七珠展筋散揉药联合耳穴贴压法对颈型颈椎病患者VAS评分及生活质量的影响

Effect of Qizhu Zhanjinsan combined with auricular point press therapy on VAS score and quality of life of patients with cervical spondylopathy

目的研究七珠展筋散揉药联合耳穴贴压法对颈型颈椎病患者疼痛视觉模拟评分法(VAS)评分及生活质量的影响。方法 236例颈型颈椎病患者,按照随机抽签法分为对照组和观察组,各118例。对照组患者采取耳穴贴压法治疗,观察组患者在对照组基础上给予七珠展筋散揉药治疗。比较两组治疗前后疼痛VAS评分及简明健康状况量表(SF-36)评分。结果治疗前两组患者的疼痛VAS评分比较差异无统计学意义(P>0.05);治疗4周后,观察组患者的疼痛VAS评分(3.02±1.01)分低于对照组的(3.86±0.72)分,差异具有统计学意义(P<0.05)。治疗前两组患者的SF-36评分比较差异无统计学意义(P>0.05);治疗4周后,观察组SF-36评分(82.49±3.11)分高于对照组的(76.20±3.69)分,差异具有统计学意义(P<0.05)。结论颈型颈椎病患者采用七珠展筋散揉药联合耳穴贴压法治疗,疗效显著,可明显减轻疼痛程度,提高生活质量。

Objective To study the effect of Qizhu Zhanjinsan combined with auricular point press therapy on visual analogue scale(VAS) score and quality of life of patients with cervical spondylopathy. Methods A total of 236 patients with cervical spondylopathy were divided by random lottery method into control group and observation group, with 118 cases in each group. The control group was treated with auricular point press therapy, and the observation group was treated with Qizhu Zhanjinsan. The VAS score and 36-item short-form health survey(SF-36) score before and after treatment in two groups was compared. Results Before treatment, both groups had no statistically significant in VAS score(P>0.05). After 4 weeks of treatment, the observation group had lower VAS score as(3.02±1.01) points than(3.86±0.72) points in the control group, and the difference was statistically significant(P<0.05). Before treatment, both groups had no statistically significant difference in SF-36 score(P>0.05). After 4 weeks of treatment, the observation group had higher SF-36 score as(82.49±3.11) points than(76.20±3.69) points in the control group, and the difference was statistically significant(P<0.05). Conclusion Combination of Qizhu Zhanjinsan and auricular point press therapy shows remarkable efficacy for patients with cervical spondylopathy, and it can obviously relive degree of pain and improve quality of life.