中医颈椎牵引联合内服、外敷对神经根型颈椎病患者的临床分析

Clinical Analysis of Cervical Traction Combined with Oral Administration and External Application of Chinese Medicine for Patients with Cervical Spondylotic Myelopathy

目的:研究中医颈椎牵引联合内服、外敷对神经根型颈椎病患者的临床效果。方法:选取2015年6月至2016年6月西安交通大学第一附属医院收治的神经根型颈椎病患者110例,按照随机数字表法,随机均分为2组。对照组采用颈椎牵引和治疗,观察组在对照组治疗的基础上,联合应用身痛逐瘀汤加减内服外敷进行治疗。治疗后,记录分析2组患者的疗效及不良反应状况,并对治疗前后患者的视觉模拟评分法(VAS)、疼痛分级指数(PRI)、疼痛状况(PPI)及颈部活动度进行检测记录。结果:观察组患者的总有效率(92.31%)明显高于对照组(80.00%),2组比较差异有统计学意义(χ~2=4.1270,P=0.0422)。治疗前,2组患者的VAS、PRI、PPI及颈部活动度比较,差异无统计学意义(P>0.05);治疗后,2组患者的VAS、PRI、PPI及颈部活动度均显著降低,差异有统计学意义(P<0.05),且观察组明显低于对照组,差异有统计学意义(P<0.05)。观察组患者手指麻木缓解时间及椎间孔挤压试验转阴时间均明显短于对照组,2组比较,差异有统计学意义(P<0.05)。2组患者在整个治疗期间,均未出现严重不良反应。结论:中医颈椎牵引联合内服、外敷治疗神经根型颈椎病患者,疗效显著,值得广泛推广应用。

Objective： To study the clinical effect of cervical traction combined with oral administration and external application of Chinese medicine on patients with nerve root type cervical spondylosis. Methods： A total of 110 cases of nerve root type cervical spondylosis admitted in our hospital from June 2015 to June 2016 were investigated in our hospital. According to the random number table method,they were randomly divided into two groups. The control group was treated with cervical traction and treatment,and the study group was treated with external application and external application of Shentong Zhuyu decoction on the basis of the treatment of the control group. After treatment,the curative effect of two groups of patients and adverse reactions were recorded and analyzed,and before and after treatment the visual analogue scale（ VAS）,pain rating index（ PRI）,pain（ PPI） and neck mobility of the two groups were tested and recorded. Results： The total effective rate of the study group（ 92. 31%） was significantly higher than that of the control group（ 80%）,and the difference between the two groups were statistically significant（ χ2= 4. 1270,F = 0. 0422）. Before treatment,VAS,PRI,PPI and neck activity between the two groups had no significant difference（ P 〉 0. 05）; after treatment,the VAS,PRI,PPI and neck activity of the two groups patients were significantly decreased（ P 〈 0. 05）. The study group was significantly lower than the control group（ P 〈 0. 05）. The time of finger numbness relief and the time of intervertebral foramen extrusion test in the study group were significantly shorter than those in the control group,and the difference between the two groups were statistically significant（ P 〈 0. 05）. For two groups of patients during the entire treatment period,there were no serious adverse reactions. Conclusion： The clinical effect of cervical traction combined with oral administration and external application of Chinese medicine on patients with nerve root type cervical spondylosis is remarkable,and it is worthy of extensive application.