针刀结合消炎镇痛液治疗神经根型颈椎病临床观察
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摘要
目的:观察针刀结合消炎镇痛液治疗神经根型颈椎病的临床疗效。方法:将60例神经根型颈椎病患者随机分为观察组、对照组,各30例,观察组采用针刀结合消炎镇痛液治疗,对照组仅采用针刀治疗,治疗周期均为3周,1周治疗1次,对治疗前、每次治疗后及疗程结束后第4周进行随访观察,并记录临床症状体征评分。在统计学的分析下,比较两种不同方法治疗神经根型颈椎病的疗效差异。结果:(1)治疗期间,两组有效率之间无统计学意义(χ2=0.16,P>0.05),两组症状、体征评分差值比较,无统计学意义(P>0.05),说明在治疗期间,针刀结合消炎镇痛液与单纯使用针刀均有显著地疗效;随访时,观察组疗效明显优于对照组(χ2=5.19,P<0.05),观察组的症状、体征改善也明显优于对照组(P<0.05),说明观察组疗效优于对照组。结论:针刀结合消炎镇痛液与单纯使用针刀治疗神经根型颈椎病疗效均显著,但就远期疗效而言,针刀结合消炎镇痛液效果更佳。
Objective: To observe the clinical effect of needle-knife combined with anti-inflammatory analgesic liquid for nerve-root type cervical spondylosis. Methods: Sixty cases of nerve-root type cervical spondylosis were randomly divided into control group( 30 cases) and observation group( 30 cases). The control group's patients were given needle-knife treatment. The observation group's patients were given needle-knife combined with anti-inflammatory analgesic liquid. Both groups were applied once a week for three weeks. Before treatment,after each treatment,and 4 weeks after finishing all treatment,the effective rate and symptom rating were recorded. Adverse reactions were recorded. Results: The difference of effective rate and symptom rating between observation group and control group was not significant( P > 0. 05) during the treatment period. It showed that the observation group and control group improved symptoms obviously. During the follow-up period,the effective rate and symptom rating of observation group was better than those of the control group( P < 0. 05). We can see that the observation group's symptoms improved more obviously than the control group' s. Conclusion: Needle-knife combined with anti-inflammatory analgesic liquid and needle-knife for nerve-root type cervical spondylosis were both effective. Just for follow-up result,needle-knife combined with anti-inflammatory analgesic liquid improved symptoms more obviously.
Objective: To observe the clinical effect of needle-knife combined with anti-inflammatory analgesic liquid for nerve-root type cervical spondylosis. Methods: Sixty cases of nerve-root type cervical spondylosis were randomly divided into control group( 30 cases) and observation group( 30 cases). The control group's patients were given needle-knife treatment. The observation group's patients were given needle-knife combined with anti-inflammatory analgesic liquid. Both groups were applied once a week for three weeks. Before treatment,after each treatment,and 4 weeks after finishing all treatment,the effective rate and symptom rating were recorded. Adverse reactions were recorded. Results: The difference of effective rate and symptom rating between observation group and control group was not significant( P > 0. 05) during the treatment period. It showed that the observation group and control group improved symptoms obviously. During the follow-up period,the effective rate and symptom rating of observation group was better than those of the control group( P < 0. 05). We can see that the observation group's symptoms improved more obviously than the control group' s. Conclusion: Needle-knife combined with anti-inflammatory analgesic liquid and needle-knife for nerve-root type cervical spondylosis were both effective. Just for follow-up result,needle-knife combined with anti-inflammatory analgesic liquid improved symptoms more obviously.
引文
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[13]张树春.糖皮质激素局部封闭和全身用药的临床应用[J].中国医药指南,2016,14(35):296-297.
[14]范文江.不同剂量复方倍他米松皮内阻滞治疗带状疱疹后神经痛临床研究[D].泸州:四川医科大学,2015.
[15]徐创贵,刘桂英.针刀松解联合消炎镇痛液注射治疗臀肌挛缩症疗效观察[C].全国第九次针刀医学学术年会论文集,2010.
