中医骨伤治疗神经根型颈椎病的临床效果观察

Observation on clinical effect of traditional Chinese medicine orthopedic treatment in the treatment of cervical spondylotic radiculopathy

目的 分析中医骨伤治疗神经根型颈椎病的临床效果。方法 98例神经根型颈椎病患者,采用随机数字表法分为对照组和观察组,每组49例。对照组患者给予常规治疗,观察组患者在对照组基础上增加中医骨伤治疗。比较两组治疗前后生活质量评分、颈椎疼痛评分、应激指标及临床疗效。结果 治疗前,两组患者生活质量评分、颈椎疼痛评分及血清皮质醇、去甲肾上腺素水平比较差异均无统计学意义(P>0.05);治疗后,两组生活质量评分高于治疗前,颈椎疼痛评分及血清皮质醇、去甲肾上腺素水平均低于治疗前,而观察组生活质量评分(90.11±6.21)分高于对照组的(82.21±6.45)分,颈椎疼痛评分(1.02±0.12)分及血清皮质醇(54.56±3.21)μg/L、去甲肾上腺素(32.45±2.35)μg/L均低于对照组的(3.26±0.45)分、(84.12±10.21)μg/L、(45.56±2.01)μg/L,差异具有统计学意义(P<0.05)。观察组总有效率100.00%高于对照组的81.63%,差异具有统计学意义(P<0.05)。结论 中医骨伤在颈椎病康复治疗中的应用价值高,可更好改善患者的临床症状,并促进患者生活质量的提高,且有利于提高治疗效果,缓解患者疼痛,值得推广。

Objective To analyze the clinical effect of traditional Chinese medicine orthopedic treatment in the treatment of cervical spondylotic radiculopathy.Methods A total of 98 patients with cervical spondylotic radiculopathy were divided into control group and observation group by random numerical table,with 49 cases in each group.Patients in the control group received conventional treatment,and patients in the observation group received traditional Chinese medicine orthopedic treatment on the basis of the control group.The quality of life score,cervical pain score,and stress index before and after treatment,and clinical efficacy were compared between the two groups.Results Before treatment,there was no statistically significant difference in quality of life score,cervical spine pain score,serum cortisol and norepinephrine levels between the two groups(P>0.05).After treatment,the quality of life scores in the two groups were higher than those before treatment in this group,and the cervical pain score,serum cortisol and norepinephrine levels were lower than those before treatment in this group;the quality of life score(90.11±6.21)points in the observation group was higher than(82.21±6.45)points in the control group,and the cervical pain score(1.02±0.12)points,the serum cortisol(54.56±3.21)μg/L,and norepinephrine(32.45±2.35)μg/L were lower than(3.26±0.45)points,(84.12±10.21)μg/L,and(45.56±2.01)μg/L in the control group;all the differences were statistically significant(P<0.05).The total effective rate 100.00%of the observation group was higher than 81.63%of the control group,and the difference was statistically significant(P<0.05).Conclusion Traditional Chinese medicine orthopedic treatment has high application value in the rehabilitation of cervical spondylotic radiculopathy,which can better improve the clinical symptoms of patients,promote the improvement of patients'quality of life,and help improve the therapeutic effect and relieve pain of patients,which is worthy of promotion.