桂枝加葛根汤联合康复训练治疗颈型颈椎病临床观察

Clinical Observation on Guizhi Gegen Decoction Combined with Rehabilitation Training in the Treatment of Cervical Spondylosis

目的观察桂枝加葛根汤联合康复训练治疗颈型颈椎病的临床效果。方法选取福建中医药大学附属康复医院2020年1月—2021年5月收治的60例颈型颈椎病患者作为研究对象,随机分为对照组和观察组,各30例。对照组患者采用颈椎保健操治疗,观察组采用桂枝加葛根汤配合颈椎保健操治疗。比较2组患者治疗前后颈部VAS评分、NDI评分及临床症状。结果治疗后,2组患者VAS评分、NDI评分均有降低,但观察组降低更明显(P<0.05);观察组治疗总有效率为96.7%(29/30)高于对照组的80.0%(24/30),差异有统计学意义(P<0.05)。结论采用桂枝加葛根汤联合颈椎保健操治疗颈型颈椎病,可明显减轻患者疼痛,改善颈部关节功能,提高患者生活质量,值得临床推广应用。

Objective To observe the clinical effect of Guizhi Gegen decoction combined with rehabilitation training on cervical spondylosis. Methods 60 patients with cervical spondylosis admitted Rehabilitation Hospital Affiliated to Fujian University of Tradi-tional Chinese Medicine from January 2020 to May 2021 were selected as the research subjects. They were randomly divided into control group and observation group. Patients in the control group were treated with cervical exercises, and the observation group used Guizhi Gegen decoction combined with rehabilitation training. The neck VAS score, NDI score and clinical symptoms before and after treatment was compared between the two groups. Results After treatment, VAS score and NDI score were decreased in 2 groups, but the decrease was more obvious in observation group(P<0.05). The total effective rate of observation group was 96.7%(29/30) higher than that of control group 80.0%(24/30), and the difference was statistically significant( P < 0.05). Conclusion Guizhi Gegen decoction combined with cervical aerobics can significantly reduce the pain, improve the neck joint function and improve the patient ’s living ability, which is worthy of clinical promotion and application.