颈突复康汤配合推拿按摩治疗颈椎间盘突出症120例临床观察

Clinical observation on 120 patients with cervical disc herniation treated by Jingtufukang decoction combined with manipulation

目的观察颈突复康汤配合推拿按摩治疗颈椎间盘突出症的综合疗效。方法把240例颈椎间盘突出症患者随机分为2组,治疗组口服颈突复康汤;对照组口服尼美舒利、钾钴胺,急性期连续静脉滴注甘露醇、七叶皂甙钠。两组均配合推拿按摩,疗程均为30天。比较两组:止痛效果、综合疗效、不同类型和不同证型的疗效、依从性和已愈者一年内复发率。结果两组止痛疗效相近,但治疗组综合疗效、依从性及疗效稳定性三个方面优于对照组。颈突复康汤对不同类型和不同证型的颈椎间盘突出症疗效基本一致,愈后一年内复发率低。结论颈突复康汤配合推拿按摩治疗颈椎间盘突出症综合疗效良好,并对不同类型或证型的颈椎间盘突出症有较好的适应性,且疗效相对稳定。

Objective To observe the comprehensive therapeutic effect of Jingtufukang decoction combined wi th manipulation on cervical disc herniat ion. Methods 240 patients with cervical disc herniation were randomly assigned to treatment group and control group. The treatment group was given Jingtufukang decoction orally. The control group was given Nimesulide and Mecobalamin Tablets, and continuous intravenous drip infusion of mannitol and aescin in acute phase. Both groups were given manipulation treatment. The treatment of both groups lasted 30 days. To compare both groups7 analgesic effects, comprehensive therapeutic effects, therapeutic effects of distinct types and distinct symptom complexities, compliance and recurrence rates within one year. Results The analgesic effects of both groups were similar, but the comprehensive therapeutic effect, compliance and stability of the treatment group were superior to control group. The therapeutic effects of Jingtufukang decoction on CDH of different types and symptom complexities were basically the same. The recurrence rates within one year were low. Conclusion Jingtufukang decoction combined with manipulation had a well comprehensive therapeutic effect on CDH. It had a good adaptability to CDH of different types and symptom complexities, and had a relatively stable therapeutic effect.