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桂枝加葛根汤联合棍点理筋手法治疗颈型颈椎病的临床研究 被引量:10

Clinical study of Guizhi and Gegen Decoction Combined with Therapy of Rod Point-pressing for Soothing Tendons in the Treatment of Neck-type Cervical Spondylopathy
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摘要 【目的】探讨桂枝加葛根汤联合棍点理筋手法治疗颈型颈椎病的临床疗效。【方法】将80例颈型颈椎病患者随机分为治疗组和对照组,每组各40例。2组患者均给予桂枝加葛根汤治疗,在此基础上,治疗组配合棍点理筋手法治疗,对照组配合常规按摩治疗,隔天治疗1次,共治疗7次,疗程为2周。观察2组患者治疗前和治疗1周、2周后疼痛视觉模拟量表(VAS)评分和颈椎活动度(ROM)评分的变化情况,并评价2组患者的中医证候疗效。【结果】(1)治疗2周后,治疗组的总有效率为95.0%(38/40),对照组为75.0%(30/40),组间比较,治疗组的中医证候疗效明显优于对照组(P<0.05)。(2)治疗1周和2周后,2组患者的VAS评分均较治疗前明显降低(P<0.05),且治疗组对VAS评分的降低作用均明显优于对照组(P<0.05)。(3)治疗1周和2周后,2组患者的ROM评分均较治疗前明显提高(P<0.05),且治疗组对ROM评分的提高作用均明显优于对照组(P<0.05)。【结论】在桂枝加葛根汤基础上联合棍点理筋手法治疗颈型颈椎病疗效确切,能有效改善患者疼痛、僵硬不适等症状和提高患者的颈椎活动功能。 Objective To investigate the clinical efficacy of Guizhi and Gegen Decoction combined with therapy of rod point-pressing for soothing tendons in the treatment of neck-type cervical spondylopathy(NCS). Methods Eighty NCS patients were randomly divided into the treatment group and the control group,40 cases in each group.Both groups were treated with Guizhi and Gegen Decoction,and additionally,the treatment group was treated with therapy of rod point-pressing for soothing tendons,while the control group was treated with conventional massage therapy. The treatment was performed once every other day for a total of 7 times, and the course of treatment lasted for 2 weeks. The changes of visual analogue scale(VAS)pain scores and cervical range of motion(ROM)scores in the two groups were observed before treatment,one week and 2 weeks after treatment. After treatment,the traditional Chinese medicine(TCM)syndrome efficacy in the two groups was evaluated. Results(1)After2 weeks of treatment,the total effective rate of the treatment group was 95.0%(38/40),and that of the control group was 75.0%(30/40). The intergroup comparison showed that the TCM syndrome efficacy in the treatment group was significantly superior to that in the control group(P < 0.05).(2)After one week and 2 weeks of treatment,the VAS scores of the two groups were significantly decreased compared with those before treatment(P < 0.05),and the effect on decreasing the VAS scores in the treatment group was significantly superior to that in the control group(P < 0.05).(3)After one week and 2 weeks of treatment,ROM scores in both groups were significantly improved compared with those before treatment(P < 0.05),and the improvement of ROM scores in the treatment group was significantly superior to that in the control group(P < 0.05). Conclusion Guizhi and Gegen Decoction combined with therapy of rod point-pressing for soothing tendons exerts certain effect in the treatment of neck-type cervical spondylosis. It can effectively improve the symptoms of pain,stiffness and discomfort,and improve the cervical ROM of the patients.
作者 徐强 吴俊哲 池科德 黄森 张彬 XU Qiang;WU Jun-Zhe;CHI Ke-De;HUANG Sen;ZHANG Bin(Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528400 Guangdong,China;Graduate School,Guangzhou University of Chinese medicine,Guangzhou 510006 Guangdong,China)
出处 《广州中医药大学学报》 CAS 2021年第12期2609-2613,共5页 Journal of Guangzhou University of Traditional Chinese Medicine
基金 中山市医学科研项目(编号:2017AD20115)。
关键词 桂枝加葛根汤 棍点理筋手法 颈型颈椎病 疼痛视觉模拟量表(VAS)评分 颈椎活动度(ROM)评分 临床研究 Guizhi and Gegen Decoction therapy of rod point-pressing for soothing tendons neck-type cervical mobility visual analogue scale(VAS)pain scores cervical range of motion(ROM)scores clinical study
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