石氏痰瘀通络汤治疗神经根型颈椎病的临床观察

Clinical observation of Shi's Tanyu Tongluo Decoction in the treatment of cervical spondylotic radiculopathy

目的观察石氏痰瘀通络汤治疗神经根型颈椎病的临床疗效。方法将120例神经根型颈椎病患者随机分为对照组和治疗组,每组60例。对照组予双氯芬酸钠缓释片,治疗组予石氏痰瘀通络汤。两组疗程均为28天,观察临床疗效,比较颈椎病症状体征评分及疼痛VAS评分的变化情况。结果 (1)最终完成试验者114例,治疗组59例,对照组55例。(2)治疗组、对照组临床总有效率分别为91.53%和72.73%;组间临床疗效比较,差异有统计学意义(P<0.05)。(3)治疗后各周与治疗前组内比较,两组颈椎病症状、体征评分差异均有统计学意义(P<0.01);组间治疗后各周比较,颈椎病症状、体征评分差异均有统计学意义(P<0.01)。(4)治疗后各周与治疗前组内比较,两组疼痛VAS评分差异均有统计学意义(P<0.01);组间治疗1周后比较,疼痛VAS评分差异无统计学意义(P>0.05),治疗2、3、4周组间VAS评分差异有统计学意义(P<0.01)。结论石氏痰瘀通络汤治疗神经根型颈椎病,可明显缓解患者疼痛,改善其临床症状。

Objective To observe the clinical efficacy of Shi＇ s Tanyu Tongluo Decoction in the treatment of cervical spondylotic radiculopathy （CSR）. Methods One hundred and twenty patients with CSR were randomly divided into the control group and treatment group ,60 cases in each group. Patients in the control group were treated with diclofenac sodium sustained release tablets, while the others in the treatment group were treated with Shi＇ s Tanyu Tongluo Decoction, with a course of 28 days. The clinical efficacy was observed, and the symptoms and signs score of cervical spondylosis and visual analogue scale （ VAS ） score for pain were compared. Results ①Finally 114 cases completed the clinical research, among which 59 cases in the treatment group and 55 cases in the control group. ②The total effective rates of the treatment group and control group were 91.53% and 72.73% respectively; there was statistically significant difference on the clinical efficacy between the two groups （P 〈 0. 05 ）. ③For the comparison between the treatment before and after, the differences on the symptoms and signs score of cervical spondylosis were statistically significant in both groups （ P 〈 0.01 ） ; for the comparison after treatment, there were statistically significant differences on the symptoms and signs score of cervical spondylosis between the two groups （P 〈 0.01 ）. ④For the comparison between the treatment before and after, the differences on the VAS score were statistically significant in both groups（ P 〈 0.01 ） ;for the comparison between the two groups after treatment for one week, the difference on VAS score was not statistically significant （ P 〉 0.05 ） ; but there were statistically significant differences on the VAS score between the two groups after treatment for two, three and four weeks （ P 〈 0.01 ）. Conclusion Shi＇ s Tanyu Tongluo Decoction can be used in the treatment of cervical spondylotic radiculopathy, which obviously relieve the pain and improve the clinical symptoms in patients.