改良天灸方干预对神经根型颈椎病患者颈痛及生存质量的影响
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摘要
目的:观察改良天灸方干预对神经根型颈椎病(CSR)患者颈痛症状及生存质量的影响。方法:选择2017年6月—2018年6月在高州市中医院治疗的70例CSR患者为研究对象,按随机数字表法分为对照组和治疗组,各35例。两组均给予常规治疗,包括口服药物、颈椎牵引、手法按摩、体育锻炼等,基于此,治疗组应用改良天灸方治疗,对照组应用安慰剂治疗,疗程均为30 d,对比疗程结束后两组颈痛症状、生活质量的变化。结果:治疗后,治疗组的总有效率为91.43%,显著高于对照组的68.57%,差异有统计学意义(P<0.05)。与治疗前比较,治疗后及随访期间两组的NPQ评分均降低,SF-36评分均升高,且治疗组均显著优于对照组,差异均有统计学意义(P<0.05)。结论:改良天灸方干预是一种安全、有效治疗CSR的方法,对于改善患者颈痛症状及生存质量有重要作用,值得推广使用。
Objective:To observe the effect of Modified Tianjiu Prescription on cervical pain symptoms and quality of life in patients with cervical spondylotic radiculopathy(CSR).Method:70 CSR patients treated in Gaozhou Hospital of Traditional Chinese Medicine from June 2017 to June 2018 were selected,they were divided into the control group and treatment group,according to random number table.Both groups were given routine treatment,including oral medicine,cervical traction,massage and physical exercise.Based on this,the treatment group was treated with Modified Tianjiu Prescription,and the control group with placebo,the treatment course was 30 days.The changes of neck pain symptoms and quality of life were compared between the two groups at the end of the course of treatment.Result:After treatment,the total effective rate was 91.43% of the treatment group,significantly higher than 68.57% of the control group,the difference was statistically significant(P<0.05).Compared with before treatment,the NPQ scores of the two groups decreased after treatment and during the followup period,while the SF-36 scores increased,and the treatment group were significantly better than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Modified Tianjiu Prescription is a safe and effective treatment for CSR,it plays an important role in improving the symptoms and quality of life of patients with neck pain,and it is worth popularizing.
Objective:To observe the effect of Modified Tianjiu Prescription on cervical pain symptoms and quality of life in patients with cervical spondylotic radiculopathy(CSR).Method:70 CSR patients treated in Gaozhou Hospital of Traditional Chinese Medicine from June 2017 to June 2018 were selected,they were divided into the control group and treatment group,according to random number table.Both groups were given routine treatment,including oral medicine,cervical traction,massage and physical exercise.Based on this,the treatment group was treated with Modified Tianjiu Prescription,and the control group with placebo,the treatment course was 30 days.The changes of neck pain symptoms and quality of life were compared between the two groups at the end of the course of treatment.Result:After treatment,the total effective rate was 91.43% of the treatment group,significantly higher than 68.57% of the control group,the difference was statistically significant(P<0.05).Compared with before treatment,the NPQ scores of the two groups decreased after treatment and during the followup period,while the SF-36 scores increased,and the treatment group were significantly better than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Modified Tianjiu Prescription is a safe and effective treatment for CSR,it plays an important role in improving the symptoms and quality of life of patients with neck pain,and it is worth popularizing.
引文
[1]贺敏,吕武宾,姜兴鹏.天灸联合中药治疗风寒湿痹证神经根型颈椎病临床研究[J].亚太传统医药,2016,12(16):119-120.
[2]Yang F,Li W X,Liu Z,et al.Balance chiropractic therapy for cervical spondylotic radiculopathy:study protocol for a randomized controlled trial[J].Trials,2016,17(1):513.
[3]刘永峰,饶晓丹.从肝肾论治肝肾不足型神经根型颈椎病临床研究[J].辽宁中医药大学学报,2015,17(4):110-111.
[4]徐书君,许菲,周俊合,等.岭南传统天灸3号方治疗颈椎病颈痛的临床研究[J].中华中医药杂志,2015,30(5):1743-1747.
[5]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.
[6]冯雪梅.通督调神法治疗神经根型颈椎病伴焦虑的疗效观察[D].广州:广州中医药大学,2016.
[7]林明亮.针刺内关结合中指放血治疗颈型颈椎病的临床研究[D].广州:广州中医药大学,2014.
[8]Sun Z R,Yue J H,Zhang Q H.Electroacupuncture at Jingjiaji points for neck pain caused by cervical spondylosis:a study protocol for a randomized controlled pilot trial[J].Trials,2013,14(1):1-6.
[9]蒋成艳.基于“气伤痛”理论探讨针灸疗法对颈椎病颈痛症状及SF-36生活质量量表的影响[D].南宁:广西中医药大学,2016.
