益气化瘀方治疗气虚血瘀兼痰湿阻络型颈椎病30例

Qi-Enriching and Stasis-Resolving Therapy for Cervical Spondylopathy of Qi-Deficiency and Blood-Stasis with Phlegm-Dampness Retention in 30 Cases

为观察中药益气化瘀方对颈椎病的疗效 ,60例气虚血瘀兼痰湿阻络型颈椎病患者随机分为治疗组和对照组 ,每组各 3 0例。治疗组采用口服益气化瘀方煎剂 ,对照组采用口服芬必得和弥可保片剂。在治疗 8周和 12周后观察、比较两组颈椎病常见症状和体征的改善情况及临床疗效。结果 :治疗组在治疗 8周后 ,其大部分症状和体征已有明显改善 (P <0 0 1) ;对照组在治疗 12周后 ,其症状和体征才有改善 (P <0 0 5 ) ,但不及治疗组明显 ;治疗组的综合临床疗效优于对照组 (P <0 0 5～ 0 0 1)。提示益气化瘀方在改善气虚血瘀型颈椎病的症状和体征方面疗效确切 。

To observe the clinical efficacy of 'Qi-Enriching and Stasis-Resolving Decoction' in the treatment of cervical spondylopathy,60 cases of cervical spondylopathy of qi-deficiency and blood-stasis with phlegm-dampness retention were randomized into two groups:treatment group in which 30 cases were treated with this Decoction and control group in which another 30 cases were treated with oral Ibuprofen and Mikebao.The clinical symptoms and signs and clinical effects were observed and compared between the two groups after eight- and twelve-week treatment respectively.Results:In the treatment group,most of the clinical symptoms and signs were improved obviously after eight weeks (P<0.01);in the control group,the clinical symptoms and signs were improved after twelve weeks (P<0.05),but less than the treatment group;the comprehensive clinical efficacy was better in treatment group than in control group (P<0.05-0.01).It is indicated that this Decoction has positive effects on the symptoms and signs of cervical spondylopathy of qi-deficiency and blood- stasis,with a shorter treatment course than western medicine.