蒸汽竹药罐法治疗神经根型颈椎病风寒痹阻证的疗效观察

Clinical Observation on Herbal-steaming Medicated Bamboo Jar Cupping Therapy in Treating Cervical Spondylotic Radiculopathy with Wind-cold Obstruction Syndrome

【目的】探讨蒸汽竹药罐法治疗神经根型颈椎病风寒痹阻证的临床疗效。【方法】将60例神经根型颈椎病风寒痹阻证患者随机分为治疗组和对照组,每组各30例。治疗组给予蒸汽竹药罐法治疗,对照组给予普通竹火罐法治疗,2组均每天治疗1次,7 d为1个疗程。观察2组患者治疗前后疼痛视觉模拟量表(VAS)评分和颈椎日本骨科协会评分法(JOA)评分的变化情况,评价2组疗效及安全性,并在治疗结束后1个月进行随访,观察2组患者的复发情况。【结果】(1)治疗1个疗程后,治疗组的总有效率为90.0%,对照组为80.0%,组间比较(秩和检验),治疗组的疗效优于对照组(P<0.05)。(2)治疗后各个时间点,2组患者的VAS评分均较治疗前明显降低(P<0.01),JOA评分均较治疗前明显提高(P<0.01),且治疗组在治疗1 d后和治疗3 d后对VAS评分的降低作用和对JOA评分的提高作用均明显优于对照组,差异均有统计学意义(P<0.05或P<0.01)。(3)治疗期间,2组患者均未出现皮肤溃疡、水泡、感染等不良事件。(4)治疗结束后1个月对2组患者的有效病例进行随访,治疗组的复发率为22.2%,对照组为25.0%,组间比较,差异无统计学意义(P>0.05)。【结论】蒸汽竹药罐法治疗神经根型颈椎病风寒痹阻证的疗效确切,其疗效优于传统拔罐法治疗,尤其是在近期疗效方面。

Objective To investigate the clinical effect of herbal-steaming medicated bamboo jar cupping therapy in treating cervical spondylotic radiculopathy(CSR)with wind-cold obstruction syndrome. Methods Sixty cases of CSR patients with wind-cold obstruction syndrome were randomly divided into treatment group and control group,30 cases in each group. The treatment group was given herbal-steaming medicated bamboo jar cupping therapy and the control group was given conventional heated bamboo jar cupping therapy once a day and for one treatment course of 7 days. Visual Analogue Scale(VAS)pain scores and cervical Japanese Orthopaedic Association(JOA)scores were compared between the two groups before and after treatment. The clinical efficacy and safety of the two groups were evaluated after treatment,and the recurrence rate one month after the completion of treatment was also observed. Results(1)After treatment for one course,the total effective rate in the treatment group was 90.0% and that in the control group was 80.0%, and the results of rank-sum test showed that the clinical efficacy of the treatment group was superior to that in the control group(P<0.05).(2)At various time points after treatment,VAS pain scores in the two groups were obviously decreased and JOA scores were obviously increased(P<0.01 compared with those before treatment),and the disease of VAS pain scores after treatment for one day and 3 days in the treatment group as well as the increase of JOA scores was superior to that in the control group(P < 0.05 or P<0.01).(3)During the treament,no adverse events of cutaneous ulcer,vesicle or infection occurred in the two groups.(4)The follow-up for the effective cases in the two groups one month after the completion of treatment showed that the recurrence rate of the treatment group was 22.2% and that of the control group was 25.0%,the difference between the two groups being not statistically significant(P > 0.05). Conclusion Herbal-steaming medicated bamboo jar cupping therapy is more effective in treating CSR with wind-cold obstruction syndrome than the conventional cupping therapy,in particular having stronger short-term effect.