中药冲击松解疗法联合理疗治疗神经根型颈椎病临床研究

Observation of combination of Chinese medicinal material impact solution treatment and physiotherapy on cervicalspondylotic radiculopathy

目的观察中药冲击松解疗法联合理疗治疗神经根型颈椎病的临床疗效。方法将336例神经根型颈椎病患者随机分为3组,中药冲击松解疗法组120例采用中药冲击松解疗法治疗,理疗组108例采用理疗方法治疗,中药冲击松解疗法联合理疗组108例采用以上2种方法治疗。治疗1个月后观察3组颈椎病临床评价量表(CASCS)评分和临床疗效。结果 3组治疗后CASCS评分较本组治疗前升高(P<0.05);中药冲击松解疗法联合理疗组治疗后CASCS评分较中药冲击松解疗法组、理疗组均升高(P<0.05)。理疗组优良率与中药冲击松解疗法组、中药冲击松解疗法联合理疗组比较差异均有统计学意义(P<0.05),中药冲击松解疗法组、中药冲击松解疗法联合理疗组临床疗效优于理疗组。中药冲击松解疗法组优良率与中药冲击松解疗法联合理疗组比较差异无统计学意义(P>0.05)。结论中药冲击松解疗法治疗神经根型颈椎病疗效显著,明显优于普通理疗方法 。

Objective To investigate the effect of combination of Chinese medicinal material Impact solution treatment and physical treatment on cervicalspondylotic radiculopathy.Methods 336 patients with cervicalspondylotic radiculopathy were randomly divided into three groups.Patients in Chinese medicinal material impact solution treatment group （n=120） were treated by Chinese medicinal material impact solution treatment.Patients in physiotherapy group （n=108） were treated by physiotherapy.108 cases in combination group were treated by combination of Chinese medicinal material impact solution treatment and physiotherapy.Clinical appreciation scale of cervical syndrome （CASCS） and clinical effect were observed a month after treatment.Results The score of CASCS after treatment was increased in comparison with that before treatment in three groups （P〈0.05）.The score of CASCS in combination group was higher than that in Chinese medicinal material impact solution treatment group and physiotherapy group after treatment （P〈0.05）.The effect in Chinese medicinal material impact solution treatment group and combination group was superior to that in physiotherapy group （P〈0.05）.Conclusion Chinese medicinal material impact solution treatment was a creative and definite therapy on cervicalspondylotic radiculopathy,its effect was more than normal physiotherapy.