| 吴登轩,汪亚群,黄墩兵,李莉,李华骅.综合矫正训练方案联合中药熏蒸治疗上交叉综合征的效果观察[J].浙江中西医结合杂志,2023,33(1): |
| 综合矫正训练方案联合中药熏蒸治疗上交叉综合征的效果观察 |
| Observation on the effect of comprehensive corrective exercise program combined with traditional Chinese medicine fumigation in the treatment of upper crossed syndrome |
| 投稿时间：2022-03-14 修订日期：2022-06-21 |
| DOI： |
| 中文关键词: 上交叉综合征、综合矫正训练方案、中药熏蒸、体态矫正 |
| 英文关键词:upper crossed syndrome, comprehensive corrective exercise program, traditional Chinese medicine fumigation, posture correction |
| 基金项目:浙江省“十三五”省中医药（中西医结合）重点学科建设项目（No.2017-XK-A27） |
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| 中文摘要: |
| 目的：观察综合矫正训练方案(CCEP)联合中药熏蒸治疗上交叉综合征(UCS)的效果。方法：招募2020年10月至2021年6月就诊于浙江省立同德医院康复医学中心的UCS患者90例,按照随机数表法分为常规组、CCEP组和联合组,每组30人。常规组进行常规运动疗法,CCEP组采用综合矫正训练方案,联合组在CCEP组的基础上增加中药熏蒸治疗,分别干预8周。比较三组患者治疗前后视觉模拟评分(VAS)、头前伸角度(FHA)、圆肩角度(FSA)和颈部障碍指数(NDI)。结果：治疗前,三组VAS评分、FHA、FSA和NDI无显著性差异；与治疗前比较,治疗8周后三组各项指标均改善明显(均 P<0.05)。治疗8周后,联合组和CCEP组各项指标均明显优于常规组(均 P<0.05),联合组VAS和NDI明显优于CCEP组(均 P<0.05),但联合组FHA和FSA与CCEP组无明显差异。结论：CCEP能改善UCS患者不良姿势,缓解症状,对于颈部症状明显的患者可先进行中药熏蒸治疗,可作为治疗UCS的新方案。 |
| 英文摘要: |
| objective: to observe the effect of comprehensive corrective exercise program (CCEP) combined with traditional Chinese medicine fumigation in the treatment of upper crossed syndrome (UCS). Methods: 90 UCS patients who were admitted to the Rehabilitation Medical Center of Tongde Hospital of Zhejiang Province from October 2020 to June 2021 were randomly divided into routine group (n = 30), CCEP group (n = 30) and combined group (n = 30). The routine group was treated with routine exercise therapy, the CCEP group was treated with comprehensive corrective exercise program, and the combined group was treated with traditional Chinese medicine fumigation on the basis of CCEP . The treatment last for 8 weeks. Visual analogue scale (VAS), head protrusion angle (FHA), round shoulder angle (FSA) and neck disorder index (NDI) were compared among the three groups before and after treatment. Results: Before treatment, there was no significant difference in VAS score, FHA, FSA and NDI among the three groups, but after 8 weeks of treatment, all the indexes in the three groups improved significantly (all P < 0.05). After 8 weeks of treatment, all the indexes in the combined group and CCEP group were significantly better than those in the routine group(all P < 0.05), and the VAS and NDI in the combined group were significantly better than those in the CCEP group (all P < 0.05), but there was no significant difference in FHA and FSA between the combined group and the CCEP group. Conclusion: CCEP can improve the poor posture of patients with UCS and relieve symptoms. Patients with obvious neck symptoms can be fumigated with traditional Chinese medicine first, which can be used as a new way for the treatment of UCS. |
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