中医骨伤手法联合天麻钩藤饮治疗椎动脉型颈椎病患者的效果

Effects of traditional Chinese medicine bone injury manipulation combined with Tianma Gouteng decoction on cervical spondylosis of vertebral artery type

目的:观察中医骨伤手法联合天麻钩藤饮治疗椎动脉型颈椎病患者的效果.方法:选取80例椎动脉型颈椎病患者为研究对象,按照随机数字表法分为观察组和对照组,每组40例.对照组采用天麻钩藤饮治疗,观察组在对照组基础上采用中医骨伤手法治疗,比较两组疗效,治疗前后颈性眩晕症状与功能评估量表(ESCV)评分和视觉模拟评分法(VAS)评分.结果:观察组治疗总有效率为95.0%(38/40),高于对照组的67.5%(27/40),差异有统计学意义(P<0.05);治疗后,两组ESCV各项症状及功能评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);治疗后,两组VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05).结论:中医骨伤手法联合天麻钩藤饮治疗椎动脉型颈椎病患者效果明显,可改善临床症状.

Objective:To observe effects of traditional Chinese medicine(TCM)bone injury manipulation combined with Tianma Gouteng decoction on cervical spondylosis of vertebral artery type.Methods:80 patients with cervical spondylosis of vertebral artery type admitted to our hospital were selected as the research objects,and were divided into observation group and control group according to the random number table method,40 cases in each group.The control group was treated with Tianma Gouteng decoction,while the observation group was treated with TCM bone injury on the basis of that of the control group.The curative effects,the evaluation scale for cervical vertigo(ESCV)score and visual analog scale(VAS)score before and after the treatment were compared between the two groups.Results:The total effective rate of treatment in the observation group was 95.0%(38/40),which was higher than 67.5%(27/40)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the ESCV symptom and function scores of the two groups were higher than those before the treatment;those of the observation group were higher than those of the control group;and the differences were statistically significant(P<0.05).After the treatment,the VAS scores of the two groups were lower than those before the treatment;that of the observation group was lower than those of the control group;and the differences were statistically significant(P<0.05).Conclusions:The TCM bone injury manipulation combined with Tianma Gouteng decoction is effective in the treatment of the patients with cervical spondylosis of vertebral artery type and can improve the clinical symptoms.