柴葛解肌汤合桂枝汤加减治疗神经根型颈椎病患者的临床疗效观察

Clinical Efficacy of Modified Chaige Jieji Decoction and Guizhi Decoction in the Treatment of Cervical Spondylopathy of Radiculopathy Type

目的探讨柴葛解肌汤合桂枝汤加减治疗神经根型颈椎病患者的临床疗效。方法选取2017年1月—2022年4月期间于北京市丰盛中医骨伤专科医院诊治的60例神经根型颈椎病患者,按照随机数字表法分为对照组和治疗组,每组各30例。对照组采用轻手法按摩结合颈椎制动治疗,治疗组患者采用柴葛解肌汤合桂枝汤加减结合颈椎制动治疗。治疗2周后,观察比较两组患者临床疗效、复发率及治疗前后疼痛评分视觉模拟评分法(Visual Analogue Scale/Score,VAS)评分、田中靖久颈椎病症状量表评分。结果治疗后两组患者VAS疼痛评分均较治疗前降低,差异有统计学意义(P<0.05);且治疗组治疗2周后VAS疼痛评分较对照组明显降低,差异有统计学意义(P<0.05)。治疗后两组患者颈椎病症状评分均较治疗前降低,差异有统计学意义(P<0.05);且治疗组治疗2周后颈椎病症状评分较对照组明显降低,差异有统计学意义(P<0.05)。治疗后治疗组总有效率93.33%(28/30)明显优于对照组83.33%(25/30),差异有统计学意义(P<0.05)。治疗结束3个月后,治疗组1例复发,复发率3.33%;对照组3例复发,复发率10%,两组患者复发率比较,差异有统计学意义(P<0.05)。结论柴葛解肌汤合桂枝汤加减对神经根型颈椎病患者具有良好的治疗作用,且复发率低。

Objective To study the clinical efficacy of the modified Chaige Jieji Decoction and Guizhi Decoction in the treatment of cervical spondylopathy of radiculopathy type.Methods Sixty patients with cervical spondylopathy of radiculopathy type treated in the Beijing Fengsheng Traditional Chinese Medicine Bone Injury Hospital from January 2017 to April 2022 were included and divided into a control group and a treatment group by the random number table,with 30 patients in each group.The control group was treated with mild massage combined with cervical-spine immobilization,and the treatment group was treated with the modified Chaige Jieji Decoction and Guizhi Decoction combined with cervical-spine immobilization.After treatment for two weeks,the clinical efficacy,recurrence rate,and visual analogue scale(VAS)and Tanaka Yasuhisa′s 20-point cervical spondylosis symptom scale scores before and after treatment of the two groups were observed and compared.Results After treatment,the VAS score of the two groups was decreased(P<0.05),and the VAS score of the treatment group was lower than that of the control group after two weeks of treatment(P<0.05).After treatment,the cervical spondylosis symptom scale score of the two groups was decreased,and the score of the treatment group was lower than that of the control group after two weeks of treatment(P<0.05).The total effective rate of the treatment group was 93.33%(28/30)after treatment,which was significantly higher than that of the control group[83.33%(25/30)](P<0.05).Three months after treatment,there was one recurrence case in the treatment group,with the recurrence rate of 3.33%,and three recurrence cases in the control group,with the recurrence rate of 10%.The comparison of the recurrence rate in the two groups was statistically significant(P<0.05).Conclusion The modified Chaige Jieji Decoction combined with Guizhi Decoction has a good therapeutic effect on the cervical spondylopathy of radiculopathy type.