中药按摩配合颈痛颗粒内服治疗神经根型颈椎病疗效观察
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摘要
目的观察采用白脉软膏按摩项背部配合颈痛颗粒内服治疗神经根型颈椎病临床疗效。方法将150例神经根型颈椎病患者随机分为观察组77例和对照组73例,观察组采用白脉软膏按摩项背部加颈痛颗粒内服治疗,对照组采用颈痛颗粒内服治疗,治疗前后分别对患者进行疗效评定、颈部疼痛VAS评分及颈椎功能评分比较。结果治疗组的总有效率为96.1%,对照组总有效率为78.1%,两组比较差异有统计学意义(P<0.05);观察组治疗后的颈部疼痛VAS评分低于对照组,且差异有统计学意义(P<0.05);观察组治疗后的颈椎功能评定积分高于对照组,且差异有统计学意义(P<0.05)。结论白脉软膏按摩项背部配合颈痛颗粒内服治疗神经根型颈椎病有明显的疗效,并且对患者颈部疼痛VAS评分和颈椎功能有明显改善。
Objective To observe the clinical curative effect of massage with Baimai ointment massage and oral Jingtong granule in treat of nerve-root type of cervical spondylosis. Methods 150 cases of patients with nerve-root type of cervical spondylosis were randomly divided into observation group(77 cases) and control group(73 cases),observation group received massage with Baimai ointment on the nape muscle and oral Jingtong granule,control group received Jingtong granule only.Before and after treatment, the curative effect, VAS score of neck pain and cervical function score of the two groups were evaluated respectively. Results The total effective rate of treatment group was 96.1%, higher than 78.1% of control group, the difference was statistically significant(P<0.05). The VAS score of observation group after treatment was lower than that of control group, and the difference was statistically significant(P<0.01).The evaluation score of cervical vertebral function after treatment was higher than that in control group, and the difference was statistically significant(P<0.01). Conclusion Massage with Baimai ointment on nape muscle combined with oral Jingtong granule is effective in treatment of nerve-root type of cervical spondylosis, and has obvious improvement to the patient's VAS score of neck pain and cervical vertebra function.
Objective To observe the clinical curative effect of massage with Baimai ointment massage and oral Jingtong granule in treat of nerve-root type of cervical spondylosis. Methods 150 cases of patients with nerve-root type of cervical spondylosis were randomly divided into observation group(77 cases) and control group(73 cases),observation group received massage with Baimai ointment on the nape muscle and oral Jingtong granule,control group received Jingtong granule only.Before and after treatment, the curative effect, VAS score of neck pain and cervical function score of the two groups were evaluated respectively. Results The total effective rate of treatment group was 96.1%, higher than 78.1% of control group, the difference was statistically significant(P<0.05). The VAS score of observation group after treatment was lower than that of control group, and the difference was statistically significant(P<0.01).The evaluation score of cervical vertebral function after treatment was higher than that in control group, and the difference was statistically significant(P<0.01). Conclusion Massage with Baimai ointment on nape muscle combined with oral Jingtong granule is effective in treatment of nerve-root type of cervical spondylosis, and has obvious improvement to the patient's VAS score of neck pain and cervical vertebra function.
引文
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[11]王志云.中医推拿治疗神经根型颈椎病临床观察[J].中国实用医药,2018,13(5):43-44.
[12]李宁,郭文华,董纪革,等.白脉软膏改善脑卒中患者肌张力增高的有效性和安全性临床研究[J].中国实用医药,2011,35(6):240-242.
[13]李平,薛黔,张宏.骨骼肌的肌梭分布与肌内神经分支分布关系的观察[J].大连医科大学学报,2004,2(26):92-95.
[14] Amonoo-KufìHS.The number and distributio n of musclespindles in human intrinsic postver tebral muscle[J].J Anat,1982,135(3):585-599.
[15] Liu SD,Li DH,Xie CP,et al. Efficiency and safety evalu-ation of Baimai ointment foralleviating hypermyotonia fol-lowing cerebral infarction[J].Neural Regen Res,2007(2):607-610.
[16]董志锋,任春贞.颈椎病治疗的研究进展[J].世界最新医学信息文摘,2018,18(16):105,113.
[2]周晶,吴淼,郝建波.开返魂锁辅助治疗社区神经根型颈椎病的疗效观察及应用推广[J].湖北中医药大学学报,2014,16(2):72-74.
[3]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:188.
[4]严隽陶,王道全,房敏,等.推拿学[M].北京:中国中医药出版社,2003:87.
[5]王晓红,丁明甫,何成奇,等.颈椎病颈椎功能评定表[J].华西医学,2003,18(1):35-36.
[6]熊键,谢青,鲍勇,等.颈椎病评定量表的研究进展[J].中国康复,2010,25(4):296-297.
[7]李家顺,贾连顺,叶晓健,等.颈椎外科学[M].上海:上海科学技术出版社,2004:260.
[8]石震,闫素敏,戈超,等.整脊疗法配合颈痛颗粒治疗神经根型颈椎病150例[J].实用中医药杂志,2014,30(3):194.
[9]刘军.颈痛颗粒配合旋提手法及功能锻炼对神经根型颈椎病颈椎活动度的影响[J].陕西中医,2017,8(38):1026-1027.
[10]万碧江,张亚西,陈培红,等.透刺电针对神经根型颈椎病患者麻木程度及上肢肌电图的影响[J].湖北中医药大学学报,2013,15(1):47-48.
[11]王志云.中医推拿治疗神经根型颈椎病临床观察[J].中国实用医药,2018,13(5):43-44.
[12]李宁,郭文华,董纪革,等.白脉软膏改善脑卒中患者肌张力增高的有效性和安全性临床研究[J].中国实用医药,2011,35(6):240-242.
[13]李平,薛黔,张宏.骨骼肌的肌梭分布与肌内神经分支分布关系的观察[J].大连医科大学学报,2004,2(26):92-95.
[14] Amonoo-KufìHS.The number and distributio n of musclespindles in human intrinsic postver tebral muscle[J].J Anat,1982,135(3):585-599.
[15] Liu SD,Li DH,Xie CP,et al. Efficiency and safety evalu-ation of Baimai ointment foralleviating hypermyotonia fol-lowing cerebral infarction[J].Neural Regen Res,2007(2):607-610.
[16]董志锋,任春贞.颈椎病治疗的研究进展[J].世界最新医学信息文摘,2018,18(16):105,113.