桂枝葛根汤联合针刺治疗颈型颈椎病临床观察

Clinical Observation on Guizhi Gegen Decoction Combined with Acupuncture on Cervical Spondylosis

目的观察桂枝葛根汤联合针刺治疗颈型颈椎病(风寒痹阻证)患者的临床疗效。方法将60例患者随机分为两组各30例。治疗组给予桂枝葛根汤联合针刺治疗,对照组给予复方氯唑沙宗片,10d为1个疗程。在两组患者治疗前后通过疼痛视觉模拟量表(VAS)、颈椎功能障碍指数反馈表(NDI)、中医证候评分表、颈部关节活动度观察表(ROM)和定期随访进行评估,并对临床效应进行观察评价。结果两组患者治疗后的VAS评分、NDI评分、中医证候评分相较于治疗前均下降(P<0.05),ROM活动度较治疗前增高(P<0.05),除中医证候评分,其余两组间比较,差异无统计学意义(P>0.05)。在治疗结束后第4、6个月两组患者NDI评分组间比较,差异有统计学意义(P<0.05)。结论桂枝葛根汤联合针刺与口服复方氯唑沙宗片均可缓解颈型颈椎病患者的临床症状,针药结合疗法效应持续时间长,远期疗效更明显。

Objective:To observe the clinical efficacy of Guizhi Gegen Decoction combined with acupuncture in the treatment of cervical spondylosis(wind cold blockade type)patients.Methods:A total of 60 patients were randomly divided into two groups,with 30 patients in each group.The treatment group was given Guizhi Gegen De⁃coction combined with acupuncture treatment.The control group was given compound chlorzoxazone tablets,for 10 consecutive days as a course of treatment.Before and after treatment,the two groups were evaluated using the pain Visual Analog Scale(VAS),Neck Disability Index(NDI),traditional Chinese medicine(TCM)syndrome score,neck joint Range of Motion(ROM),and regular follow-up and clinical effects were observed and evaluated.Re⁃sults:The VAS scores,NDI scores,and TCM syndrome scores of the two groups decreased compared with before treatment(P<0.05),while the ROM activity increased compared with before treatment(P<0.05).Except for the TCM syndrome score,there was no statistically significant difference between the other two groups.Comparison of NDI scores between the two groups at 4 and 6 months after treatment showed significant differences(P<0.05).Conclusion:Guizhi Gegen Decoction combined with acupuncture and oral compound chlorzoxazone tablets can al⁃leviate the clinical symptoms of patients with cervical spondylosis,and the combination of Guizhi Gegen Decoction and acupuncture therapy has a longer duration and more significant long-term therapeutic effect.