中药蜡泥治疗神经根型颈椎病的临床疗效观察

Clinical Observation of Therapeutic Effect of Chinese Herbal Paraffin Therapy for Cervical Radiculopathy

【目的】观察具有祛风散寒、除湿通络、活血止痛作用的中药蜡泥外敷治疗神经根型颈椎病的临床疗效。【方法】将纳入研究的100例神经根型颈椎病患者随机分成2组,每组50例。治疗组采用中药蜡泥(制川乌、细辛、吴茱萸、艾叶、威灵仙、透骨草、独活、羌活、防风、伸筋草、川芎、苏木、红花)外敷。对照组只采用单纯蜡泥外敷。观察2组近期临床疗效及随访3个月后疗效,比较2组临床表现积分的变化情况。【结果】(1)治疗组的总有效率为95.8%,对照组为82.6%,治疗组的疗效优于对照组组(P<0.01)。(2)治疗后2组的临床表现积分均显著改善,与治疗前比较差异有统计学意义(P<0.05或P<0.01),且治疗组的改善作用优于对照组(P<0.05)。(3)2组有效患者随访3个月后比较,差异有统计学意义(P<0.05),表明治疗组的远期疗效优于对照组。【结论】具有祛风散寒、除湿通络、活血止痛作用的中药蜡泥能使神经根型颈椎病患者的症状显著改善,对促进患者早日康复具有积极意义。

Objective To observe the clinical effect of Chinese herbal paraffin therapy, which has the actions of dispelling wind and cold, removing dampness and dredging collaterals, activating blood to relieve pain, on treating cervical radiculopathy. Methods One hundred patients with cervical radiculopathy were equally randomized into two groups. The patients in the treatment group were given external application of Chinese herbal paraffin, which was mainly composed of paraffin and herbal medicines of prepared Radix Aconiti, Herba Asari, Fructus Evodiae, Folium Artemisiae Argyi, Radix Clematidis, Herba Phrymae Leptostachyae, Radix Angelicae Pubescentis, Rhizoma et Radix Notopterygii, Radix Saposhnikoviae, Herba Lycopodii, Rhizoma Chuanxiong, Lignum Sappan, and Flos Carthami. The control group was only treated with paraffin therapy. Short-term therapeutic effect and the efficiency after 3-month follow-up were evaluated, and the scores of clinical manifestations were compared in both groups. Results The total effective rate was 95.8% in the treatment group and 82. 6% in the control group, and the difference was significant between the two groups （ P 〈 0.01 ）. The scores of clinical manifestations were improved in both groups after treatment （ P 〈 0. 05 or P 〈 0.01 compared with those before treatment）, and the improvement in the treatment group was superior to that in the control group （ P 〈 0. 05 ）. The results of 3-month follow-up showed that the treatment group had better long-term therapeutic effect than the control group （P 〈 0.05 ）. Conclusion Chinese herbal paraffin therapy, which has the actions of dispelling wind and cold, removing dampness and radiculopathy, dredging collaterals, activating blood to relieve pain, is effective on relieving symptoms of cervical and can promote the early rehabilitation of the patients.