推拿功法易筋经、倍他司汀、碳酸钙D3联合治疗椎动脉型颈椎病伴骨质疏松的疗效分析

Analysis of efficacy of Yi Jin Jing exercise,betahistine and calcium carbonate D3 in the treatment of vertebral-artery type cervical spondylosis with osteoporosis

目的 观察椎动脉型颈椎病伴骨质疏松采用推拿功法易筋经、倍他司汀、碳酸钙D3联合治疗的疗效。方法 80例椎动脉型颈椎病伴骨质疏松患者,按随机数字表法分为对照组和观察组,每组40例。对照组患者给予倍他司汀、碳酸钙D3联合治疗,观察组在对照组基础上给予推拿功法易筋经干预。比较两组患者治疗前及治疗90 d后的视觉模拟评分法(VAS)、颈椎功能障碍指数量表(NDI)、生存质量量表(SF-36)评分及颈椎生理曲度,治疗90 d后的临床疗效,不良反应发生情况。结果 治疗90 d后,两组患者的VAS、NDI评分低于本组治疗前,SF-36评分高于本组治疗前,且观察组患者的VAS评分(2.05±1.58)分、NDI评分(15.30±4.62)分低于对照组的(4.53±2.10)、(20.75±4.35)分,SF-36评分(74.65±2.55)分高于对照组的(61.46±2.48)分,差异具有统计学意义(P<0.05)。治疗90 d后,两组患者的颈椎生理曲度均大于本组治疗前,且观察组患者的颈椎生理曲度(9.88±1.45)mm及差值(3.56±1.33)mm均大于对照组的(7.23±1.43)、(1.05±1.16)mm,差异具有统计学意义(P<0.05)。治疗90 d后,观察组临床总有效率为97.50%(39/40),明显高于对照组的82.50%(33/40),差异具有统计学意义(P<0.05)。两组患者治疗过程中均未出现不良反应,血常规及尿常规均正常。结论 推拿功法易筋经、倍他司汀、碳酸钙D3联合治疗椎动脉型颈椎病伴骨质疏松能够更好地减轻患者疼痛、改善颈椎功能及颈椎生理曲度、提高骨密度及生活质量,临床疗效优于单纯西药治疗。

Objective To observe the efficacy of Yi Jin Jing exercise,betahistine and calcium carbonate D3 in the treatment of vertebral-artery type cervical spondylosis with osteoporosis.Methods A total of 80 patients with vertebral-artery type cervical spondylosis with osteoporosis and osteoporosis were divided into a control group and an observation group according to random numerical table,with 40 cases in each group.The control group was given betahistine and calcium carbonate D3 combined treatment,and the observation group was given Yi Jin Jing exercise based on the control group.Both groups were compared in terms of visual analogue scale(VAS)score,Neck Disability Index(NDI)score,36-item short-form health survey(SF-36)scores and physiological curvature of cervical vertebrae before treatment and after 90 d of treatment,clinical efficacy after 90 d of treatment and occurrence of adverse reactions.Results After 90 d of treatment,VAS and NDI scores in both groups were lower than those before treatment in this group,and SF-36 score was higher than that before treatment in this group;VAS score of(2.05±1.58)points and NDI score of(15.30±4.62)points in the observation group were lower than those of(4.53±2.10)and(20.75±4.35)points in the control group;SF-36 score of(74.65±2.55)points in the observation group was higher than that of(61.46±2.48)points in the control group;the differences were statistically significant(P<0.05).After 90 d of treatment,the physiological curvature of cervical vertebrae in both groups was greater than that before treatment in this group;the physiological curvature and difference of the cervical spine were(9.88±1.45)and(3.56±1.33)mm in the observation group,which were greater than those of(7.23±1.43)and(1.05±1.16)mm in the control group;the differences wree statistically significant(P<0.05).After 90 d of treatment,the total clinical effective rate of the observation group was 97.50%(39/40),which was significantly higher than that of 82.50%(33/40)of the control group,and the difference was statistically significant(P<0.05).No adverse reactions occurred during treatment in both groups,and routine blood test and routine urine test were normal.Conclusion The combination of Yi Jin Jing exercise,betahistine and calcium carbonate D3 in the treatment of vertebral-artery type cervical spondylosis with osteoporosis can better reduce pain,improve function and physiological curvature of cervical vertebrae,improve bone density and quality of life,and the clinical efficacy is superior to that of western medicine alone.