针药并用对风寒阻络证颈型颈椎病患者中医证候及颈痛量表评分的影响

Effects of Acupuncture Combined with Traditional Chinese Medicine on Scores of TCM Syndrome and Neck Pain Questionnaire in Patients with Cervical Spondylosis with Syndrome of Cold Locking the Collaterals

目的观察针药并用对风寒阻络证颈型颈椎病患者中医证候评分及颈痛量表(NPQ)评分的影响。方法将90例纳入患者按随机数字表法分为针药组、中药组和针刺组,每组30例。针药组予桂枝加葛根汤加减方和电针治疗,中药组予桂枝加葛根汤加减方治疗,针刺组予电针治疗。观察治疗前后3组患者中医证候评分及NPQ评分变化,进行对比分析。结果针药组治疗前后中医证候评分及NPQ评分差值均高于针刺组、中药组,差异有统计学意义(P<0.05);针刺组和中药组之间中医证候评分及NPQ评分差值比较差异无统计学意义(P>0.05)。结论针药并用能缓解风寒阻络证颈型颈椎病患者的中医证候,减轻颈部疼痛,改善颈部功能状态。

Objective To observe the effects of acupuncture combined with traditional Chinesemedicine on scores of TCM syndrome and Neck Pain Questionnaire （NPQ） in patients of cervicalspondylosis with syndrome of cold locking the collaterals. Methods Ninety cases of patients wererandomly divided into acupuncture combined with TCM group, TCM group, and acupuncturegroup, 30 cases in each group. The acupuncture combined with TCM group was given modifiedGuizhi plus Gegen decoction and electro acupuncture;the TCM group was given modified Guizhiplus Gegen decoction only;the acupuncture group was given electro acupuncture only. Thescores of TCM syndrome and NPQ of the three groups were observed and analyzed comparatively.Results The deviation scores of TCM syndrome and NPQ before and after treatment of theacupuncture combined with TCM group were higher than the acupuncture group and the TCMgroup （P 〈0.05）, but there was no statistical difference between the acupuncture group and theTCM group （P 〉0.05）. Conclusion Acupuncture combined with traditional Chinese medicine canrelieve clinical symptoms of patients with cervical spondylosis with syndrome of cold locking thecollaterals, ease their cervical pain, and improve their cervical function.