熄风化痰经验方联合针刺治疗神经根型颈椎病临床研究

Clinical Study of Treating Nerve-root Type Cervical Spondylosis with Xifeng Huatan Prescription and Acupuncture

目的 :观察熄风化痰经验方联合针刺治疗神经根型颈椎病的临床效果。方法 :94例神经根型颈椎病患者用随机数字表法分为对照组和观察组各47例。对照组给予双氯芬酸钠缓释片内服联合颈椎牵引治疗,观察组在对照组基础上加用熄风化痰经验方联合针刺治疗。2周为1疗程,两组均连续治疗4疗程。观察两组治疗前后颈肩疼痛程度、分级指数及强度变化,颈椎功能障碍指数变化及典型症状缓解时间,评价疗效。结果:观察组与对照组治疗后的临床总有效率分别为91.5%、72.3%,差异有统计学意义(P=0.030);观察组颈肩疼痛程度、分级指数及强度的改善显著优于对照组,两组治疗后的颈肩疼痛评分、颈肩疼痛分级指数、颈肩疼痛强度比较,差异有统计学意义(P<0.05);观察组患者的典型症状缓解时间明显短于对照组,差异有统计学意义(P<0.05);治疗后观察组患者的颈椎功能障碍程度减轻,但与对照组比较,差异无统计学意义(P>0.05)。结论 :熄风化痰经验方联合针刺辨治神经根型颈椎病能有效缓解颈肩疼痛,缩短病程,疗效肯定。

Objective：To observe the clinical efficacy of Xifeng Huatan prescription and acupuncture on treating nerve-root type cervical spondylosis. Methods：A total of 94 patients with nerve-root type cervical spondylosis were divided into the control group and the observation group by the random number table method,with 47 cases in each group. The control group was treated with diclofenac sodium sustained-release tablets and cervical traction. The observation group,based on the treatment of the control group,was treated with Xifeng Huatan prescription and acupuncture. One treatment course lasted for 2 weeks and both the two groups were treated for 4 courses. The changes of pain degree ,classification index and intensity of neck and shoulder,cervical dysfunction index and typical symptom relief time of the two groups were observed before and after treatment,and the curative efficacy was evaluated. Results ：The clinical effective rate of the obser vation group was 91.5% and the control group was 72.3%. The difference was statistically significant（P-=-0.030）. The improvements of neck and shoulder pain degree,classification index and intensity of the observation group were better than those of the control group,and the differences of VAS,PRI and PPI scores between the two groups were statistically significant（P〈0.05）. The typical symptom relief time of the observation group was shorter than that of the control group,and the difference was statistically significant（P〈0.05）. Af- ter treatment,the cervical dysfunction degree of the observation group was obviously reduced,but compared with that of the control group,the difference was not statistically significant（P〉0.05）. Conclusion：In treat- ment of nerve-root type cervical spondylosis,Xifeng Huatan prescription and acupuncture can effectively re- lease the pain of neck and shoulder,shorten the disease course and the efficacy is definite.