针药并用治疗风寒阻络证神经根型颈椎病疗效观察

Observations on the Efficacy of Combined Acupuncture and Medicine in Treating Cervical Spondylotic Radiculopathy with Syndrome of Wind-cold Obstructing Collaterals

目的观察针药并用治疗风寒阻络证神经根型颈椎病的临床疗效。方法将90例风寒阻络证神经根型颈椎病患者随机分为A组、B组和C组,每组30例。A组采用电针配合口服桂枝加葛根汤加减方治疗,B组采用单纯电针治疗,C组采用单纯口服桂枝加葛根汤加减方治疗。观察两组治疗前后中医证候评分及Northwick Park颈痛量表(NPQ)评分,比较两组临床疗效。结果 A组总有效率为96.7%,B组为86.7%,C组为83.3%,A组总有效率与B组和C组比较,差异均具有统计学意义(P<0.05)。3组治疗后中医证候评分及NPQ评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。A组治疗前后中医证候评分及NPQ评分差值与B组和C组比较,差异均具有统计学意义(P<0.05)。结论针药并用是一种治疗风寒阻络证神经根型颈椎病的有效方法。

Objective To investigate the clinical efficacy of combined acupuncture and medicine in treating cervical spondylotic radiculopathy with syndrome of wind-cold obstructing collaterals.Methods Ninety cervical spondylotic radiculopathy patients with syndrome of wind-cold obstructing collaterals were randomly allocated to groups A, B and C, 30 cases each. Group A received electroacupuncture plus oral administration of modified Ramuli Cinnamomi and Puerariae decoction; group B, electroacupuncture alone; group C, oral administration of modified Ramuli Cinnamomi and Puerariae decoction alone. The traditional Chinese medical syndrome score and the Northwick Park Neck Pain Questionnaire （NPQ） score were recorded in the two groups before and after treatment and the clinical therapeutic effects were compared between the two groups.Results The total efficacy rate was 96.7% in group A, 86.7% in group B and 83.3% in group C. There was a statistically significant difference in the total efficacy rate between group A and group B or C （P〈0.05）. There were statistically significant pre-/post-treatment differences in the traditional Chinese medical syndrome score and the NPQ score in the three groups （P〈0.01,P〈0.05）. There were statistically significant differences in pre-/post-treatment traditional Chinese medical syndrome score and NPQ score difference values between group A and group B or C （P〈0.05）.Conclusion Combined use of acupuncture and medicine is an effective way to treat cervical spondylotic radiculopathy with syndrome of wind-cold obstructing collaterals.