手法配合中药内服治疗神经根型颈椎病疗效观察

Effective observation on treating nerve root type of cervical spondylosis by manipulation plus TCM medicine

目的:探讨神经根型颈椎病应用手法与中药内服方案配合治疗临床效果。方法:选择神经根型颈椎病患者60例,均为我院2015年1月-2016年1月收治,随机分组,就牵引同美洛昔康胶囊口服配合治疗(对照组,n=30)与手法同中药内服配合治疗(观察组,n=50)总有效率、VAS疼痛评分展开对比。其中观察组具体方法为:(1)手法治疗:颈肩部肌肉松解、点穴疗法、拔伸旋转整复等;(2)中药内服:取黄芪桂枝五物汤加减。结果:观察组神经根型颈椎病患者痊愈16例,占53.3%;显效12例,占40%;有效2例,占6.7%,无效0例,占0.0%;总有效率为100%。对照组痊愈9例,占30%;显效14例,占46.7%;有效3例,占10%;无效4例,占13.3%,总有效率为86.7%,对比具有差异显著统计学意义(P<0.05)。两组治疗前VAS评分无差异(P>0.05),治疗后均有不同程度减少,观察组减少幅度更为显著(P<0.05)。结论:针对临床收治的神经根型颈椎病患者,应用手法与中药内服方案配合治疗,手法可使颈部神经根、椎动脉等受到的不良刺激减轻。黄芪桂枝五物汤具有止痛、养血通络之效。两组方案联用,可显著提高临床效果,促疼痛缓解,具有非常重要的开展价值。

Objective:To explore the therapeutic effect of manipulation with TCM medicine on nerve root type of cervical spondylosis.Methods:60cases were randomly divided into2groups;The control group took Meloxicam capsules;the observation group received manipulation with TCM medicine.Results:In the observation group,16cases were cured,accounting for53.3%;12cases were remarkable effective,for40%;2cases were effective,for6.7%;0case was ineffective,for0%;the total effective rate was100%.In the control group,9cases were cured,accounting for30%;14cases were remarkable effective,for46.7%;3cases were effective,for10%;4cases were ineffective,for13.3%;the total effective rate was86.7%;the difference was statistical significance.VAS score between two groups before treatment did not significant difference(P>0.05);after treatment,VAS score was decreased in two groups,and that in the observation group were decreased more significantly(P<0.05).Conclusion:Manipulation with TCM medicine on nerve root type cervical spondylosis was effective,by reducing the bad stimulation from the neck nerve root and vertebral artery.The Huangqi Guizhi Wuwu decoction had the effect on pain,Yangxue Tongluo.The combination could relieve the pain,was worthy of promotion.