补阳还五汤联合脊柱定点旋转复位手法干预颈型颈椎病的临床研究

Clinical study of Buyang Huanwu Tang combined with spinal fixed-point rotation reduction manipulations in the intervention of cervical spondylopathy

目的 探讨补阳还五汤联合脊柱定点旋转复位手法对颈型颈椎病患者颈椎生理曲度及炎症因子水平的影响。方法 选取2021年2月-2023年2月收治的100例颈型颈椎病患者,随机分成2组。对照组采用牵引方法治疗,观察组在对照组治疗基础上联合补阳还五汤联合脊柱定点旋转复位手法治疗,均连续治疗4周。观察2组患者治疗前后中医证候积分、颈椎功能障碍(NDI)评分、视觉模拟(VAS)评分、颈椎生理曲度、颈椎各方向ROM、炎性因子指标改善情况,比较2组总有效率和治疗安全性。结果 治疗后,2组各项中医证候积分、NDI评分、VAS评分、各项炎性因子指标均降低,且观察组较对照组低(P<0.05);2组颈椎生理曲度及颈椎各方向ROM均升高,且观察组较对照组高(P<0.05);观察组总有效率(92.0%)高于对照组(76.0%)(P<0.05);2组均未发生治疗相关不良反应。结论 补阳还五汤联合脊柱定点旋转复位手法能够缓解颈型颈椎病临床症状,抑制患者体内炎症反应,改善颈椎生理曲度,提高颈椎活动功能,疗效明确,安全性良好。

Objective To explore the effects of Buyang Huanwu Tang combined with spinal fixed-point rotation reduction manipulations on the physiological curvature and inflammatory cytokine levels of cervical spine in patients with cervical spondylopathy.Methods A total of 100 patients with cervical spondylopathy admitted to our hospital from February 2021 to February 2023 were selected and randomly divided into two groups.The control group was treated with traction,while the observation group was treated with a combination of Buyang Huanwu Tang and spinal fixed-point rotation reduction manipulations on the basis of the control group treatment.Both groups were treated continuously for 4 weeks.The improvement of traditional Chinese medicine(TCM) syndrome scores,the Neck Disability Index(NDI) scores,the Visual Analog Scale(VAS) scores,the cervical physiological curvature,the ROM in all directions,and the inflammatory factor indicators were observed before and after treatment in the two groups of patients,and their total effective rate and treatment safety were compared.Results After treatment,the scores of various TCM syndromes,NDI scores,VAS scores,and inflammatory factor indicators were decreased in both groups,and the observation group exhibited lower scores and indicator levels than the control group(P<0.05).The physiological curvature and ROM of the cervical spine were increased in both groups,and the observation group was higher than the control group(P<0.05).The total effective rate of the observation group(92.0%) was higher than that of the control group(76.0%)(P<0.05).Neither group experienced any treatment-related adverse reactions.Conclusion The combination of Buyang Huanwu Tang and spinal fixed-point rotation reduction manipulations can alleviate the clinical symptoms in patients with cervical spondylopathy,inhibit inflammatory responses in them,improve the physiological curvature of cervical spine,enhance cervical mobility,having a clear therapeutic effect and good safety.