针灸推拿配合中药治疗神经根型颈椎病的临床效果分析
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摘要
目的探讨针灸推拿配合中药治疗神经根型颈椎病的临床效果。方法选取2016年1月-2018年3月期间本院收治的68例神经根型颈椎病患者,随机分成对照组(32例)与观察组(36例)。对照组采用针灸及推拿治疗,观察组在对照组基础上增加黄芪桂枝五物汤加减治疗,对比两组临床疗效及治疗前后中医证候积分变化。结果观察组总有效率(97.22%,35/36)显著高于对照组(81.25%,26/32),组间差异具有统计学意义(P <0.05)。治疗后,观察组背肩臂痛(1.69±0.85)分、眩晕(1.36±0.28)分、痿证候积分(1.73±0.43)分显著低于对照组(2.21±0.62)分、(2.46±0.43)分、(2.25±0.57)分,组间差异具有统计学意义(P <0.05)。结论神经根型颈椎病针灸推拿治疗基础上,增加黄芪桂枝五物汤加减治疗有助于进一步提高临床疗效,临床应用价值较高。
Objective To investigate the clinical effect of acupuncture and massage combined with Chinese medicine in treating cervical spondylotic radicular disease. Methods 68 patients with cervical spondylotic radicular disease admitted to our hospital from January 2016 to March 2018 wererandomly divided into control group(32 cases) and observation group(36 cases). The control group was treated with acupuncture and massage, and the observation group added Astragalus and cinnamon branch five material Decoction on the basis of the control group, compared the clinical curative effect of the two groups and the changes of TCM syndrome score before and after the treatment. Results The total effective rate of the observation group(97.22%, 35/36) was significantly higher than that of the control group(81.25%, 26/32), and the difference between the two groups was statistically significant(P<0.05). After treatment, the scores of shoulder arm pain(1.69±0.85), vertigo(1.36±0.28) and flaccid syndrome(1.73±0.43 points) in the observation group were significantly lower than those of the control group(2.21±0.62, 2.46±0.43, 2.25 ±0.57), and the difference between the groups was statistically significant(P<0.05). Conclusion On the basis of acupuncture and massage therapy for cervical spondylosis of nerve root type, adding Astragalus and cinnamon branch five material soup is helpful to further improve the clinical curative effect, and the clinical application value is high.
Objective To investigate the clinical effect of acupuncture and massage combined with Chinese medicine in treating cervical spondylotic radicular disease. Methods 68 patients with cervical spondylotic radicular disease admitted to our hospital from January 2016 to March 2018 wererandomly divided into control group(32 cases) and observation group(36 cases). The control group was treated with acupuncture and massage, and the observation group added Astragalus and cinnamon branch five material Decoction on the basis of the control group, compared the clinical curative effect of the two groups and the changes of TCM syndrome score before and after the treatment. Results The total effective rate of the observation group(97.22%, 35/36) was significantly higher than that of the control group(81.25%, 26/32), and the difference between the two groups was statistically significant(P<0.05). After treatment, the scores of shoulder arm pain(1.69±0.85), vertigo(1.36±0.28) and flaccid syndrome(1.73±0.43 points) in the observation group were significantly lower than those of the control group(2.21±0.62, 2.46±0.43, 2.25 ±0.57), and the difference between the groups was statistically significant(P<0.05). Conclusion On the basis of acupuncture and massage therapy for cervical spondylosis of nerve root type, adding Astragalus and cinnamon branch five material soup is helpful to further improve the clinical curative effect, and the clinical application value is high.
引文
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[2]王大志,欧阳书姗.针灸推拿联合中药内服治疗神经根型颈椎病的临床疗效观察[J].临床医药文献电子杂志,2017,4(A1):19945,19948.
[3]王锋.针灸推拿配合中药治疗神经根型颈椎病疗效观察[J].实用中医药杂志,2017,33(7):753.
[4]李梦.温针灸结合中药离子导入治疗神经根型颈椎病临床研究[D].湖北中医药大学,2017:21-22.
[5]江建春.神经根型颈椎病的中医药治疗研究概况[J].中医正骨,2015,27(11):71-74.
[6]赵梓旭.针灸推拿结合中药治疗神经根型颈椎病的效果分析[J].世界最新医学信息文摘,2015,15(24):178-179.
[7]张宏鹤.针灸推拿配合康复治疗对神经根型颈椎病患者的应用效果[J].临床医药文献电子杂志,2018,5(62):88,91.
[8]谢艺燕,赵学田.中医治疗神经根型颈椎病临床研究进展[J].辽宁中医药大学学报,2015,17(3):194-196.
[9]闵迎玖.针灸推拿配合中药治疗神经根型颈椎病168例[J].中国中医骨伤科杂志,2014,22(2):57-58.
[10]王先滨,任树军,丁玉鑫,等.非药物综合疗法治疗神经根型颈椎病的临床疗效分析[J].针灸临床杂志,2013,29(11):47-49.
[11]徐林莉.神经根型颈椎病患者联合应用针灸与推拿的效果观察[J].饮食保健,2018(11):101.
[12]王金刚.温针灸治疗神经根型颈椎病疗效观察[J].中国保健营养,2017(15):338.