针刀配合颈舒颗粒治疗神经根型(气滞血瘀型)颈椎病的临床观察

Clinical Observation on Acupotomy Combined with Jingshu Granule in the Treatment of Cervical Spondylosis of Nerve Root Type (Qi Stagnation and Blood Stasis Type)

目的:观察针刀配合颈舒颗粒治疗神经根型(气滞血瘀型)颈椎病有效性、安全性。方法:收集2017年9月至2018年10月本院门诊80例神经根型(气滞血瘀型)颈椎病患者,分为治疗组和对照组各40例,分别用针刀配合颈舒颗粒和针刀治疗。在治疗后2周末,采用简化McGill询问(疼痛量表)、主诉和症状积分及颈椎屈伸活动度测量作为观察指标。结果:两组患者治疗结果比较,治疗组及对照组总体有效率分别为95%和85%,经Radit分析,差异有统计学意义(P<0.05),且治疗组疗效优于对照组。两组患者的主诉与症状评分、颈椎屈伸活动度及简化McGill询问(疼痛量表)评分在治疗前后结果比较:治疗前两组患者评分结果,差异无统计学意义(P>0.05),具有可比性;治疗后评分结果显示差异有统计学意义(P<0.05),而且治疗组疗效优于对照组。结论:针刀配合颈舒颗粒治疗神经根型(气滞血瘀型)颈椎病临床疗效显著,安全可靠,与单一治疗方法相比,不但明显改善患者的临床症状,生活质量得到提高,同时能够缩短治疗周期,巩固针刀治疗的远期疗效。

Objective:To observe the efficacy and safety of acupotomy combined with Jingshu granule in the treatment of cervical spondylosis of nerve root type(Qi stagnation and blood stasis type).Methods:From September 2017 to October 2018,80 outpatients with cervical spondylosis of nerve root type(Qi stagnation and blood stasis type)were divided into treatment group(40 cases)and control group(40 cases).They were treated with needle knife combined with Jingshu Granule and needle knife respectively.Simplified McGill questionnaire(pain scale),chief complaint and symptom score,and cervical flexion and extension activity were used as observation indexes at the end of 2 weeks after treatment.Results:The total effective rates of the treatment group and the control group were 95%and 85%respectively.Radit analysis showed that there were significant differences between the two groups(P<0.05).The therapeutic effect of the treatment group was better than that of the control group.Comparisons of the main complaint and symptom score,sign score and simplified McGill questioning(pain scale)score between the two groups before and after treatment showed that the score of the two groups before treatment was comparable(P>0.05),and the score after treatment showed statistical significance(P<0.05),and the curative effect of the treatment group was better than that of the control group.Conclusion:Acupotomy combined with Jingshu granule is effective and safe in the treatment of cervical spondylosis of nerve root type(Qi stagnation and blood stasis type).Compared with single treatment,this method not only improves the clinical symptoms and quality of life of patients,but also shortens the treatment cycle and consolidates the long-term effect of acupotomy treatment.