摘要目的 探讨针刺结合家庭锻炼对神经根型颈椎病(cervical spondylotic radiculopathy, CSR)患者疼痛及生活质量的影响.方法 将符合入选标准的104例CSR患者按随机数字表法分为4组,每组26例.对照组单纯颈椎牵引,锻炼组颈椎牵引+家庭锻炼,针刺组颈椎牵引+针刺;综合组颈椎牵引+针刺+家庭锻炼.4组均治疗4周.分别于治疗前后采用简式McGill疼痛问卷(Short-form of McGill Pain Questionnaire, SF-MPQ)进行疼痛评估,采用 Northwick Park 颈痛量表(Northwick Park Neck Pain Questionnaire, NPQ)评估颈痛程度,采用世界卫生组织生活质量测定简表(The World Health Organization Quality of Life-BREF, WHOQOL-BREF)评估生活质量.结果 治疗后,综合组、针刺组、锻炼组SF-MPQ评分[(5.8±1.0)分、(7.1±1.1)分、(7.9±2.1)分比(9.3±1.1)分,F＝44.897]、NPQ评分[(12.9±2.0)分、(15.5±1.6)分、(15.9±3.4)分比(17.8±1.9)分,F＝69.730]均低于对照组(P＜0.01);综合组、针刺组、锻炼组治疗后WHOQOL-BREF量表中生理、心理、社会关系、环境评分均高对照组(F值分别为154.216、190.314、65.227、344.897,P值均＜0.001).结论 4组干预措施均可有效减轻CSR患者的疼痛程度,提高生活质量,但综合治疗组疗效更佳.

abstractsObjective To observe the effect of acupuncture and family exercise on the pain and quality of life in the patients withcervical spondylotic radiculopathy. Methods A total of 104 patients with cervical spondylotic radiculopathy were randomly divided into 4 groups: the control group was treated with cervical traction therapy, the exercise group were with traction therapy and family exercise, the Acupuncture group were with traction therapy and acupuncture, and the combined group were with traction therapy, family exercise and acupuncture. The short-form of McGill Pain Questionnaire (SF-MPQ), Northwick Park Neck Pain Questionnaire (NPQ) and WHO quality of life (WHOQOL-BREF) were compared between two groups. Results After treatment, the SF-MPQ were (5.8 ±1.0, 7.1 ±1.1, 7.9 ±2.1 vs. 9.3 ±1.1, F=44.897) and NPQ (12.9 ± 2.0, 15.5 ± 1.6, 15.9 ± 3.4 vs. 17.8 ± 1.9, F=69.730) in Comb. G, Acu. G, Exe. G were significantly lower than those in the Ctrl G. (P<0.01). The scores of physiology, psychology, society and environment of WHOQOL in the Comb. G, Acu. G and Exe. G after treatment were significantly higher than that in the Ctrl G. (F=154.216, 190.314, 65.227, 344.897, all Ps<0.001). Conclusions Four groups’ interventions are effective for cervical spondylotic radiculopathy. The combined interventions have more positive impact on pain management and quality of life in patients.