中医整脊手法联合颈舒颗粒治疗神经根型颈椎病的临床研究

A clinical study on TCM chiropractic manipulation plus the Jingshu granule in the treatment of cervical spondylotic radiculopathy

目的:评价源自张朝纯教授的中医整脊手法联合颈舒颗粒治疗神经根型颈椎病的临床疗效。方法:将60例患者随机分为治疗组和对照组各30例,治疗组采用整脊手法和内服颈舒颗粒治疗,对照组仅使用整脊手法,治疗30 d后观察疗效。结果:治疗组总有效率优于对照组(P<0.05);两组患者的主观疼痛程度和疼痛评分经过治疗均显著降低(P<0.01),治疗组的降低程度较对照组有显著差异(P<0.05);两组患者的颈椎功能障碍指数(Neck Disability Index,NDI)经过治疗均显著降低(P<0.01),治疗组的降低程度较对照组有显著差异(P<0.05)。结论:中医整脊手法联合颈舒颗粒可进一步提高对神经根型颈椎病的疗效,值得临床推广。

Objective:To evaluate the therapeutic effect of chiropractic manipulation from Professor ZHANG Chaochun plus the Jingshu granule(颈舒颗粒)on cervical spondylotic radiculopathy.Methods:A total of 60 eligible cases were randomly divided into the control group(30 cases)and the observation group(30 cases).Cases in the control group were intervened by chiropractic manipulation.The observation group was additionally intervened by oral administration of Jingshu granule.The therapeutic effects were observed after 30 days of treatment in both groups.Results:The total effective rate in the observation group was significantly higher than the control group(P<0.05).The degrees of subjective pain was declined and the poin score was declined significantly after the treatment in both groups(both P<0.05),and the score in the observation group was significantly lower(P<0.05).A composite of functional status of the observation group,measured by the Neck Disability Index,had improved.Meanwhile the cervical curvature,measured by the Borden Index,also improved.Conclusion:Chiropractic treatment plus the Jingshu granule could produce a better efficacy in treating CSR,thus be worth spreading and further research.