颈痛颗粒联合中药热熨治疗气滞血瘀型神经根型颈椎病的疗效观察
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摘要
目的探讨中成药颈痛颗粒与中药热熨联合使用治疗气滞血瘀型神经根型颈椎痛(CRS)的临床效果。方法将入选的246例气滞血瘀型CRS患者均分为2组,2组均坚持进行颈椎康复操锻炼,对照组在此基础上进行中药热熨治疗;试验组则进行中药热熨与颈痛颗粒联合治疗。结果经治疗,试验组痊愈率为36.6%,总有效率高达97.6%,均显著高于对照组(21.1%,91.1%)(P<0.05)。治疗后,2组临床症状体征积分及视觉模拟评分(VAS)均明显下降,颈椎前屈、后伸、左旋、右旋、左屈、右屈6个方位活动度明显增大(P<0.05),且2组间比较,试验组症状体征积分及VAS评分下降更明显,颈椎6个方位活动度数增大更明显(P<0.05)。结论颈痛颗粒与中药热熨联合治疗气滞血瘀型CRS有确切临床效果,可有效缓解颈背部疼痛、麻木,改善上肢功能及颈项活动受限情况,提高患者生活质量。
Objective To investigate the clinical effect of Jingtong granules combined with traditional Chinese medicine hot-compress in the treatment of stagnation of qi and blood stasis type cervical spondylosis(CRS).Methods Two-hundred and forty-six patients with stagnation of qi and blood stasis type CRS were selected and divided into two groups.The patients in two groups kept on performing exercises for cervical rehabilitation.The control group was treated with Chinese medicine hotcompress therapy on the basis of exercise of the cervical spine;and the experimental group was treated with Chinese medicine hot-compress therapy combined with Jingtong granules on the basis of exercise of the cervical spine.Results After treatment,the curative rate in the experimental group was 36.6%,and the total effective rate was as high as 97.6%,which was significantly higher than that in the control group(21.1%,91.1%)(P<0.05).After treatment,the clinical symptoms,signs scores and VAS scores of the two groups decreased significantly,and the azimuth activity of cervical flexion,extension,left rotation,right rotation,left-flexion and right-flexion significantly increased(P<0.05).In comparison between the two groups,the scores of symptoms and physical signs and VAS scores in the experimental group decreased more significantly,and the azimuth activity of cervical flexion,extension,left rotation,right rotation,left-flexion and right-flexion azimuthal movements increased more significantly(P<0.05).Conclusion The combination of Jingtong granules and Chinese herbal hot-compress has a definite clinical effect on stagnation of qi and blood stasis type CRS,which can effectively relieve pain and numbness of neck and back,improve upper limb function and limited neck activity,and improve the quality of life of patients.
Objective To investigate the clinical effect of Jingtong granules combined with traditional Chinese medicine hot-compress in the treatment of stagnation of qi and blood stasis type cervical spondylosis(CRS).Methods Two-hundred and forty-six patients with stagnation of qi and blood stasis type CRS were selected and divided into two groups.The patients in two groups kept on performing exercises for cervical rehabilitation.The control group was treated with Chinese medicine hotcompress therapy on the basis of exercise of the cervical spine;and the experimental group was treated with Chinese medicine hot-compress therapy combined with Jingtong granules on the basis of exercise of the cervical spine.Results After treatment,the curative rate in the experimental group was 36.6%,and the total effective rate was as high as 97.6%,which was significantly higher than that in the control group(21.1%,91.1%)(P<0.05).After treatment,the clinical symptoms,signs scores and VAS scores of the two groups decreased significantly,and the azimuth activity of cervical flexion,extension,left rotation,right rotation,left-flexion and right-flexion significantly increased(P<0.05).In comparison between the two groups,the scores of symptoms and physical signs and VAS scores in the experimental group decreased more significantly,and the azimuth activity of cervical flexion,extension,left rotation,right rotation,left-flexion and right-flexion azimuthal movements increased more significantly(P<0.05).Conclusion The combination of Jingtong granules and Chinese herbal hot-compress has a definite clinical effect on stagnation of qi and blood stasis type CRS,which can effectively relieve pain and numbness of neck and back,improve upper limb function and limited neck activity,and improve the quality of life of patients.
引文
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[3]陈学明,冯世庆,许崧杰,等.神经根型颈椎病椎间孔内神经根受压的原因分析及减压方式选择[J].中国脊柱脊髓杂志,2015,25(2):103-108.
[4]于杰,朱立国,洪毅,等.中医综合疗法治疗神经根型颈椎病的疗效评价与长期随访[J].中国中医骨伤科杂志,2016,24(9):11-13+17.
[5]王睿,庄艺,秦尔奇,等.颈痛宁合剂穴位电透入治疗神经根型颈椎病的疗效观察[J].中成药,2015,37(1):234-236.
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[7]高新霞,周寇扣.耳穴埋豆对颈型颈椎病疼痛的护理干预效果研究[J].实用临床医药杂志,2015,19(18):160-161.
[8]田树春.牵引、中药外敷联合推拿按摩治疗交感型颈椎病的临床观察[J].实用临床医药杂志,2015,19(13):37-39.
