基于肌筋膜链理论康复护理对颈椎病患者疼痛及功能康复的影响

doi:10.3760/cma.j.cn441417-20250301-19031

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (19): 3324-3329.DOI: 10.3760/cma.j.cn441417-20250301-19031

基于肌筋膜链理论康复护理对颈椎病患者疼痛及功能康复的影响

武琳琳¹ 尚开蓓¹ 牛青松¹ 贾学勤² 孔得宇¹

¹南阳市中医院独山院区南阳市骨科医院疼痛康复中心，南阳 473000；²南阳市中医院独山院区南阳市骨科医院护理部，南阳 473000

收稿日期:2025-03-01 出版日期:2025-10-01 发布日期:2025-10-24
通讯作者: 孔得宇，Email：645502687@qq.com
基金资助:
南阳市科技发展计划（23KJGG151）

Effect of rehabilitation nursing based on myofascial chain theory on pain and functional rehabilitation of patients with cervical spondylosis

Wu Linlin¹, Shang Kaibei¹, Niu Qingsong¹, Jia Xueqin², Kong Deyu¹

¹Pain Rehabilitation Center,Dushan Campus of Nanyang Traditional Chinese Medicine Hospital,Nanyang Orthopaedic Hospital,Nanyang 473000,China; ²Nursing Department,Dushan Campus of Nanyang Traditional Chinese Medicine Hospital, Nanyang Orthopaedic Hospital, Nanyang 473000, China

Received:2025-03-01 Online:2025-10-01 Published:2025-10-24
Contact: Kong Deyu, Email: 645502687@qq.com
Supported by:
Nanyang City Science and Technology Development Plan (23KJGG151)

摘要/Abstract

摘要：

目的　探究基于肌筋膜链理论康复护理在颈椎病患者中的应用效果。方法　采用前瞻性研究，纳入2023年7月至2024年7月在南阳市中医院独山院区接受治疗的72例颈椎病患者，采用随机数字表法分为两组，每组36例。对照组：男20例、女16例，病程1～5（2.28±0.40）年，年龄18～64（40.34±8.75）岁；应用药棒穴位按摩联合器具辅助下软组织松解技术（IASTM）。观察组：男19例、女17例，病程1～5（2.34±0.38）年，年龄20～65（40.50±8.69）岁；基于肌筋膜链理论应用药棒穴位按摩联合IASTM。两组均连续干预2周。评估两组疼痛程度、颈椎功能及颈椎活动度。统计学方法采用t检验。结果　干预后，观察组疼痛分级指数（PRI）、现时疼痛强度（PPI）、视觉模拟评分（VAS）均低于对照组［（7.85±1.37）分比（10.01±1.70）分、（1.16±0.22）分比（1.55±0.31）分、（1.57±0.32）分比（2.70±0.54）分］，差异均有统计学意义（t=5.936、6.156、10.801，均P<0.05）。干预后，观察组颈椎功能障碍指数量表（NDI）评分均低于对照组，颈椎活动度、健康调查简表（SF-36）评分均高于对照组，差异均有统计学意义（均P<0.05）。结论　基于肌筋膜链理论的康复护理，可减轻颈椎病患者疼痛、促进颈椎功能恢复、提高生活质量，临床应用价值高，值得进一步推广。

关键词:

颈椎病, 肌筋膜链理论, 药棒穴位按摩, 疼痛, 颈椎功能

Abstract:

Objective　To explore the application effect of rehabilitation nursing based on myofascial chain theory in patients with cervical spondylosis. Methods　A prospective study was conducted, enrolling 72 patients with cervical spondylosis who were treated at the Dushan Campus of Nanyang Traditional Chinese Medicine Hospital from July 2023 to July 2024. They were randomly divided into two groups using a random number table, with 36 cases in each group.Control group: 20 males and 16 females, disease duration 1 to 5 (2.28±0.40) years, age 18 to 64 (40.34±8.75) years;Apply acupoint massage with medication sticks combined with instrument-assisted soft tissue release technique (IASTM).Observation group: 19 males and 17 females, with a disease duration ranging from 1 to 5 years (2.34±0.38) years, and an age range of 20 to 65 years (40.50±8.69) years.Based on the myofascial chain theory, the method of using a drug rod for acupoint massage combined with IASTM is applied.Both groups were subjected to continuous intervention for 2 weeks.The pain severity, cervical function and cervical range of motion of the two groups were evaluated.The statistical method employed was the t-test. Results　After the intervention, the pain grading index (PRI), current pain intensity (PPI), and visual analogue scale score (VAS) of the observation group were all lower than those of the control group [(7.85±1.37) points vs. (10.01±1.70) points, (1.16±0.22) points vs. (1.55±0.31) points, (1.57±0.32) points vs. (2.70±0.54) points], and the differences were statistically significant (t=5.936, 6.156 and 10.801, all P<0.05).After the intervention, the NDI scores of the observation group were lower than those of the control group, and the cervical spine mobility and SF-36 scores were higher than those of the control group. The differences were statistically significant (all P<0.05). Conclusion　Rehabilitation nursing based on the myofascial chain theory can alleviate the pain of patients with cervical spondylosis, promote the recovery of cervical function, and enhance the quality of life. It has high clinical application value and is worthy of further promotion in clinical practice.

Key words:

Cervical spondylosis, Myofascial chain theory, Medicine stick acupoint massage, Pain, Cervical spine function

武琳琳尚开蓓牛青松贾学勤孔得宇.

基于肌筋膜链理论康复护理对颈椎病患者疼痛及功能康复的影响 [J]. 国际医药卫生导报, 2025, 31(19): 3324-3329.

Wu Linlin, Shang Kaibei, Niu Qingsong, Jia Xueqin, Kong Deyu.

Effect of rehabilitation nursing based on myofascial chain theory on pain and functional rehabilitation of patients with cervical spondylosis [J]. International Medicine and Health Guidance News, 2025, 31(19): 3324-3329.

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基于肌筋膜链理论康复护理对颈椎病患者疼痛及功能康复的影响

Effect of rehabilitation nursing based on myofascial chain theory on pain and functional rehabilitation of patients with cervical spondylosis

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