芍药甘草汤辅助常规疗法治疗颈型颈椎病的效果分析

Analysis of clinical efficacy of Shaoyao Gancao Decoction assisted conventional therapy on neck cervical spondylosis

目的探讨芍药甘草汤结合常规疗法治疗颈型颈椎病的临床效果。方法选取武警浙江省总队医院嘉兴医院骨科2013年1月～2015年1月收治的119例颈型颈椎病患者进行回顾性分析,其中68例患者采用中药芍药甘草汤结合常规理疗治疗（联合组）,51例患者仅采用常规理疗治疗（理疗组）,对比2组患者的治疗效果。结果治疗后,联合组的颈椎曲度、颈部疼痛、颈部压痛、颈椎伸曲功能、颈椎侧曲功能、病情对工作的影响、病情对睡眠的影响评分均显著低于理疗组（P〈0.05）;2组患者NPQ、Mc Gill评分较本组治疗前均显著降低（P〈0.05）,且联合组显著低于理疗组（P〈0.05）;联合组治疗痊愈率32.35%,高于理疗组的19.61%（P〈0.05）。结论芍药甘草汤结合常规疗法治疗颈型颈椎病较单独采用常规疗法具有更显著的临床效果。

Objective To investigate the clinical effect of Shaoyao Gancao Decoction（ SGD） combined with conventional therapy in treatment of neck cervical spondylosis. Methods 119 cases of neck cervical spondylosis from Jiaxing Hospital of Zhejiang Armed Police Hospital during January 2013 to January 2015 were retrospective analysis,68 patients were treated with SGD combined with conventional physical therapy（ combination group）,51 patients were only adapted conventional physical therapy（ physiotherapy group）. The clinical efficacy between two groups were compared. Results After treatment,the cervical curvature,neck pain,neck tenderness,cervical flexing function,cervical lateral curvature function,affect the condition of work,the impact of the disease on sleep scores of combination group were significantly lower than physiotherapy group（ P〈0. 05）. NPQ and Mc Gill scores of two groups were significantly lower than pre-treatment（ P〈0. 05）,and NPQ,Mc Gill scores of combined group were significantly lower than physiotherapy group（ P〈0. 05）. Therapy cure rate of combined group was 32. 35%,which higher than 19. 61% of physiotherapy group（ P〈0. 05）.Conclusion SGD combined with conventional therapy in treatment of neck cervical spondylosis was better than conventional therapy alone.