自拟温经散寒止痛方外敷联合运动疗法对神经根型颈椎病患者颈椎关节功能恢复、疼痛程度的影响

Effects of external application of self-made Wenjing Sanhan Zhitong prescription combined with exercise therapy on cervical joint function recovery and pain degree in patients with cervical spondylotic radiculopathy

目的:观察自拟温经散寒止痛方外敷联合运动疗法对神经根型颈椎病(CSR)患者颈椎关节功能恢复、疼痛程度的影响。方法:选取2020年6月~2022年6月我院收治的88例CSR患者为研究对象,按随机数表法分为观察组(44例)和对照组(44例),其中对照组给予运动疗法干预,观察组在此基础上联合自拟温经散寒止痛方外敷,两组均干预1个月。比较两组的颈椎关节功能恢复[颈椎功能障碍指数(NDI)、田中靖久颈椎病症状量表20分法]、颈椎活动度(CROM)、疼痛程度[McGill疼痛问卷简表(SF-MPQ)]、生活质量[中文版简明健康调查简表(SF-36)]、不良反应。结果:干预后,观察组NDI、SF-MPQ各分量表得分均低于对照组,田中靖久颈椎病症状量表20分法除手功能维度外得分及总分、SF-36各维度得分均高于对照组,CROM大于对照组,差异有统计学意义(P<0.05);治疗期间两组不良反应发生率差异无统计学意义(P>0.05)。结论:自拟温经散寒止痛方外敷联合运动疗法有助于改善CSR患者颈椎功能障碍,增加关节活动度,对减少疼痛、提高生活质量有积极意义,存在较高安全性。

Objective:To observe the effects of external application of Wenjing Sanhan Zhitong prescription combined with exercise therapy on cervical joint function recovery and pain degree in patients with cervical spondylotic radiculopathy(CSR).Methods:88patients with CSR who were treated in the hospital from June 2020to June 2022were recruited as research subjects and were divided into observation group(44cases)and control group(44cases)according to the random number table method.The control group was given exercise therapy intervention,and the observation group was combined with self-made Wenjing Sanhan Zhitong prescription for external application,and both groups were intervened for 1month.The recovery of cervical joint function[Neck Dysfunction Index(NDI),Yasuhisa Tanaka 20Score Scale],cervical range of motion(CROM),pain degree[Short-Form McGill Pain Questionnaire(SF-MPQ)],quality of life[36-item Short-Form Health Survey(SF-36)]and adverse reactions were compared between the two groups.Results:After intervention,the score of NDI and scores of SF-MPQ subscales in observation group were lower than those in control group while the scores of dimensions except for hand function and total score of Yasuhisa Tanaka 20Score Scale and scores of dimensions of SF-36were higher than those in control group,and the CROM was higher than that in control group(P<0.05).There was no statistical difference in the incidence rate of adverse reactions between the two groups during treatment(P>0.05).Conclusion:External application of self-made Wenjing Sanhan Zhitong prescription combined with exercise therapy can help improve the cervical spine dysfunction and increase the joint range of motion in patients with CSR,and it has positive significance on reducing pain and enhancing quality of life,and has high safety.