中药联合中医手法治疗椎动脉型颈椎病临床观察

Observation on clinical effect of traditional Chinese drug with TCM massage manipulation on cervical spondylosis of vertebral artery type

目的:观察中药联合中医手法治疗椎动脉型颈椎病的临床效果;方法:选取98例椎动脉型颈椎病患者随机分为观察组和对照组,对照组患者给予常规牵引治疗,观察组患者给予中药联合中医手法治疗,比较两组患者临床疗效、临床症状缓解时间及治疗前后中医症状积分;结果:观察组总有效率高达95.92%(95%CI=85.55%~99.47%),对照组为81.63%(95%CI=70.79%~92.47%),两组综合疗效比较(u=2.798 3,P=0.007 5),差异有显著性意义;与对照组比较,观察组患者眩晕、呕吐、恶心缓解时间参数显著缩短(P<0.01),中医症状患者的偏头痛、眩晕、呕吐、恶心状积分参数得到显著改善(P<0.01),差异均具有统计学意义。总之,采用中药联合中医手法治疗椎动脉型颈椎病患者临床疗效优于常规牵引治疗,其收益为OR=0.19(95%CI=0.04~0.93),NNT=7(95%CI=3.73~55.87)。

Objective ：To observe the clinical effect of traditional Chinese drug combined with TCM massage manipulation on cervical spondylosis of vertebral artery type. Methods： 98 cases of selected patients with cervical spondylosis of vertebral artery type were randomly divided into observation group and control group. The control group was treated with conventional traction, while the observation group was treated with traditional Chinese drug combined with TCM massage manipulation. The clinical effect, relief time of clinical symptoms and TCM symptom scores before and after treatment were compared in two groups of patients. Results： The total effective rate was 95.92% in observation group （ 95% CI = 85.55% - 99.47% ） and 81.63% in control group （ 95% CI = 70. 79% -92. 47% ） respectively. Compared the comprehensive curative effect between two groups （u =2. 798 3, P = 0. 007 5）, the difference was significant. Compared with control group, the relief time parameters of vertigo, vomiting and nausea of patients in observation group were shortened significantly （P 〈 0. 01 ） ; the symptom score parameters of migraine, vertigo, vomiting and nausea of patients with TCM symptoms were improved significantly （P 〈 0. 01 ） ; the differences were statistically significant. Conclusion ：The clinical effect of traditional Chinese drug combined with TCM massage manipulation on cervical spondylosis of vertebral artery type is better than that of conventional traction. Its benefit is OR = 0.19（95% CI = 0.04 - 0.93）,NNT =7 （95% CI = 3.73 - 55. 87）.