中医骨伤治疗神经根型颈椎病的临床效果

Clinical Effect of Traditional Chinese Medicine Bone Injury on Cervical Spondylotic Radiculopathy

目的 探究采用中医骨伤治疗神经根型颈椎病的价值。方法 选取2021年1月—2023年8月南京市溧水区中医院收治的92例神经根型颈椎病患者为研究对象,采用随机数表法分为对照组(西医治疗)与观察组(西医联合中医骨伤治疗),各46例。比较两组临床疗效、主观与客观积分、治疗前后的疼痛评分和颈椎功能评分。结果 观察组治疗总有效率为97.83%,高于对照组的84.78%,差异有统计学意义(χ^(2)=4.929,P<0.05)。观察组治疗后主观、客观积分和总积分均高于对照组,差异有统计学意义(P均<0.05)。观察组治疗后疼痛程度及颈椎功能评分分别为(2.29±0.73)分、(8.33±1.67)分,均低于对照组[(4.75±1.48)分、(13.27±1.58)分],差异有统计学意义(t=5.168、9.581,P均<0.05)。结论 在常规西医治疗神经根型颈椎病中融入中医骨伤治疗方案时治疗效果较好,能够提高改善患者颈椎功能,减轻疼痛。

Objective To explore the therapeutic value of bone injury in traditional Chinese medicine for cervical spondylotic radiculopathy.Methods Ninety-two patients with cervical spondylotic radiculopathy treated in Lishui District Hospital of Traditional Chinese Medicine from January 2021 to August 2023 were selected as the study objects and divided into control group(Western medicine treatment) and observation group(Western medicine combined with traditional Chinese medicine bone injury treatment) by random number table method,forty-six cases in each group.The clinical efficacy,subjective and objective scores,pain scores and cervical spine function scores before and after treatment were compared between the two groups.Results The total effective rate of the observation group was 97.83%,which was higher than the control group's 84.78%,and the difference was statistically significant(χ^(2)=4.929,P<0.05).The subjective,objective,and total scores of the observation group were higher than those of the control group after treatment,and the differences were statistically significant(all P<0.05).The scores of pain degree and cervical spine function in the observation group after treatment were(2.29±0.73) points and(8.33±1.67) points,respectively,which were lower than those of the control group [(4.75±1.48) points,(13.27±1.58) points],and the differences were statistically significant(t=5.168,9.581,both P<0.05).Conclusion The integration of traditional Chinese medicine bone injury treatment in the conventional Western medicine treatment of cervical spondylotic radiculopathy has a better therapeutic effect,which can effectively improve the patient's cervical spine function and reduce pain.