[10]王绍美,王书君,杜志峰,等.关节松动术在神经根型颈椎病治疗中的应用概况[J].承德医学院学报,2015,32(3):245-247.
[11]景福权,袁红丽,马晓丽,等.针刺结合火龙灸法治疗30例神经根型颈椎病的疗效观察[J].中国医科大学学报,2016,45(7):641-643,648.
[12]卢家劲.刘军教授治疗颈椎病的经验传承研究[D].广州:广州中医药大学,2014.
[13]张雨桐,王姿雯,杜佳蓉,等.国内外针灸治疗颈椎病颈痛临床研究概况[J].中医药临床杂志,2018,30(4):591-598.
[14]曾旭梅,刘永锋,洪媛媛,等.于海波运用针灸治疗颈椎病临床经验[J].广州中医药大学学报,2018,35(1):96-99.
[15]周思远,杨庆声,徐书君,等.岭南传统天灸3号方治疗中老年颈椎病颈痛的临床疗效[J].中国老年学杂志,2015,35(2):320-322.
[16]何瑞阳,洪宗国,杜艳军,等.近三年天灸疗法的临床研究进展[J].湖北中医杂志,2018,40(8):61-63.
[17]徐述,李良,蓝媚,等.改良天灸散穴位贴敷虚寒证老年腰痛的临床研究[J].按摩与康复医学,2017,8(14):28-29,31.
[18]李慧玲,张江山,汤美芳.三九天灸独取督脉治疗阳虚型项痹的临床研究[J].内蒙古中医药,2017,36(9):122-123.
[19]蔡耿喜,赵洋,梁玉珊,等.针灸治疗颈型颈椎病取穴规律探究[J].中国全科医学,2013,15(35):4182-4186.
[2]Yang F,Li W X,Liu Z,et al.Balance chiropractic therapy for cervical spondylotic radiculopathy:study protocol for a randomized controlled trial[J].Trials,2016,17(1):513.
[3]刘永峰,饶晓丹.从肝肾论治肝肾不足型神经根型颈椎病临床研究[J].辽宁中医药大学学报,2015,17(4):110-111.
[4]徐书君,许菲,周俊合,等.岭南传统天灸3号方治疗颈椎病颈痛的临床研究[J].中华中医药杂志,2015,30(5):1743-1747.
[5]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.
[6]冯雪梅.通督调神法治疗神经根型颈椎病伴焦虑的疗效观察[D].广州:广州中医药大学,2016.
[7]林明亮.针刺内关结合中指放血治疗颈型颈椎病的临床研究[D].广州:广州中医药大学,2014.
[8]Sun Z R,Yue J H,Zhang Q H.Electroacupuncture at Jingjiaji points for neck pain caused by cervical spondylosis:a study protocol for a randomized controlled pilot trial[J].Trials,2013,14(1):1-6.
[9]蒋成艳.基于“气伤痛”理论探讨针灸疗法对颈椎病颈痛症状及SF-36生活质量量表的影响[D].南宁:广西中医药大学,2016.
[10]王绍美,王书君,杜志峰,等.关节松动术在神经根型颈椎病治疗中的应用概况[J].承德医学院学报,2015,32(3):245-247.
[11]景福权,袁红丽,马晓丽,等.针刺结合火龙灸法治疗30例神经根型颈椎病的疗效观察[J].中国医科大学学报,2016,45(7):641-643,648.
[12]卢家劲.刘军教授治疗颈椎病的经验传承研究[D].广州:广州中医药大学,2014.
[13]张雨桐,王姿雯,杜佳蓉,等.国内外针灸治疗颈椎病颈痛临床研究概况[J].中医药临床杂志,2018,30(4):591-598.
[14]曾旭梅,刘永锋,洪媛媛,等.于海波运用针灸治疗颈椎病临床经验[J].广州中医药大学学报,2018,35(1):96-99.
[15]周思远,杨庆声,徐书君,等.岭南传统天灸3号方治疗中老年颈椎病颈痛的临床疗效[J].中国老年学杂志,2015,35(2):320-322.
[16]何瑞阳,洪宗国,杜艳军,等.近三年天灸疗法的临床研究进展[J].湖北中医杂志,2018,40(8):61-63.
[17]徐述,李良,蓝媚,等.改良天灸散穴位贴敷虚寒证老年腰痛的临床研究[J].按摩与康复医学,2017,8(14):28-29,31.
[18]李慧玲,张江山,汤美芳.三九天灸独取督脉治疗阳虚型项痹的临床研究[J].内蒙古中医药,2017,36(9):122-123.
[19]蔡耿喜,赵洋,梁玉珊,等.针灸治疗颈型颈椎病取穴规律探究[J].中国全科医学,2013,15(35):4182-4186.