羌活胜湿汤配合针刺治疗颈型颈椎病(风寒湿型)的疗效观察

Clinical Observation on Cervical Type of Cervical Spondylosis Treated by Decoction of Notopterygium for Rheumatism Combined with Traditional Acupuncture

目的观察羌活胜湿汤内服配合传统针刺治疗颈型颈椎病的临床疗效。方法将70例颈型颈椎病患者随机分为针药组和针刺组,每组35例。针药组采用羌活胜湿汤内服配合传统针刺治疗,针刺组采用单独传统针刺治疗。治疗4周后,观察2组患者疼痛视觉评分(visual analogue score,VAS)、颈椎关节活动度(cervical range of motion,CROM)、颈部残障指数(neck disability index,NDI)的变化情况,并进行疗效评定。结果与治疗前相比,2组患者治疗后的VAS、NDI降低而CROM升高(P<0.05)。治疗后,针药组患者的VAS低于针刺组,而其CROM高于针刺组(P<0.05)。针药组的愈显率和总有效率分别为60.00%和94.29%,均高于针刺组的34.29%和77.14%(P<0.05)。结论羌活胜湿汤内服结合传统针刺能够有效治疗颈型颈椎病,改善该病患者的疼痛程度和颈椎关节活动度。

OBJECTIVE To observe the clinical efficacy on cervical type of cervical spondylosis treated by decoction of notopterygium for rheumatism combined with traditional acupuncture. METHODS The 70 patients were randomly divided into observation group and control group（n=35）. In observation group, decoction of notopterygium for rheumatism combined with traditional acupuncture was adopted. While in control group, only traditional acupuncture was used. After treatments for 4 weeks, the visual analogue scale（VAS）, cervical range of motion（CROM） and neck disability index（NDI） were adopted for comparison before and after treatments in two groups and the efficacy was also assessed. RESULTS Compared with those before treatment, the VAS and NDI of both groups decreased but CROM increased after treatments（P〈0.05）. After treatment, the VAS of patients in observation group was lower than that in control group; while the CROM was higher（P〈0.05）. The curative and remarkably effective rate was 60.00% and the total effective rate was 94.29% in observation group, which were superior to 34.29% and 77.14% in control group respectively（P〈0.05）. CONCLUSION The decoction of notopterygium for rheumatism combined with traditional acupuncture could treat cervical type of cervical spondylosis well, could effectively relieve pain and cervical range of motion in such patients.