摘要
目的 探讨中医主动健康联合维生素D（Vit D）治疗Vit D不足颈椎不稳的临床疗效。方法 选取2023年9月-2025年6月在广西国际壮医医院体检及门诊180例Vit D不足的轻症颈椎不稳患者，按随机法分三组：对照组（n=60例）、Vit D治疗组（n=60例）、中医主动健康联合Vit D治疗组（n=60例），分别不做干预、给予Vit D治疗、中医主动健康联合Vit D治疗。收集三组患者数据进行比较。结果 治疗前三组患者各指标对比无明显差异（P＞0.05）；治疗后，中医主动健康Vit D治疗组VAS评分、White评分、颈椎不稳位移距离与角度均小于Vit D治疗组和对照组，差异有统计学意义（P＜0.05）。结论 中医主动健康联合Vit D治疗可有效改善Vit D不足的颈椎不稳患者的颈椎功能，值得临床推广应用。
关键词： 中医主动健康管理；维生素D；颈椎不稳；临床疗效
Abstract
Objective To explore the clinical efficacy of traditional Chinese medicine active health combined with vitamin D (Vit D) in the treatment of cervical instability caused by vitamin D deficiency. Methods 180 patients with mild cervical instability and vitamin D deficiency who underwent physical examination and outpatient treatment at Guangxi International Zhuang Medical Hospital from September 2023 to June 2025 were randomly divided into three groups: control group (n=60), vitamin D treatment group (n=60), and traditional Chinese medicine active health combined with vitamin D treatment group (n=60), without intervention, receiving vitamin D treatment, and traditional Chinese medicine active health combined with vitamin D treatment, respectively. Collect data from three groups of patients for comparison. Results There was no significant difference in various indicators among the three groups of patients before treatment (P>0.05); After treatment, the VAS score, White score, cervical instability displacement distance and angle in the Traditional Chinese Medicine Active Health Vit D treatment group were all lower than those in the Vit D treatment group and the control group, and the difference was statistically significant (P<0.05). Conclusion The combination of traditional Chinese medicine active health and vitamin D treatment can effectively improve the cervical function of patients with vitamin D deficiency and cervical instability, and is worthy of clinical promotion and application.
Key words： Traditional Chinese medicine active health management; Vit D; Cervical instability; Clinical efficacy
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