整颈三步九法结合中药治疗神经根型颈椎病的临床研究

Effect of Three-steps and Nine-therapy Combined with Yiqi Huayu Bushen Recipe for Treating Cervical Spondylotic Radiculopathy

目的:观察"整颈三步九法"结合"益气化瘀补肾中药"内服治疗神经根型颈椎病的临床疗效和安全性。方法:纳入相关病人60例,采用随机数字表法随机分为治疗组和对照组各30例。治疗组采用整颈三步九法结合益气化瘀补肾中药内服;对照组采用牵引+口服药(西乐葆、甲钴铵片),两组均治疗两周。采用视觉模拟评分(VAS)和颈残疾指数(NDI)在治疗前、治疗后1,2,4及12周时进行评定。结果:治疗后1周的VAS评分和NDI评分上治疗组和对照组差异无统计学意义(P>0.05),在治疗后2,4及12周的VAS评分和NDI评分上治疗组改善均优于对照组,差异有统计学意义(P<0.05)。两组患者在治疗过程中及治疗后均未发生不良反应。结论:"整颈三步九法"结合"益气化瘀补肾中药"内服治疗神经根型颈椎病可显著改善患者疼痛和颈椎功能,且安全性较高。

Objective：To observe the therapeutic effect and safety of three-steps and nine-therapy combined with Yiqi Huayu Bushen（YQHYBS）recipe for cervical spondylotic radiculopathy.Methods：All 60 patients with cervical spondylotic radiculopathy were divided into the treatment group and control group randomly,30 cases in each group.The patients in the treatment group were treated with three-steps and nine-therapy combined with YQHYBS recipe,while the control group were treated with traction and oral celebrex and cobamamide tablets.Two groups were treated for two weeks.The visual analogue scale（VAS）and neck disability index（NDI）were used to evaluate the clinical efficacy.The VAS and NDI were observed and recorded at 1st weeks,2nd weeks,4th weeks and 12th weeks after treatment.Results：There was no significant difference in the VAS score and NDI score between the two groups at 1st weeks after treatment（P〈0.05）,and VAS and NDI score of treatment group were better than control group at 2nd weeks,4th weeks and 12th weeks after treatment（P〈0.05）.There was no adverse reaction between the two groups in the treatment process and after the treatment.Conclusion：Three-steps and nine-therapy combined with YQHYBS recipe for treating cervical spondylotic radiculopathy can significantly improve cervical vertebra function and relief pain and have high security.