桂枝加葛根汤配合牵引治疗神经根型颈椎病临床观察

Clinical Observation on the Treatment of Nerve-root-type Cervical Spondylosis with Guizhi Jia Gegen Tang(桂枝加葛根汤) and Traction Therapy

目的:观察桂枝加葛根汤配合牵引治疗神经型颈椎病的临床疗效。方法:将55例神经根型颈椎病患者随机分为对照组26例和治疗组29例。对照组采用颈椎牵引治疗,治疗组采用牵引配合口服桂枝加葛根汤治疗。10 d为1个疗程,共治疗2个疗程。观察两组临床疗效及症状积分。结果:治疗组显效14例,有效9例,无效6例,总有效率为79.31%;对照组显效4例,有效14例,无效8例,总有效率为69.23%。两组比较,差异有统计学意义(P<0.05)。治疗后,两组症状积分均有改善(P<0.05),且治疗组优于对照组(P<0.05)。结论:桂枝加葛根汤配合牵引治疗神经根型颈椎病可有效提高临床疗效。

Objective：To observe the clinical efficacy of Guizhi Jia Gegen Tang （ 桂枝加葛根汤 ） and traction therapy in the treatment of nerve-root-type cervical spondylosis.Methods：55 patients with nerve- root-type cervical spondylosis were randomly divided into a control group （ 26 cases ） and a treatment group （ 29 cases ） .Patients in the control group were treated with cervical traction therapy, while those in the treatment group were treated with Guizhi Jia Gegen Tang and traction therapy.Both groups were treated for 2 courses, 10 days for 1 course.Clinical efficacy and symptom scores of the two groups were observed.Results：In the treatment group,14 cases were markedly effective,9 cases were effective,6 cases were ineffective,the total effective rate being 79.3 l%;while in the control group,4 cases were markedly effective,14 cases were effective,and 8 cases were invalid,the total effective rate being 69.23%.The difference between the two groups was statistically significant （ P 〈 0.05 ） .After treatment,symptom scores of the two groups were improved （ P 〈 0.05 ） ,and the treatment group was better than the control group （ P 〈 0.05 ） .Conelusion：Guizhi Jia Gegen Tang combined with traction therapy can effectively improve the clinical curative effect