OBJECTIVE:To evaluate the effectiveness and safety of cervical spondylosis formula granules in reducing the symptoms of patients with the nerve root type and the vertebral artery type of cervical spondylosis.METHODS:T...OBJECTIVE:To evaluate the effectiveness and safety of cervical spondylosis formula granules in reducing the symptoms of patients with the nerve root type and the vertebral artery type of cervical spondylosis.METHODS:This was a multicenter, single-blind,randomized, controlled trial.From April 2002 to November 2003, 499 patients were randomly assigned to either the treatment or the control group.The treatment group was orally administered granules prepared with a formula for cervical spondylosis, while the control group was given Jingfukang granules.The treatment course was 1 month for both groups.RESULTS:In patients with the nerve root type of cervical spondylosis, the total effect rate in the treatment group(87.21%) was significantly higher than that in the control group(80.70%, P < 0.01).After the treatment period in both groups, the treatment group had a significantly greater rate of resolution of pain, numbness of the upper limbs, muscle strength of the upper limbs, and fatigue than the control group(all P < 0.05).In patients with the vertebral artery type of cervical spondylosis, the total effect rate in the treatment group(82.07%) was similar to that in the control group(71.21%, P >0.05).After the treatment period in both groups,the treatment group had a significantly greater rate of resolution of weakness of the waist and knees than the control group(P < 0.05).CONCLUSION:The cervical spondylosis formula granules significantly improve numbness, muscle strength, and fatigue, and reduce pain in patients with the nerve root type of cervical spondylosis,and improve the weakness of the waist and knees in patients with the vertebral artery type of cervical spondylosis.展开更多
目的:观察推拿手法联合药物治疗颈型颈椎病的临床疗效及其对患者颈椎前凸角的影响。方法:回顾性分析辽宁中医药大学附属第二医院2018年1月至2020年1月68例颈型颈椎病患者诊治资料,其中接受单纯药物治疗者34例纳入药物(颈痛颗粒与乙哌立...目的:观察推拿手法联合药物治疗颈型颈椎病的临床疗效及其对患者颈椎前凸角的影响。方法:回顾性分析辽宁中医药大学附属第二医院2018年1月至2020年1月68例颈型颈椎病患者诊治资料,其中接受单纯药物治疗者34例纳入药物(颈痛颗粒与乙哌立松片)组,接受药物(颈痛颗粒与乙哌立松片)和推拿联合治疗者34例纳入联合治疗组。采用视觉模拟量表(visual analog scale,VAS)评分评估患者疼痛情况;采用影像学方法评价患者颈椎曲度改变情况;采用多功能颈椎测试训练系统比较治疗前后患者颈椎活动度(包括前屈、后伸、左旋及右旋)。结果:联合治疗组有效率高于药物组(P<0.05)。治疗1月后药物组VAS评分降低(P<0.05),治疗1周后联合治疗组VAS评分降低(P<0.01);治疗3月后联合治疗组患者颈椎前凸角增加(P<0.05)。治疗1周、1月及3月联合治疗组VAS评分均低于药物组(分别P<0.05)。治疗后两组患者颈椎前屈、后伸、左旋及右旋活动度均较治疗前增加(P<0.05),联合治疗组优于药物组(P<0.05)。结论:推拿联合药物治疗可有效减轻颈型颈椎病患者疼痛症状,增加颈椎前凸角,改善颈椎活动度,效果优于药物治疗。展开更多
文摘OBJECTIVE:To evaluate the effectiveness and safety of cervical spondylosis formula granules in reducing the symptoms of patients with the nerve root type and the vertebral artery type of cervical spondylosis.METHODS:This was a multicenter, single-blind,randomized, controlled trial.From April 2002 to November 2003, 499 patients were randomly assigned to either the treatment or the control group.The treatment group was orally administered granules prepared with a formula for cervical spondylosis, while the control group was given Jingfukang granules.The treatment course was 1 month for both groups.RESULTS:In patients with the nerve root type of cervical spondylosis, the total effect rate in the treatment group(87.21%) was significantly higher than that in the control group(80.70%, P < 0.01).After the treatment period in both groups, the treatment group had a significantly greater rate of resolution of pain, numbness of the upper limbs, muscle strength of the upper limbs, and fatigue than the control group(all P < 0.05).In patients with the vertebral artery type of cervical spondylosis, the total effect rate in the treatment group(82.07%) was similar to that in the control group(71.21%, P >0.05).After the treatment period in both groups,the treatment group had a significantly greater rate of resolution of weakness of the waist and knees than the control group(P < 0.05).CONCLUSION:The cervical spondylosis formula granules significantly improve numbness, muscle strength, and fatigue, and reduce pain in patients with the nerve root type of cervical spondylosis,and improve the weakness of the waist and knees in patients with the vertebral artery type of cervical spondylosis.
文摘目的:观察推拿手法联合药物治疗颈型颈椎病的临床疗效及其对患者颈椎前凸角的影响。方法:回顾性分析辽宁中医药大学附属第二医院2018年1月至2020年1月68例颈型颈椎病患者诊治资料,其中接受单纯药物治疗者34例纳入药物(颈痛颗粒与乙哌立松片)组,接受药物(颈痛颗粒与乙哌立松片)和推拿联合治疗者34例纳入联合治疗组。采用视觉模拟量表(visual analog scale,VAS)评分评估患者疼痛情况;采用影像学方法评价患者颈椎曲度改变情况;采用多功能颈椎测试训练系统比较治疗前后患者颈椎活动度(包括前屈、后伸、左旋及右旋)。结果:联合治疗组有效率高于药物组(P<0.05)。治疗1月后药物组VAS评分降低(P<0.05),治疗1周后联合治疗组VAS评分降低(P<0.01);治疗3月后联合治疗组患者颈椎前凸角增加(P<0.05)。治疗1周、1月及3月联合治疗组VAS评分均低于药物组(分别P<0.05)。治疗后两组患者颈椎前屈、后伸、左旋及右旋活动度均较治疗前增加(P<0.05),联合治疗组优于药物组(P<0.05)。结论:推拿联合药物治疗可有效减轻颈型颈椎病患者疼痛症状,增加颈椎前凸角,改善颈椎活动度,效果优于药物治疗。
