麦肯基运动疗法联合颈椎关节松动术与耳穴压豆治疗颈型颈椎病临床效果*黄海珍① 岳红梅① 张妍菀① 黄子亮① 杜永怡① 黄铭康① 【摘要】 目的：探讨麦肯基运动疗法联合颈椎关节松动术与耳穴压豆治疗颈型颈椎病临床效果。
方法：将广州医科大学附属第六人民医院2021年1月—2022年8月门诊及住院部接收的颈型颈椎病患者160例作为研究对象，采用随机数字表法将其分为对照组与研究组，每组80例。
对照组采用麦肯基运动疗法，研究组采用麦肯基运动疗法联合颈椎关节松动术与耳穴压豆治疗，两组均持续治疗3个月。
采用颈椎功能障碍指数（NDI）、疼痛灾难化量表（PCS）评价颈功能、疼痛程度。
比较两组颈椎活动范围、凝视稳定性（GS）测试阳性率、眼动测试（EMT）阳性率。
结果：治疗后，研究组NDI评分低于对照组，差异有统计学意义（P<0.05）。
治疗后，研究组PCS评分的疼痛反复思虑、疼痛无助感、疼痛夸大维度得分及总分均低于对照组，差异均有统计学意义（P<0.05）。
治疗后，研究组颈椎前屈、后伸、左右侧屈、左右旋转活动范围均高于对照组，差异均有统计学意义（P<0.05）。
治疗后，研究组GS阳性率、EMT阳性率均低于对照组，差异均有统计学意义（P<0.05）。
结论：麦肯基运动疗法联合颈椎关节松动术与耳穴压豆治疗颈型颈椎病，可有效恢复颈椎功能，减轻疼痛，增加颈椎活动范围，改善颈椎神经的协调性和稳定性。
【关键词】 颈型颈椎病 麦肯基运动疗法 颈椎关节松动术 耳穴压豆 颈椎功能 疼痛 颈椎活动范围 Clinical Efficacy of McKenzie Exercise Therapy Combined with Cervical Joint Loosening andAuricular Point Pressure Bean in the Treatment of Cervical Type Cervical Spondylosis/HUANG Haizhen,YUE Hongmei, ZHANG Yanwan, HUANG Ziliang, DU Yongyi, HUANG Mingkang. //Medical Innovationof China, 2024, 21(01): 081-086 [Abstract] Objective: To explore the clinical efficacy of McKenzie exercise therapy combined with cervicaljoint loosening and auricular point compression bean in the treatment of cervical type cervical spondylosis. Method: Atotal of 160 patients with cervical type cervical spondylosis admitted to the Sixth Affiliated Hospital of GuangzhouMedical University from January 2021 to August 2022 were selected as subjects, and divided into control groupand study group by random number table method, with 80 cases in each group. The control group were receivedMcKenzie exercise therapy; the study group were used McKenzie exercise therapy combined with cervical jointloosening and auricular point compression bean treatment, both groups received continuous treatment for 3 months.The neck disability index (NDI) and pain catastrophizing scale (PCS) were used to evaluated cervical function andpain degree. The cervical range of motion, positive rate of gaze stability (GS) and positive rate of eye movement test(EMT) were compared between the two groups. Result: After treatment, the NDI score of the study group was lowerthan that of the control group, the difference was statistically significant (P<0.05). After treatment, the scores of painrepeated contemplation, pain helplessness and pain exaggeration and total score of PCS in the study group were lowerthan those in the control group, the differences were statistically significant (P<0.05). After treatment, the range ofcervical flexion, extension, left and right lateral flexion and left and right rotation in the study group were higherthan those in the control group, the differences were statistically significant (P<0.05). After treatment, the positiverates of GS and EMT in the study group were lower than those in the control group, the differences were statisticallysignificant (P<0.05). Conclusion: McKenzie exercise therapy combined with cervical joint loosening and auricularpoint pressure bean in the treatment of cervical type cervical spondylosis can effectively restore the function of*基金项目：广东省中医药管理局项目（20212290）①广州医科大学附属第六医院中医科 广东 清远 511518通信作者：黄海珍- 81 - 颈型颈椎病是颈椎病常见分型，以颈椎活动受限、疼痛为主要表现，可伴眩晕、耳鸣、视物模糊、反应迟钝等症状[1-2]。
