羌活胜湿汤加减结合中频脉冲电疗法治疗颈型颈椎病的临床研究
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摘要
目的观察羌活胜湿汤加减结合中频脉冲电疗法治疗颈型颈椎病的临床疗效。方法患者160例按随机数字表法分成两组,对照组采用单纯中频脉冲电疗治疗,研究组采用羌活胜湿汤加减联合中频脉冲电疗治疗。观察并比较两组临床疗效、不良反应情况以及治疗前后视觉模拟评分(VAS)、疼痛分级指数(PRI)、现有疼痛强度(PPI)及颈椎功能评分的变化。结果研究组总有效率为93.75%,明显高于对照组的81.25%(P <0.05)。两组治疗后VAS、PRI、PPI评分均低于治疗前,且研究组治疗后VAS、PRI、PPI评分低于对照组(P <0.05)。两组治疗后颈椎功能评分高于治疗前,且研究组治疗后颈椎功能评分高于对照组(P <0.05);研究组不良反应总发生率差异无统计学意义(P> 0.05)。结论羌活胜湿汤加减结合中频脉冲电疗法治疗颈型颈椎病可显著提高临床疗效,改善患者颈部疼痛程度及生活质量,且无明显不良反应。
Objective: To investigate the clinical efficacy of Qianghuo Shengshi Decoction combined with medium-frequency pulse electrotherapy on cervical spondylosis of cervical type. Methods: 160 patients were randomly divided into two groups(each with 80 cases). The control group received the medium-frequency pulse electrotherapy,while the study group received Qianghuo Shengshi Decoction combined with medium-frequency pulse electrotherapy. The clinical efficacy,adverse reaction,VAS,PRI,PPI and changes in cervical function were compared. Results: 1)The total effective rate of the study group was significantly higher than that of the control group(93.75% vs 81.25%,P < 0.05). 2)VAS,PRI and PPI scores between the two groups had no difference before treatment(P > 0.05),which were decreased after treatment,were lower in the study group than those in the control group(P < 0.05). 3)The cervical function scores between the two groups had no difference before treatment(P >0.05),which were increased after treatment,and were higher in the study group than those in the control group[(21.36±3.24) vs(24.56±4.23),P < 0.05]. 4)The overall incidence of adverse reactions in the study group was lower than that in the control group(6.25% vs 10.00%),with no statistic difference(P > 0.05). Conclusion:Qianghuo Shengshi Decoction of notopterygium combined with medium-frequency pulse electrotherapy can effectively ameliorate the pain degree and quality of life of patients with cervical spondylosis of cervical type,with no obvious adverse reactions,worthy of promotion.
Objective: To investigate the clinical efficacy of Qianghuo Shengshi Decoction combined with medium-frequency pulse electrotherapy on cervical spondylosis of cervical type. Methods: 160 patients were randomly divided into two groups(each with 80 cases). The control group received the medium-frequency pulse electrotherapy,while the study group received Qianghuo Shengshi Decoction combined with medium-frequency pulse electrotherapy. The clinical efficacy,adverse reaction,VAS,PRI,PPI and changes in cervical function were compared. Results: 1)The total effective rate of the study group was significantly higher than that of the control group(93.75% vs 81.25%,P < 0.05). 2)VAS,PRI and PPI scores between the two groups had no difference before treatment(P > 0.05),which were decreased after treatment,were lower in the study group than those in the control group(P < 0.05). 3)The cervical function scores between the two groups had no difference before treatment(P >0.05),which were increased after treatment,and were higher in the study group than those in the control group[(21.36±3.24) vs(24.56±4.23),P < 0.05]. 4)The overall incidence of adverse reactions in the study group was lower than that in the control group(6.25% vs 10.00%),with no statistic difference(P > 0.05). Conclusion:Qianghuo Shengshi Decoction of notopterygium combined with medium-frequency pulse electrotherapy can effectively ameliorate the pain degree and quality of life of patients with cervical spondylosis of cervical type,with no obvious adverse reactions,worthy of promotion.
引文
[1]王雪,苏少杰,沈特立.针刺“手四针”治疗风寒湿型颈型颈椎病临床观察[J].中国针灸,2016,36(11):1152-1154.
[2]唐学,肖靓宜,吴清明,等.电针颈夹脊穴对颈型颈椎病模型兔椎间盘软骨细胞MMP-3、TGF-β1的影响[J].湖南中医药大学学报,2017,37(6):674-678.
[3]黄少炎,罗先意,史红美,等.通阳刮痧疗法联合中药外敷对颈型颈椎病家兔颈椎曲度及血清TNF-α的影响[J].贵阳医学院学报,2018,61(2):1467-1469.
[4]王志峰.旋提推拨正骨复位法联合理筋点穴法与针灸联合口服药物治疗混合型颈椎病疗效比较[J].新乡医学院学报,2017,34(11):1021-1023.
[5]李新伟,谭克平,杜嘉,等.羌活胜湿汤配合针刺治疗颈型颈椎病(风寒湿型)的疗效观察[J].中国现代应用药学,2017,34(6):894-897.
[6]雍伟哲.《颈椎病诊治与康复指南》发表[J].中华医学信息导报,2007,22(13):19.
[7]中华人民共和国卫生部.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:346-349.
[8]Melzack R.The Mc Gill Pain Questionnaire:major properties and scoring methods[J].Pain,1975,1(3):277-299.
[9]王晓红,何成奇,丁明甫,等.颈椎病治疗成绩评分表[J].华西医学,2005,20(2):232-233.
[10]姜红月,王小琼.某三甲医院2012年-2014年颈椎病住院患者临床流行病学特征分析[J].中国病案,2016,17(3):68-70.
