益肾健脾法加颈椎牵引治疗交感神经型颈椎病疗效观察

Clinical Study of Yishenjianpi Plus Traction for Cervical Spine in Treating Sympathetic Type of Cervical Spondylosis

目的:探讨益肾健脾法配合颈椎牵引治疗交感型颈椎病的疗效及其对骨密度的影响,以更好的指导临床诊疗。方法:将130例交感型颈椎病患者随机分为治疗组68例和对照组62例。对照组采用常规的复方丹参治疗,治疗组在常规治疗的基础上再使用益肾健脾法配合颈椎牵引。在治疗前后均行骨密度检测,并分别观察治疗组和对照组的疗效,并对两组中痊愈患者进行3年随访,观察疗效巩固率和复发率。采用SPSS11.5软件包进行统计学分析。结果:治疗组治疗后骨密度比治疗前显著改善(P<0.05或P<0.01),并显著高于对照组治疗后(P<0.01)。治疗组患者有效率、痊愈率明显高于对照组(P<0.01),治疗组痊愈患者的远期疗效巩固率明显高于对照组痊愈患者(P<0.01),而复发率则低于对照组痊愈患者(P<0.01)。结论:在常规治疗交感型颈椎病的基础上加用益肾健脾法配合颈椎牵引能改善患者骨密度和提高疗效,是临床治疗交感型颈椎病值得推广应用的方法。

Objective：To study the effect of Yishenjianpi plus traction for cervical spine in treating sympathetic type of cervical spon- dylosis. Methods ：130 cases of patients with sympathetic type of cervical spondylosis were randomly divided into two groups：control group （n = 62） and therapy group（ n = 68 ）. control group were treated with normal method of intravenous infusion dan-shen, therapy group were treated with normal method and Yishenjianpi plus traction for cervical spine. The data of bone density and the improvement of symptom were recorded at prior and post-treatment. All healing patients were follow up to three years, recurrence rate and curative effect consolidated rate were added up. Datas were analyzed statistically with SPSS 11.5 package. Results： It showed that the bone density in therapy group after treatment were obviously improved than that in therapy group before treatment（ P 〈 0.05 or P 〈 0.01 ） and in control group after treatment （P 〈 0.01 ）. Compare with the control group, effective rate and healing rate in therapy group were increased obviously（ P 〈 0.01 ）. Compare with the healing patients in eoritrol group, curative effect consolidated rate was increased obviously （P 〈 0.01 ）, but recurrence rate was decreased obviously（P 〈0. 01 ）. Conclusion：It indicate that the treatment method of Yishenjianpi plus traction for cervical spine is a effective method on sympathetic type of cervical spondylosis, because it can improve bone density and curative effect obviously.