黄芪桂枝五物汤联合针刺推拿治疗神经根型颈椎病临床研究
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Clinical Study on Huangqi Guizhi Wuwu Tang Combined with Acupuncture and Tuina for Cervical Spondylosis with Radiculopathy
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    摘要:

    目的:观察黄芪桂枝五物汤联合针刺推拿治疗神经根型颈椎病(CSR) 的临床疗效。方法:将120 例CSR 患者随机分为对照组和试验组各60 例,对照组给予脑苷肌肽注射液治疗,试验组给予黄芪桂枝五物汤联合针刺推拿治疗。观察比较2 组临床疗效,比较2 组治疗前后颈部Cobb 角、颈椎功能评分、简明健康调查量表(SF-36) 评分及血清过氧化脂质(LPO)、白细胞介素-1β(IL-1β) 水平变化。结果:试验组临床总有效率为96.67%,对照组为73.33%,2 组比较,差异有统计学意义(P<0.05)。治疗前,2 组颈部Cobb 角、颈椎功能评分比较,差异无统计学意义(P>0.05);治疗后,2 组颈部Cobb 角、颈椎功能评分均较治疗前增加(P<0.05),且试验组2 项指标均大于对照组(P<0.05)。治疗前,2 组血清LPO、IL-1β 水平比较,差异无统计学意义(P>0.05);治疗后,2 组血清LPO、IL-1β 水平均较治疗前降低(P<0.05),且试验组2 项指标均低于对照组(P<0.05)。治疗前,2 组SF-36 评分比较,差异无统计学意义(P>0.05);治疗后,2 组SF-36 评分均较治疗前升高(P<0.05),且试验组SF-36 评分高于对照组(P<0.05)。结论:黄芪桂枝五物汤联合针刺推拿可有效缓解CSR 患者颈肩疼痛等症状,减轻炎症反应,改善患者生活质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Huangqi Guizhi Wuwu tang combined with acupuncture and Tuina for cervical spondylosis with radiculopathy(CSR). Methods:A total of 120 cases of CSR patients were randomly divided into the control group and the experiment group,60 cases in each group. The control group was treated with cattle encephalon glycoside and ignotin injection, and the experiment group was treated with Huangqi Guizhi Wuwu tang combined with acupuncture and Tuina. The clinical effect was observed and compared between the two groups. Changes in Cobb angle, scores of cervical spine function and the Short Form 36 Health Survey(SF- 36),as well as levels of lipid peroxide(LPO) and interleukin-1β(IL-β) in serum were compared between the two groups before and after treatment. Results:The total clinical effective rate was 96.67% in the experiment group and 73.33% in the control group, the difference being significant(P< 0.05). Before treatment, there was no significant difference being found in the comparison of Cobb angles and scores of cervical spine function between the two groups(P>0.05). After treatment,Cobb angles and scores of cervical spine function in the two groups were increased when compared with those before treatment(P<0.05), and the two indexes in the experiment group were both higher than those in the control group(P<0.05). Before treatment, there was no significant difference being found in the comparison of levels of LPO and IL- 1β in serum between the two groups(P>0.05). After treatment, levels of LPO and IL- 1β in the two groups were decreased when compared with those before treatment(P< 0.05), and the two indexes in the experiment group were both lower than those in the control group(P<0.05). Before treatment,there was no significant difference being found in the comparison of SF- 36 scores between the two groups(P> 0.05). After treatment, SF- 36 scores in the two groups were increased when compared with those before treatment(P< 0.05),and the score in the experiment group was higher than that in the control group(P<0.05). Conclusion:The therapy of Huangqi Guizhi Wuwu tang combined with acupuncture and Tuina can effectively relieve pain in neck and shoulder of CSR patients,alleviate inflammatory responses,and improve quality of life.

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胡科,张保朝,樊书领,白方会,刘冠雄.黄芪桂枝五物汤联合针刺推拿治疗神经根型颈椎病临床研究[J].新中医,2021,53(22):5-9

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  • 在线发布日期: 2021-11-26
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