摘要
目的探讨葛根汤与针刺疗法联合治疗神经根型颈椎病(CSR)的临床效果。方法选取我院2019年5月—2023年10月收治的52例CSR患者为研究对象,按随机数字表法将其分为对照组与观察组,各26例。对照组采用针刺疗法治疗,观察组在对照组基础上联合葛根汤治疗,两组均持续治疗4周。对比两组患者的疼痛程度、颈椎功能、血清炎性因子水平及颈椎活动度。结果治疗4周后,观察组视觉模拟评分为(1.86±0.22)分,低于对照组的(2.23±0.34)分,颈椎病临床评价量表评分中主观症状、临床体征、适应能力及总分分别为(15.61±1.69)分、(63.31±4.16)分、(6.85±1.02)分、(85.42±6.38)分,均高于对照组的(13.54±1.42)分、(57.78±4.04)分、(5.18±0.86)分、(76.50±6.13)分,组间差异有统计学意义(P<0.05);观察组白细胞介素-1β、肿瘤坏死因子-α水平分别为(3.89±0.42)ng/mL、(23.25±2.14)ng/mL,均低于对照组的(5.11±0.88)ng/mL、(30.34±3.22)ng/mL,组间差异有统计学意义(P<0.05);观察组颈椎后伸、前屈、侧屈、旋转活动度分别为(56.29±4.81)°、(65.14±5.11)°、(57.89±5.02)°、(72.85±6.22)°,均大于对照组的(50.93±4.74)°、(60.87±5.05)°、(53.23±4.87)°、(68.52±6.14)°,组间差异有统计学意义(P<0.05)。结论葛根汤联合针刺疗法可提高CSR的治疗效果,减轻局部炎症损伤,加快患者颈椎功能恢复速度,值得临床应用。
Objective To explore the clinical effect of the combination of Gegen decoction and acupuncture therapy in the treatment of cervical spondylotic radiculopathy(CSR).Methods 52 patients with CSR admitted to our hospital from May 2019 to October 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 26 cases in each group.The control group was treated with acupuncture therapy,and the observation group was treated with Gegen decoction on the basis of the control group.Both groups were treated for 4 weeks.Pain level,cervical function,serum inflammatory factor levels and cervical motion were compared between the two groups.Results After 4 weeks of treatment,the Visual Analog Scale score of the observation group was(1.86±0.22)points,which was lower than(2.23±0.34)points of the control group;the subjective symptoms,clinical signs,adaptive ability and total score of cervical spondylosis clinical evaluation scale were(15.61±1.69)points,(63.31±4.16)points,(6.85±1.02)points and(85.42±6.38)points,respectively,they were higher than(13.54±1.42)points,(57.78±4.04)points,(5.18±0.86)points,(76.50±6.13)points of the control group,and there were statistical significance between groups(P<0.05);the levels of interleukin-1βand tumor necrosis factor-αin observation group were(3.89±0.42)ng/mL and(23.25±2.14)ng/mL,respectively,which were lower than(5.11±0.88)ng/mL and(30.34±3.22)ng/mL in control group,respectively;the differences between groups were statistically significant(P<0.05);cervical extension,anterior flexion,lateral flexion and rotational motion of the observation group were(56.29±4.81)°,(65.14±5.11)°,(57.89±5.02)°,(72.85±6.22)°,respectively;they were higher than(50.93±4.74)°,(60.87±5.05)°,(53.23±4.87)°,(68.52±6.14)°in the control group,and the differences between groups were statistically significant(P<0.05).Conclusion Gegen decoction combined with acupuncture therapy can improve the therapeutic effect of CSR,reduce local inflammatory and damage,and accelerate the speed of cervical spine function recovery,which is worthy of clinical application.
作者
杜付祥
杨松成
高芳
DU Fuxiang;YANG Songcheng;GAO Fang(Department of Acupuncture and Massage,Jiyang District Hospital of Traditional Chinese Medicine,Jinan Shandong,251400,China;Department of Encephalopathy,Jiyang District Hospital of Traditional Chinese Medicine,Jinan Shandong,251400,China)
出处
《反射疗法与康复医学》
2024年第7期1-3,7,共4页
Reflexology And Rehabilitation Medicine
关键词
神经根型颈椎病
葛根汤
针刺疗法
血清炎性因子
Cervical spondylotic radiculopathy
Gegen decoction
Acupuncture therapy
Serum inflammatory factor
作者简介
杜付祥(1967-),男,山东济南人,本科,副主任医师,研究方向:针灸推拿治疗颈椎病。