[11]仲召玲,佟丽,孔令凤,等.常规取穴与“颈腰同治”取穴行温针灸治疗颈型颈椎病的疗效对比[J].颈腰痛杂志,2017,38(6):593-595.
[12]罗宝宁,王国新.中频脉冲疗法联合外固定对骨质疏松性桡骨远端骨折患者骨代谢、炎症反应及氧化应激的影响[J].海南医学院学报,2017,23(17):2377-2380.
[13]冯少玲,李文纯.针药并用对风寒阻络证颈型颈椎病患者中医证候及颈痛量表评分的影响[J].中国中医药信息杂志,2015,22(2):22-24.
[14]张春媛.针刺联合葛根汤合羌活胜湿汤治疗颈椎病随机平行对照研究[J].实用中医内科杂志,2015,29(11):148-150.
[15]黄海珍,黄子亮,刘丽明,等.羌活胜湿汤加减结合麦肯基疗法治疗颈型颈椎病疗效观察[J].中国实用医药,2018,13(8):1156-1158.
[16]阮志华,杨豪,张文举.羌活胜湿汤合萆薢渗湿汤治疗膝关节骨关节炎29例[J].中国中医药现代远程教育,2014,12(9):46.
[17]陈海,杨黎,王晓华.葛根素联合复方樟柳碱注射液对眼底病患者的治疗效果及对血液流变学指标的影响[J].医学综述,2016,22(4):778-781.
[18]平少华,张岩,刘昊,等.仙灵骨葆与甲钴胺联合推拿和牵引治疗神经根型颈椎病的效果分析[J].中国综合临床,2017,33(2):109-112.
[19]王群羊.电针联合桂枝加葛根汤加减治疗风寒阻络型颈型颈椎病临床研究[J].国际中医中药杂志,2016,38(8):717-720.
[20]张煜新,杨建全.综合有氧运动锻炼结合补中益气汤治疗长期伏案人员颈椎病的临床疗效观察[J].现代中西医结合杂志,2016,25(13):1461-1462.
[2]唐学,肖靓宜,吴清明,等.电针颈夹脊穴对颈型颈椎病模型兔椎间盘软骨细胞MMP-3、TGF-β1的影响[J].湖南中医药大学学报,2017,37(6):674-678.
[3]黄少炎,罗先意,史红美,等.通阳刮痧疗法联合中药外敷对颈型颈椎病家兔颈椎曲度及血清TNF-α的影响[J].贵阳医学院学报,2018,61(2):1467-1469.
[4]王志峰.旋提推拨正骨复位法联合理筋点穴法与针灸联合口服药物治疗混合型颈椎病疗效比较[J].新乡医学院学报,2017,34(11):1021-1023.
[5]李新伟,谭克平,杜嘉,等.羌活胜湿汤配合针刺治疗颈型颈椎病(风寒湿型)的疗效观察[J].中国现代应用药学,2017,34(6):894-897.
[6]雍伟哲.《颈椎病诊治与康复指南》发表[J].中华医学信息导报,2007,22(13):19.
[7]中华人民共和国卫生部.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:346-349.
[8]Melzack R.The Mc Gill Pain Questionnaire:major properties and scoring methods[J].Pain,1975,1(3):277-299.
[9]王晓红,何成奇,丁明甫,等.颈椎病治疗成绩评分表[J].华西医学,2005,20(2):232-233.
[10]姜红月,王小琼.某三甲医院2012年-2014年颈椎病住院患者临床流行病学特征分析[J].中国病案,2016,17(3):68-70.
[11]仲召玲,佟丽,孔令凤,等.常规取穴与“颈腰同治”取穴行温针灸治疗颈型颈椎病的疗效对比[J].颈腰痛杂志,2017,38(6):593-595.
[12]罗宝宁,王国新.中频脉冲疗法联合外固定对骨质疏松性桡骨远端骨折患者骨代谢、炎症反应及氧化应激的影响[J].海南医学院学报,2017,23(17):2377-2380.
[13]冯少玲,李文纯.针药并用对风寒阻络证颈型颈椎病患者中医证候及颈痛量表评分的影响[J].中国中医药信息杂志,2015,22(2):22-24.
[14]张春媛.针刺联合葛根汤合羌活胜湿汤治疗颈椎病随机平行对照研究[J].实用中医内科杂志,2015,29(11):148-150.
[15]黄海珍,黄子亮,刘丽明,等.羌活胜湿汤加减结合麦肯基疗法治疗颈型颈椎病疗效观察[J].中国实用医药,2018,13(8):1156-1158.
[16]阮志华,杨豪,张文举.羌活胜湿汤合萆薢渗湿汤治疗膝关节骨关节炎29例[J].中国中医药现代远程教育,2014,12(9):46.
[17]陈海,杨黎,王晓华.葛根素联合复方樟柳碱注射液对眼底病患者的治疗效果及对血液流变学指标的影响[J].医学综述,2016,22(4):778-781.
[18]平少华,张岩,刘昊,等.仙灵骨葆与甲钴胺联合推拿和牵引治疗神经根型颈椎病的效果分析[J].中国综合临床,2017,33(2):109-112.
[19]王群羊.电针联合桂枝加葛根汤加减治疗风寒阻络型颈型颈椎病临床研究[J].国际中医中药杂志,2016,38(8):717-720.
[20]张煜新,杨建全.综合有氧运动锻炼结合补中益气汤治疗长期伏案人员颈椎病的临床疗效观察[J].现代中西医结合杂志,2016,25(13):1461-1462.