摘要
目的:观察葛根汤加减联合定点旋转复位法治疗神经根型颈椎病的临床疗效。方法:将60例神经根型颈椎病患者随机分为两组。对照组30例予塞来昔布胶囊口服;治疗组30例予葛根汤加减口服外用联合定点旋转复位法。两组均10 d为1个疗程,连续治疗2个疗程。比较两组治疗临床总有效率,观察两组治疗前后视觉模拟评分法(Visual Analogue Scale,VAS)评分及焦虑自评量表(Self-rating Anxiety Scale,SAS)评分水平变化,治疗期间不良反应发生情况。结果:治疗组总有效率90.00%(27/30),对照组总有效率63.33%(19/30)。两组比较,差异有统计学意义(P<0.05)。治疗后,两组患者VAS评分及SAS评分较治疗前均有明显改善(P<0.05)。两组治疗过程中均未见由药物引起的心血管、胃肠道、皮肤变态反应及其他明显不良反应。结论:葛根汤加减联合定点旋转复位法治疗神经根型颈椎病可有效提高临床疗效。
Objective:To observe clinical efficacy of modified Gegen decoction(葛根汤加减)combined with fixed-point rotation reduction in the treatment of nerve-root-type cervical spondylosis.Methods:60 patients with nerve-root-type cervical spondylosis in the outpatient clinic of Nanjing Hospital of Traditional Chinese Medicine affiliated to Nanjing University of Chinese Medicine were divided into the treatment group and the control group by using random number table method,with 30 patients in each group.The treatment group were given modified Gegen decoction combined with fixed-point rotation reduction;the control group were given celecoxib capsules,0.2 g,bid.Both groups were treated for 20 days.The total clinical effective rate of the two groups was compared,the changes of visual analogue grading(VAS)scores and anxiety scale SAS scores before and after treatment,and the incidence of adverse reactions during treatment were observed.Results:The total effective rate of the treatment group was 90.00%(27/30),and that of the control group was 63.33%(19/30),the difference between the two groups was statistically significant(P<0.05).The scores of VAS and SAS in the control group were higher than those in the treatment group(P<0.05).No obvious adverse reactions were found in both groups.Conclusion:modified Gegen decoction combined with fixed-point rotation reduction could effectively improve the clinical curative effect in the treatment of nerve-root-type cervical spondylosis.
作者
沈子威
杭柏亚
Shen Ziwei;Hang Baiya
出处
《中医临床研究》
2021年第12期102-104,共3页
Clinical Journal Of Chinese Medicine
关键词
神经根型颈椎病
葛根汤
定点旋转复位法
神^(+)
Nerve-root-type cervical spondylosis
Modified Gegen decoction
Fixed-point rotation reduction
Clinical efficacy
