蠲痹汤加减治疗神经根型颈椎病风寒痹阻证患者的效果

Effects of Juanbi decoction on patients with cervical spondylotic radiculopathy and wind-cold obstruction syndrome

目的:观察蠲痹汤加减治疗神经根型颈椎病风寒痹阻证患者的效果。方法:选取67例神经根型颈椎病风寒痹阻证患者作为研究对象,按照随机数字表法分为对照组34例和研究组33例。对照组采用颈复康颗粒治疗,研究组采用蠲痹汤加减治疗,比较两组临床疗效、治疗前后中医证候积分、颈椎病临床评价量表(CASCS)评分和不良反应发生率。结果:研究组治疗总有效率为93.94%(31/33),高于对照组的73.53%(25/34),差异有统计学意义(P<0.05);治疗后,研究组中医证候积分低于对照组,CASCS评分高于对照组,差异均有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:蠲痹汤加减治疗神经根型颈椎病风寒痹阻证患者可提高治疗总有效率和CASCS评分,降低中医证候积分,效果优于颈复康颗粒治疗。

Objective:To observe effects of Juanbi decoction on patients with cervical spondylotic radiculopathy and wind-cold obstruction syndrome.Methods:67 patients with cervical spondylotic radiculopathy and wind-cold obstruction syndrome were selected as the research objects,and were divided into control group(34 cases)and study group(33 cases)according to the random number table method.The control group was treated with Jingfukang granules,while the study group was treated with Juanbi decoction.The clinical efficacy,the TCM syndrome scores before and after the treatment,the clinical assessment scale for cervical spondylosis(CASCS)score and the incidence of adverse reactions were compared between the two groups.Results:The effective rate of treatment in the study group was 93.94%(31/33),which was higher than 73.53%(25/34)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the TCM syndrome score of the study group was lower than that of the control group;the CASCS score was higher than that of the control group;and the differences were statistically significant(P<0.05).However,there was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Juanbi decoction for the patients with cervical spondylotic radiculopathy and wind-cold obstruction syndrome can improve the effective rate of treatment and the CASCS score,and reduce the TCM syndrome score.Moreover,it is superior to Jingfukang granules treatment.