通阳利湿方联合中药外敷治疗急性期神经根型颈椎病39例

Thirty-Nine Cases with Cervical Spondylosis of Nerve-Root Type at Acute Stage Treated with Yang-Activating and Dampness-Removing Formula Combined with External Application of Chinese Medicine

目的:观察通阳利湿方联合中药外敷治疗急性期神经根型颈椎病的临床疗效。方法:选取急性期神经根型颈椎病患者78例,随机分成对照组和观察组,每组39例。对照组给予甘露醇注射液联合地塞米松治疗;观察组给予通阳利湿方联合中药外敷治疗。结果:对照组有效率82.05%,观察组有效率94.87%,观察组优于对照组(P<0.05);观察组治疗后TNF-α、IL-10、IL-1β水平均优于对照组;观察组治疗后VAS评分、临床症状体征评分均优于对照组(P<0.05)。结论:通阳利湿方联合中药外敷治疗急性期神经根型颈椎病疗效显著。

Objective： To observe the clinical effects of Yang-Activating and Dampness- Removing Formula combined with external application of Chinese medicine on cervical spondylosis of nerve-root type. Methods： 78 cases with cervical spondylosis of nerveroot type were randomized into control group and observation group,with 39 cases in each group. Control group were given Manitol Injection combined with Dexamethasone while observation group were given Yang-Activating and Dampness- Removing Formula combined with external application of Chinese medicine. Results： The effective rate was 82. 05% in control group and 94. 87% in observation group; observation group were better than control group（ P 〈0. 05）. The levels of TNF-α,IL-10,and IL-1βin observation group were better than these in control group; the VAS and scores of clinical symptoms and signs in observation group were better than these in control group（ P 〈0. 05）. Conclusion： Yang-Activating and Dampness-Removing Formula combined with external application of Chinese medicine has remarkable therapeutic effects on cervical spondylosis of nerve-root type.