本体感觉神经肌肉促进技术与针刺治疗舰艇官兵落枕的疗效比较

发布时间：2018-06-04 19:48

本文选题：落枕 + 本体感觉神经肌肉促进技术　；参考：《第二军医大学学报》2017年06期

【摘要】：目的探讨本体感觉神经肌肉促进技术(PNF)和针刺治疗舰艇官兵落枕的临床疗效。方法选取50例舰艇官兵落枕患者,依据治疗方法分为PNF组和针刺组(分别接受PNF和针刺治疗),每组25例。比较分析两组患者治疗前、治疗后即刻和治疗后3个月时的疼痛视觉模拟量表(VAS)评分、治疗后即刻的关节活动度评分和治疗后5个月内的落枕复发率。结果两组各1例患者因其他原因退出研究,共48例完成试验。针刺组和PNF组患者治疗后即刻的VAS评分低于治疗前(1.9±0.5vs 7.6±1.6;2.7±0.7vs 8.0±1.4;P均0.01),但PNF组患者治疗后即刻的VAS评分高于针刺组(2.7±0.7vs 1.9±0.5,P0.05);治疗后3个月时两组VAS评分差异无统计学意义。针刺组患者在治疗后即刻各方向关节活动度均较治疗前改善(P0.01),且优于PNF组(P0.01)。PNF组治疗后5个月内落枕复发率(4.2%,1/24)低于针刺组(25.0%,6/24),但差异无统计学意义(P0.05)。结论 PNF治疗落枕的即刻效果虽然不及针刺,但其操作简单、可能降低落枕复发率,可以作为治疗落枕的替代方案。
[Abstract]:Objective to investigate the clinical effect of proprioceptive neuromuscular promoting technique (PNFs) and acupuncture in the treatment of naval officers and soldiers falling pillow. Methods 50 patients with falling pillow were divided into PNF group and acupuncture group (25 cases in each group). The pain visual analogue scale (VAS) scores before treatment, immediately after treatment and 3 months after treatment were compared between the two groups. The articular motion score immediately after treatment and the recurrence rate of occipital fall within 5 months after treatment were compared between the two groups. Results one patient in each group withdrew from the study for other reasons and 48 patients completed the test. The VAS scores of the patients in the acupuncture group and the PNF group were lower than those in the pre-treatment group (1.9 卤0.5vs 7.6 卤1.6 卤2.7 卤2.7 卤1.4 P 0.01), but the VAS score in the PNF group was higher than that in the acupuncture group (2.7 卤0.7vs 1.9 卤0.5 P 0.05), and there was no significant difference in VAS score between the two groups at 3 months after treatment. The motion of joints in all directions in the acupuncture group was better than that before treatment, and was better than that in the PNF group within 5 months after treatment. The recurrence rate of the occipital drop in the acupuncture group was lower than that in the acupuncture group, but the difference was not statistically significant (P 0.05). Conclusion although the immediate effect of PNF in the treatment of falling occipital is not as good as that of acupuncture, it is easy to operate and may reduce the recurrence rate of falling occipital. It can be used as an alternative to the treatment of falling occipital.
【作者单位】：海军总医院康复医学科暨疼痛诊疗中心;
【分类号】：R82

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