[9]朱立国,张旭,冯敏山.旋提手法配合颈椎康复操防治神经根型颈椎病的应用研究[J].世界中西医结合杂志,2014,9(12):1324-1327.
[10]刘英,王清贤,刘雪辉,等.祛风止痛透骨散热熨法结合经络松筋拍打疗法治疗颈椎病60例疗效观察[J].颈腰痛杂志,2014,35(2):156-157.
[11]谢华.四子散热熨联合拔罐治疗神经根型颈椎病的临床疗效观察[J].湖北中医杂志,2017,39(6):55-56.
[12]高婷,王宝玉,成惠娣.腕踝针联合中药热熨治疗气滞血瘀型颈椎病的临床观察[J].中国中医药科技,2018,25(1):96-98.
[13]陆志夫,吴清琳,刘永利.补阳还五汤加减配合牵引与热熨治疗神经根型颈椎病疗效观察[J].陕西中医,2014,35(8):992-994.
[14]刘绍凡,陈愉,万锐杰,等.颈痛颗粒治疗神经根型颈椎病临床观察[J].中国中医急症,2013,22(11):1967-1968.
[15]于杰,朱立国,洪毅,等.中医综合疗法治疗神经根型颈椎病的疗效评价与长期随访[J].中国中医骨伤科杂志,2016,24(9):11-14.
[16]郭玉星,黄保民,熊辉,等.颈舒十四味治疗神经根型颈椎病(气滞血瘀证)的临床疗效观察[J].湖南中医药大学学报,2016,36(1):74-77.
[17]吴景枫,莫健斌,郭玉刚,等.颈舒颗粒治疗气滞血瘀型神经根型颈椎病的临床疗效观察[J].中国医药科学,2017,7(14):41-44.
[18]甄朋超,朱立国,高景华,等.旋提手法配合颈痛颗粒及功能锻炼对神经根型颈椎病颈椎活动度改善的临床观察[J].中国骨伤,2010,23(10):750-753.
[2]周娅妮,黄月莲,易光强,等.分经针灸治疗神经根型颈椎病:随机对照研究[J].中国针灸,2016,36(6):587-590.
[3]陈学明,冯世庆,许崧杰,等.神经根型颈椎病椎间孔内神经根受压的原因分析及减压方式选择[J].中国脊柱脊髓杂志,2015,25(2):103-108.
[4]于杰,朱立国,洪毅,等.中医综合疗法治疗神经根型颈椎病的疗效评价与长期随访[J].中国中医骨伤科杂志,2016,24(9):11-13+17.
[5]王睿,庄艺,秦尔奇,等.颈痛宁合剂穴位电透入治疗神经根型颈椎病的疗效观察[J].中成药,2015,37(1):234-236.
[6]胥少汀,葛宝丰,徐印坎.实用骨科学[M].4版.北京:人民军医出版社,2012:1981-1982.
[7]高新霞,周寇扣.耳穴埋豆对颈型颈椎病疼痛的护理干预效果研究[J].实用临床医药杂志,2015,19(18):160-161.
[8]田树春.牵引、中药外敷联合推拿按摩治疗交感型颈椎病的临床观察[J].实用临床医药杂志,2015,19(13):37-39.
[9]朱立国,张旭,冯敏山.旋提手法配合颈椎康复操防治神经根型颈椎病的应用研究[J].世界中西医结合杂志,2014,9(12):1324-1327.
[10]刘英,王清贤,刘雪辉,等.祛风止痛透骨散热熨法结合经络松筋拍打疗法治疗颈椎病60例疗效观察[J].颈腰痛杂志,2014,35(2):156-157.
[11]谢华.四子散热熨联合拔罐治疗神经根型颈椎病的临床疗效观察[J].湖北中医杂志,2017,39(6):55-56.
[12]高婷,王宝玉,成惠娣.腕踝针联合中药热熨治疗气滞血瘀型颈椎病的临床观察[J].中国中医药科技,2018,25(1):96-98.
[13]陆志夫,吴清琳,刘永利.补阳还五汤加减配合牵引与热熨治疗神经根型颈椎病疗效观察[J].陕西中医,2014,35(8):992-994.
[14]刘绍凡,陈愉,万锐杰,等.颈痛颗粒治疗神经根型颈椎病临床观察[J].中国中医急症,2013,22(11):1967-1968.
[15]于杰,朱立国,洪毅,等.中医综合疗法治疗神经根型颈椎病的疗效评价与长期随访[J].中国中医骨伤科杂志,2016,24(9):11-14.
[16]郭玉星,黄保民,熊辉,等.颈舒十四味治疗神经根型颈椎病(气滞血瘀证)的临床疗效观察[J].湖南中医药大学学报,2016,36(1):74-77.
[17]吴景枫,莫健斌,郭玉刚,等.颈舒颗粒治疗气滞血瘀型神经根型颈椎病的临床疗效观察[J].中国医药科学,2017,7(14):41-44.
[18]甄朋超,朱立国,高景华,等.旋提手法配合颈痛颗粒及功能锻炼对神经根型颈椎病颈椎活动度改善的临床观察[J].中国骨伤,2010,23(10):750-753.