摘要
目的:按照单病种质量控制标准的要求,比较中药内服外敷和西医常规治疗轻度脊髓型颈椎病的不同。方法:实验于2003-02/2004-01在上海中医药大学附属龙华医院颈椎病专科门诊完成。将60例轻度脊髓型颈椎病患者随机分为治疗组和对照组,每组30例。治疗组采用益气化瘀补肾方中药治疗,炙黄芪18g,潞党参9g,参三七9g,大川芎12g,鹿角片12g,肥知母12g,以此方为基础,再酌情随症加减利水、疏肝、通络等药物,配合药渣外敷。对照组采用西医常规治疗,莫比可7.5mg,1次/d,口服,弥可保0.5mg,3次/d,口服。两组均治疗4周,为1个疗程。根据“40分功能评分法”对疾病疗效进行评价,比较两组治疗脊髓型颈椎病单病种质量管理的综合指标。结果:60例脊髓型颈椎病患者全部纳入结果分析。治疗2周时治疗组和对照组有效率分别66.7%和53.3%,差异无显著性意义(t=1.2271,P>0.05);治疗4周后治疗组有效率为93.3%,对照组有效率为60%,两组比较有显著性差异(t=2.7578,P<0.05);两组患者在相同治疗时间内,均次药费比较无显著性差异(t=0.0012,P>0.05);单病种质量管理综合指标显示两组治疗均次药费无差异,而治疗组的疗效优于对照组。结论:脊髓型颈椎病治疗需要一定时间,采用中药内服外敷治疗具有较好的疗效。
AIM： According to the criterion of single-disease-control, to compare the different effect of the traditional Chinese medicine therapy and routine western medical therapy for mild cervical spondylotic myelopathy,
METHODS： The experiment was conducted at the special out-patient clinic of cervical syndrome of Affiliated Longhua Hospital of Shanghai University of Traditional Chinese Medicine from February 2003 to January 2004. Sixty patients with mild cervical spondylotic myelopathy were assigned randomly into treatment group and control group by single blind procedure with 30 cases in each group. The patients in the treatment group were treated with Yiqi Huayu Bushen decoction, including 18 g frying membranous milkvetch root, 9 g dipped tangshen, 9 g ginseng-made sanchi, 12 g big szechwan lvge rhizome, 12 g antler piece and 12 g fat common anemarrhena rhizome. Based on this prescription, drugs of Lishui, Shugan and Tongluo, etc, were increased or decreased extenuatorily, matching with dregs of drug to pave outside. The patients in the control group were treated with western medicine, 7.5 mg Mobike, once a day, taking orally, 0.5 mg Mikebao, three times a day, taking orally. The patients in the two groups were all treated for 4 weeks as a progress. The curative effects were evaluated according the “method of forty scores function”, Comprehensive index of single disease of cervical spondylotic myelopathy in the two groups was compared.
RESULTS： Sixty patients with cervical spondylotic myelopathy were all involved in the result analysis. The effective rates of the treatment group and control group were 66.7% and 53.3% at the 24 week treatment, and the difference had insignificant meaning （t=1.227 1,P 〉 0.05）. After being treated for 4 weeks, the effective rate of the treatment group was 93,3%, and the effective rate of the control group was 60%, and had significant difference （t=2,757 8,P 〈 0.05）, At the same period of treatment, the cost of medication of each course had insignificant difference （t=0.001 2,P 〉 0,05）, Comprehensive index of single disease control showed that there was no difference of the cost of medication of each course in the two groups, while the curative effect of the treatment group was better than that of the control group. CONCLUSION： It takes a period of time to treat the cervical spondylotic myelopathy. The treatment with Yiqi Huayu Bushen decoction can gain better curative effect,
出处
《中国临床康复》
CSCD
北大核心
2005年第46期102-104,共3页
Chinese Journal of Clinical Rehabilitation
基金
上海市卫生局单病种专项课题基金~~
作者简介
莫文，男，1968年生，上海市人，汉族，1992年上海中医药大学毕业，博士，副主任医师，主要从事脊柱及关节疾病的研究。mw22l8@hotmail．com
