正清三联序贯疗法治疗颈型颈椎病的临床研究

Clinical Research on the Treatment of Cervical Spondylosis with Zhengqing Triple Sequential Therapy

目的探讨正清三联序贯疗法(正清风痛宁口服+中医定向透药+穴位注射)治疗颈型颈椎病的效果。方法选取2021年10月—2024年1月新沂市中医院收治的172例颈型颈椎病患者为研究对象,按照随机数字表法将其分为对照组和观察组,每组86例。对照组采用常规针灸、推拿及拔罐治疗,观察组在对照组基础上采用正清三联序贯疗法治疗。比较两组患者的临床疗效、疼痛程度、临床症状体征量化积分及不良反应发生情况。结果观察组的治疗总有效率为95.35%,高于对照组的84.88%,差异有统计学意义(P<0.05)。治疗后,观察组的疼痛视觉模拟评分为(1.56±0.32)分,低于对照组,差异有统计学意义(P<0.05);观察组的局部疼痛、疼痛位置、压痛程度、压痛点数量、颈部活动功能障碍及总分分别为(0.72±0.22)分、(0.77±0.25)分、(0.67±0.18)分、(0.82±0.21)分、(1.56±0.17)分、(5.26±1.32)分,均低于对照组,组间差异有统计学意义(P<0.05)。两组的不良反应发生率比较,差异无统计学意义(P>0.05)。结论颈型颈椎病患者采用正清三联序贯疗法治疗,可有效改善临床症状及体征,缓解颈部疼痛,且较为安全。

Objective To explore the clinical effect of Zhengqing triple sequential therapy(Zhengqing Fengtongning Oral+traditional chinese medicine directional penetration+acupoint injection)in the treatment of cervical spondylosis.Methods One hundred seventy-two cervical patients admitted to Xinyi Hospital of Traditional Chinese Medicine from October 2021 to January 2024 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 86 cases in each group.The control group was treated with routine acupuncture,massage and cupping therapy,and the observation group was treated with Zhengqing triple sequential therapy on the basisof the control group.The clinical efficacy,pain degree,quantitative scores of clinical symptoms and signs and the occurrence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 95.35%,which was higher than 84.88%of the control group,the difference was statistically significant(P<0.05).After treatment,the pain Visual Analogue Scale score of the observation group was(1.56±0.32)points,which was lower than that of the control group,and the difference was statistically significant(P<0.05);the local pain,pain location,tenderness degree,number of tenderness points,cervical mobility dysfunction scores and total score in the observation group were(0.72±0.22)points,(0.77±0.25)points,(0.67±0.18)points,(0.82±0.21)points,(1.56±0.17)points and(5.26±1.32)points,respectively,which were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Patients with cervical spondylosis treated with Zhengqing triple sequential therapy can effectively improve clinical symptoms and signs,relieve neck pain,and is safe.