肩痹痛消汤联合牵引治疗神经根型颈椎病随机平行对照研究

Jianbi Tongxiao Soup Joint Traction Nerve Root Type Cervical Spondylosis Randomized Parallel Group Study Treatment

[目的]观察肩痹痛消汤联合牵引治疗神经根型颈椎病疗效。[方法]使用随机平行对照方法,将60例住院患者按就诊顺序号法简单随机分为两组。对照组30例牵引,取舒适坐位,头部系好颌枕带牵引,牵引重量从3~4kg逐渐增加至10~15kg,20~40min/次,1次/d。治疗组30例肩痹痛消汤（羌活、桂枝、土茯苓各20g,白芍、川牛膝、威灵仙、川芎各15g,鸡血藤、红花、当归,黄芪各10g;湿气重加苍术、薏苡仁10g;风盛加白芷、秦艽各10g;寒胜加附子、细辛各10g）,1剂/d,水煎200m L,早晚口服;牵引治疗同对照组。连续治疗10d为1疗程。观测临床症状、肌力、活动度、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组显效17例,有效12例,无效1例,总有效率96.67%。对照组显效10例,有效14例,无效6例,总有效率80.00%。治疗组疗效优于对照组（P〈0.05）。[结论]肩痹痛消汤联合牵引治疗神经根型颈椎病疗效满意,无副作用,值得推广。

[Objective]To observe the shoulder joint Bitongxiao soup traction treatment of nerve root type cervical spondylosis. [Methods]Randomized parallel-group method using the 60 cases of hospitalized patients with treatment order number method is simple and randomly divided into two groups. Traction control group of 30 patients, take comfort seat, fasten your head jaw pillow leashes, traction from 3-4kg weight gradually increased to 10-15kg, 20-40min / times, 1 times / d. Treatment group of 30 patients shouhler Bitongxiao soup （Qianghuo,Guizhi,Tufuling 20g, Baishao,Chuniuxi, Weilingxian,Chuanxiong 15g, Jixueteng Honghua,Danggui,Huangqi 10g; moisture heavier Cangzhu, Yiyiren 10g; wind Sheng plus Baizhi,Qinjiu 10g; cold wins plus Fuzi,Xixin each 10g）, 1 a / d, decoction 200mL, sooner or later oral; traction with the control group. 10d for a course of continuous treatment. Observation of clinical symptoms, adverse reactions. Continuous treatment for 3 courses, to determine efficacy. [Results] treatment group 17 cases, effective in 12 cases, one case, the total efficiency 96.67%. The control group 10 cases markedly effective in 14 cases, 6 cases, the total efficiency of 80.00%. Treatment group than in the control group （P〈0.05）. [Conclusion]Bitongxiao soup shoulder joint traction treatment of nerve root type cervical spondylosis satisfaction, no side effects, it is worth promoting.