.9
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- 文章访问数: 380
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- PDF下载量: 8
- 被引次数: 0
出版历程
- 收稿日期: 2021-11-28
- 网络出版日期: 2022-09-26

Application of traditional Wuqinxi exercises in rehabilitation nursing of cervical spondylopathy

1.
Department of Rehabilitation Medicine, Suzhou Hospital Affiliated to Anhui Medical University, Suzhou, Anhui 234000, China

摘要

摘要: 目的观察在康复护理中应用传统功法五禽戏对颈型颈椎病患者颈椎功能恢复以及患者对护理满意度的影响。方法选取2017年6月—2021年6月在安徽医科大学附属宿州医院符合纳入标准的60例颈型颈椎病患者，使用随机数字表法分为干预组和对照组各30例，对照组给予常规康复护理，干预组在常规康复护理的基础上给予五禽戏锻炼治疗，上午、下午各1次，1周连续练习5 d，共干预4周。比较2组治疗前后护理满意度、颈椎关节活动度以及治疗前后颈椎功能障碍指数量表(NDI)的变化。结果干预组、对照组患者治疗后NDI评分[(9.97±2.77)分、(12.47±6.02)分]与治疗前[(39.37±2.50)分、(38.37±4.05)分]比较差异有统计学意义(均P＜0.05)，干预组治疗后NDI、护理满意度和对照组比较差异有统计学意义(均P＜0.05)；干预组治疗后颈椎在前屈、后伸、左右侧屈、左右旋转等方向的活动度均优于对照组(均P＜0.05)。2组患者在治疗后颈椎各个方向的活动度较本组治疗前均有不同程度增加(均P＜0.05)。结论在颈型颈椎病的康复护理中，结合传统功法五禽戏可明显改善颈型颈椎病患者颈椎功能、颈部肌肉的疲劳、疼痛，提高颈型颈椎病患者的生活质量，患者在康复护理过程中也取得较高的满意度。
- 五禽戏 /
- 康复护理 /
- 颈型颈椎病
Abstract: Objective To explore the influence of using traditional Wuqinxi exercises in rehabilitation nursing on cervical spine function of patients with cervical spondylosis and patients' satisfaction with nursing care. Methods Sixty patients with cervical spondylosis who met the inclusion criteria in Suzhou Hospital Affiliated to Anhui Medical University from June 2017 to June 2021 were divided into an intervention group and a control group with 30 cases each by the random number method. The control group received routine rehabilitation care every day, and the intervention group was given Wuqinxi exercise treatment on the basis of routine rehabilitation care, one in the morning and one in the afternoon, for five consecutive days a week, for a total of 4 weeks of intervention. Changes in nursing satisfaction, cervical joint range of motion and cervical spine dysfunction index (NDI) were compared before and after treatment. Results The NDI scores [(9.97±2.77) points, (12.47±6.02) points] of patients in the intervention group and control group after treatment were significantly different from those before treatment [(39.37±2.50) points, (38.37±4.05) points, all P < 0.05]. After treatment, NDI and nursing satisfaction in the intervention group were significantly higher than those in the control group (all P < 0.05). The range of motion of the cervical spine in the anterior flexion, posterior extension, left-right lateral flexion, and left-right rotation after treatment in the intervention group were better than the control group (all P < 0.05). The range of motion of the cervical spine in all directions after treatment in the two groups of patients increased to varying degrees compared with that before treatment in this group (all P < 0.05). Conclusion In the rehabilitation nursing of cervical spondylosis, combined with traditional exercises, Wuqinxi can significantly improve cervical spine function, neck muscle fatigue and pain in patients with cervical spondylosis, and improve the quality of life of patients with cervical spondylosis. Patients also achieved a high degree of satisfaction.
- Wuqinxi /
- Rehabilitation nursing /
- Cervical spondylosis

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表 1 2组颈型颈椎病患者一般资料比较

Table 1. Comparison of general data between two groups of patients with cervical spondylosis

组别	例数	性别(例)		年龄(x±s, 岁)	病程[M(P₂₅, P₇₅)，周]
组别	例数	男性	女性	年龄(x±s, 岁)	病程[M(P₂₅, P₇₅)，周]
干预组	30	11	19	45.43±8.07	4.00(2.00，8.00)
对照组	30	13	17	45.96±7.70	4.00(2.00，8.00)
统计量		0.278^a		0.262^b	0.407^c
P值		0.598		0.794	0.684
注：^a为χ²值，^b为t值, ^c为Z值。

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表 2 2组颈型颈椎病患者治疗前后NDI指数比较(x±s, 分)

Table 2. Comparison of NDI index before and after treatment between two groups of patients with cervical spondylosis(x±s, scores)

组别	例数	治疗前	治疗后	t值	P值
干预组	30	39.37±2.50	9.97±2.77	51.898	＜0.001
对照组	30	38.37±4.05	12.47±6.02	19.769	＜0.001
t值		1.442	-2.416
P值		0.155	0.019

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表 3 2组颈型颈椎病患者治疗后护理满意度比较[例(%)]

Table 3. Comparison of nursing satisfaction between two groups of patients with cervical spondylosis after treatment

组别	例数	非常满意	基本满意	不满意
干预组	30	20(66.7)	9(30.0)	1(3.3)
对照组	30	10(33.3)	16(53.3)	4(13.3)
注：Z=2.641，P=0.008。

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表 4 2组颈型颈椎病患者治疗前后颈椎活动度改变比较(x±s, °)

Table 4. Comparison of the changes of cervical spine range of motion before and after treatment between two groups of patients with cervical spondylosis(x±s, °)

组别	例数	前屈		后伸		左侧屈
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
干预组	30	27.67±5.49	40.67±2.84^a	28.73±5.28	40.33±2.80^a	26.73±5.28	40.50±2.06^a
对照组	30	29.47±6.56	37.07±4.67^a	29.23±6.98	37.10±4.90^a	27.40±4.99	37.37±5.05^a
t值		-1.188	3.607	-0.313	3.132	-0.494	3.143
P值		0.24	0.01	0.756	0.03	0.623	0.03

组别	例数	右侧屈		左旋转		右旋转
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
干预组	30	27.30±5.67	39.87±2.06^a	37.50±5.08	56.80±1.49^a	36.70±5.66	55.80±2.20^a
对照组	30	26.60±5.07	37.63±4.97^a	38.93±4.56	50.20±4.59^a	38.90±4.61	50.06±4.37^a
t值		0.504	2.463	-0.830	7.490	-1.650	6.416
P值		0.616	0.017	0.410	＜0.001	0.104	＜0.001
注：与同组治疗前比较，^aP＜0.05。

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