“施氏十二字养生功”防治颈椎病技术推广临床研究

目的:通过系统研究,证实"施氏十二字养生功"在颈椎病防治中的重要意义;同时加深中医"导引"理论的理解,为社区推广提供完整的技术资料及推广方案。方法:为多中心临床研究,5家合作单位,每家25例,共125例患者,采用施氏十二字养生功干预治疗,以上课的方式每周由各临床分中心的课题负责人以带教的方式举行一次培训,共持续12周,每次持续时间40min左右。除培训外,整个干预过程,要求患者按照发给他们的"施氏十二字养生功"DVD光盘在家中练习,每天至少练习20min,直到24周随访。应用VAS疼痛评估和NDI评估综合评价治疗前后患者疼痛改善情况和颈部功能改善情况。结果:在疼痛改善和NDI评分方面,治疗12周与治疗前相比VAS和NDI评分均有显著降低(P0.01);在24周随访与治疗12周相比,VAS和NDI评分仍有显著下降(P0.01)。结论:"施氏十二字养生功"治疗后可以明显缓解疼痛、减轻颈项部症状、提高患者的生活质量。

Research of Shi＇s Twelve-word Life Cultivation Skill in Prevention and Treatment of Cervical Spondylosis for Technical Popularization

Objective：To confirm the importance of Shi＇s twelve-word life cultivation skill in the prevention and treatment of cervical spondylosis. To deepen the understanding of the TCM theory of guidance, providing complete technical information and promotion plans for the communities. Methods ： It iv a muhicentre clinical study, five hospitals are included, each one needs 25 cases, 125 patients are collected totally. In the first 12-week-intervention period, patients were trained for 12-words-for-life-nurturing exercise weekly by responsible officer in each research centre. Every training time remained for around 40 minutes. In addition to training, the patients were required to practice every day for 20 minutes at home until the 24th week. For the patients who did not attend training in time, there would be a supernumerary lesson. If patients missed the supernumerary lessons, they would be excluded. Results：At the 12th week after treatment, the difference of VAS score and NDI score in treatment group were significant （P〈0.01）. And at the 24th week, VAS score and NDI score also showed significant difference in the group （ P〈0.01 ）. Conclusion： 12-words-for-life-nurturing exercise can relieve pain, reduce symptoms, and improve quality of life of patients with cervical spondylosis obviously.