| 王海兴,况君,刘坚,郑甦.颈椎荣通方联合旋提手法治疗神经根型（气滞血瘀型）颈椎病的临床疗效观察[J].实用中西医结合临床,2021,21(4): |
| 颈椎荣通方联合旋提手法治疗神经根型（气滞血瘀型）颈椎病的临床疗效观察 |
| Clinical observation on cervical spondylosis of nerve root type (qi stagnation and blood stasis type) treated by cervical RONGTONG formula combined with rotation lifting manipulation |
| 投稿时间：2020-10-29 修订日期：2020-12-01 |
| DOI： |
| 中文关键词: 中药、旋提手法、气滞血瘀、颈椎病、颈椎曲度 |
| 英文关键词: Traditional Chinese medicine, lifting manipulation, qi stagnation and blood stasis, cervical spondylosis, cervical curvature |
| 基金项目: |
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| 中文摘要: |
| 摘要：目的：观察和评价中药颈椎荣通方联合旋提手法在治疗气滞血瘀型神经根型颈椎病的临床治疗效果。方法：选取2018年10月至2020年01月江西中医药大学附属医院门诊收治符合神经根型颈椎病诊断，中医辩证分型为气滞血瘀证的80例患者，采用单盲、随机数字表法、按就诊顺序分为观察组40例、对照组40例。观察组采用自拟颈椎荣通方结合旋提手法治疗，对照组仅采用旋提手法治疗，疗程均为两周。比较两组治疗两周后的临床疗效、视觉疼痛模拟评分（VAS）、颈椎弓弦距。结果：经两周治疗后，观察组总有效率（92.50%）明显高于对照组（75.00）%，P<0.05，差异均具有统计学意义；治疗后视觉疼痛模拟评分（VAS）观察组（1.22±1.54)明显低于对照组（2.52±1.76），P<0.05，差异均具有统计学意义；观察组治疗前后颈椎弓弦距差值（1.03±0.24）高于对照组（0.52±0.14），P<0.05，差异均具有统计学意义。结论：颈椎荣通方结合旋提手法治疗神经根型（气滞血瘀证型）颈椎病较单纯应用旋提手法治疗疗效更优，值得临床推广应用。 |
| 英文摘要: |
| Abstract: Objective: To observe and evaluate the clinical effect of cervical spondylosis of nerve root type with qi stagnation and blood stasis type treated by cervical vertebra RONGTONG formula combined with rotation lifting manipulation. Methods: from September 2018 to June 2020, 80 patients with cervical spondylotic radiculopathy were selected and divided into observation group (40 cases) and control group (40 cases) by single blind and random number table. The observation group was treated with self-made cervical RONGTONG formula combined with rotation lifting manipulation, while the control group was only treated with rotation lifting manipulation. The course of treatment was two weeks. The clinical efficacy, visual analogue scale (VAS) and cervical arch chord distance were compared between the two groups after two weeks of treatment. Results: after two weeks of treatment, the total effective rate of the observation group (92.50%) was significantly higher than that of the control group (75.00)%, P < 0.05, the differences were statistically significant; after treatment, the visual pain simulation score (VAS) of the observation group (1.22 ± 1.54) was significantly lower than that of the control group (2.52 ± 1.76), P < 0.05, the differences were statistically significant; the difference of cervical vertebral arch chord distance in the observation group before and after treatment was (1.03 ± 0.24) Compared with the control group (0.52 ± 0.14), the difference was statistically significant (P < 0.05). Conclusion: the curative effect of cervical vertebra RONGTONG formula combined with rotation lifting manipulation in the treatment of cervical spondylosis of nerve root type (qi stagnation and blood stasis syndrome type) is better than that of single rotation lifting manipulation, which is worthy of clinical application. |
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