大防风汤联合颈椎牵引治疗神经根型颈椎病风寒阻络证临床研究
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Clinical Study on Dafangfeng Tang Combined with Cervical Traction for Cervical Spondylotic Radiculopathy with Wind-Cold Obstructing Collaterals Syndrome
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    摘要:

    目的:观察大防风汤联合颈椎牵引治疗神经根型颈椎病风寒阻络证的临床疗效。方法:选取94 例神经根型颈椎病风寒阻络证患者,采用随机数字表法分为对照组和观察组各47 例。对照组实施颈椎牵引治疗,观察组在对照组基础上加用大防风汤治疗。比较2 组临床疗效,颈椎功能障碍指数(NDI)、视觉模拟评分法(VAS) 评分及血液流变学指标。结果:观察组总有效率95.74%,高于对照组80.85%(P<0.05)。治疗后,2 组NDI、VAS 评分均较治疗前降低,观察组NDI、VAS 评分均低于对照组,差异均有统计学意义(P<0.05)。对照组治疗前后血浆黏度(PV)、红细胞比容(HCT)、红细胞聚集指数(AI) 比较,差异均无统计学意义(P>0.05)。治疗后,观察组PV、HCT、AI 均较治疗前降低,且均低于对照组,差异均有统计学意义(P<0.05)。结论:大防风汤联合颈椎牵引治疗神经根型颈椎病风寒阻络证,可缓解症状,改善血液流变学。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Dafangfeng tang combined with cervical traction for cervical spondylotic radiculopathy with wind-cold obstructing collaterals syndrome. Methods:A total of 94 patients with cervical spondylotic radiculopathy of wind- cold obstructing collaterals syndrome were selected and divided into the control group and the observation group according to the random number table method, with 47 cases in each group. The control group was treated with cervical traction, and the observation group was additionally treated with Dafangfeng tang based on the treatment of the control group. The clinical effects, scores of Neck Disability Index(NDI) and Visual Analogue Scale(VAS) and hemorheological indexes were compared between the two groups. Results: The total effective rate was 95.74% in the observation group, higher than that of 80.85% in the control group(P<0.05). After treatment, the scores of NDI and VAS in the two groups were decreased when compared with those before treatment,and the above two scores in the observation group were lower than those in the control group, differences being significant(P<0.05). There was no significant difference being found in the comparison of plasma viscosity(PV), hematocrit(HCT) and erythrocyte aggregation index(AI) in the control group before and after treatment(P>0.05). After treatment,PV,HCT and AI in the observation group were decreased when compared with those before treatment and those in the control group(P<0.05). Conclusion: Dafangfeng tang combined with cervical traction for cervical spondylotic radiculopathy with wind- cold obstructing collaterals syndrome can relieve symptoms and improve hemorheology.

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张艳艳.大防风汤联合颈椎牵引治疗神经根型颈椎病风寒阻络证临床研究[J].新中医,2022,54(16):20-23

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  • 在线发布日期: 2022-08-28
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