仰卧成角定点扳法联合自拟项痹汤治疗神经根型颈椎病疗效观察

Effective observation on treating nerve root type cervical spondylosis by pulling manipulation plus the Xiangbi decoction

目的:观察仰卧成角定点扳法联合自拟项痹汤治疗神经根型颈椎病的临床疗效。方法:将90例神经根型颈椎病患者按照随机数字表法分为牵引组20例、中药组(自拟项痹汤)35例、联合组(手法+中药)35例,从临床疗效、视觉模拟量表(VAS)、田中靖久症状量表20分法对三组进行比较分析。结果:牵引组总有效率为65.00%,中药组为77.14%,联合组为97.14%;三组治疗后VAS评分均较治疗前降低,联合组降低最为明显(P<0.05);田中靖久症状量表20分法比较,联合组改善最为明显(P<0.05)。结论:联合组治疗神经根型颈椎病优于牵引组和中药组。

Objective: Clinical effects of pulling manipulation plus the Xiangbi decoction on nerve root type cervical spondylosiswere observed. Methods: 90 patients were randomly divided into the traction group of 20 cases, the TCM medicine group (received theXiangbi decoction) of 35 cases and the combined group (was given pulling manipulation plus TCM medicine) of 35 cases. Results: Thetotal efficiency in the traction group was 65.00%, in the TCM medicine group was 77.14%, and in the conbined group was 97.14%. Afterthe treatment, VAS scores in three groups were all decreased, and that in the conbined group was most obvious (P<0.05). The improvementin the combined group was most obvious too according to the Tianzhong Jingjiu symptoms scale 20 points system (P<0.05). Conclusion:Clinical efficacy in the combined group was better than that in the others.