[16]史明军,徐树华,霍玉彬.硬膜外注射消炎镇痛液对腰椎间盘突出症的疗效观察[J].河北医药,2009,31(8):950-951.
[17]N Ono.Pain-free intralesional injection of triamcinolone for the treatment of Keloid.[J].Scandinavian Journal of Plastic&Reconstructive Surgery&Hand Surgery,1999,33(1):89-91.
[18]高金楼.联合使用射频、臭氧、消炎镇痛液治疗腰椎间盘突出症的效果观察[J].当代医药论丛,2015(7):290-292.
[19]陈琦,江丽.得宝松联合氟尿嘧啶局部注射治疗瘢痕疙瘩疗效观察[J].中国麻风皮肤病杂志,2008,24(7):577-578.
[20]段策中.得宝松与5-氟尿嘧啶联合应用在瘢痕疙瘩临床疗效的Meta分析[D].太原:山西医科大学,2016.
[2]马梦果.旋转正骨手法结合针刀治疗神经根型颈椎病的临床疗效观察[D].北京:北京中医药大学,2016.
[3]李增春,陈德玉,吴德升,等.第三届全国颈椎病专题座谈会纪要[J].中华外科杂志,2008,46(23):1796-1799.
[4]李殿宁,游国龙,谢兴生.针刀诊断与治疗精要[M].北京:华夏出版社,2007:25-26.
[5]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:186.
[6]田中靖久.颈部神经根症治疗成绩判定基准[J].日本整形外科学会杂志,1993,67(3):552.
[7]Van C.Mow,Rik Huiskes.骨科生物力学暨力学生物学[M].济南:山东科学技术出版社,2009.
[8]桂清民.针刀闭合松解术配合手法治疗神经根型颈椎病临床研究[J].针灸临床杂志,2010,26(8):29-31.
[9]朱洪玉,陈霞,温伯平.针刀治疗神经根型颈椎病的临床研究进展[J].湖南中医杂志,2016,32(2):192-193.
[10]张立勇,邵湘宁,唐雨兰.微针刀配合复位手法治疗神经根型颈椎病疗效观察[J].中医药信息,2013,30(6):98-100.
[11]李敏,李开平,田弯弯.针刀干预椎动脉型颈椎病模型兔的实验研究[J].中国针灸,2015(S1):47-51.
[12]朱国文,王跃,傅建明.针刀闭合松解术配合金葡液治疗神经根型颈椎病临床研究[J].中国中医骨伤科杂志,2007,15(3):22-25.
[13]张树春.糖皮质激素局部封闭和全身用药的临床应用[J].中国医药指南,2016,14(35):296-297.
[14]范文江.不同剂量复方倍他米松皮内阻滞治疗带状疱疹后神经痛临床研究[D].泸州:四川医科大学,2015.
[15]徐创贵,刘桂英.针刀松解联合消炎镇痛液注射治疗臀肌挛缩症疗效观察[C].全国第九次针刀医学学术年会论文集,2010.
[16]史明军,徐树华,霍玉彬.硬膜外注射消炎镇痛液对腰椎间盘突出症的疗效观察[J].河北医药,2009,31(8):950-951.
[17]N Ono.Pain-free intralesional injection of triamcinolone for the treatment of Keloid.[J].Scandinavian Journal of Plastic&Reconstructive Surgery&Hand Surgery,1999,33(1):89-91.
[18]高金楼.联合使用射频、臭氧、消炎镇痛液治疗腰椎间盘突出症的效果观察[J].当代医药论丛,2015(7):290-292.
[19]陈琦,江丽.得宝松联合氟尿嘧啶局部注射治疗瘢痕疙瘩疗效观察[J].中国麻风皮肤病杂志,2008,24(7):577-578.
[20]段策中.得宝松与5-氟尿嘧啶联合应用在瘢痕疙瘩临床疗效的Meta分析[D].太原:山西医科大学,2016.