颈康方联合推拿治疗神经根型颈椎病临床研究
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R681.5

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国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(国中医药人教函〔2022〕76号);广东省林创坚名中医传承工作室 建设项目(粤中医办函〔2018〕5号);广东省中医药局科研项目(20232163)


Clinical Study on Jingkang Prescription Combined with Tuina in the Treatment of Cervical Spondylotic Radiculopathy
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    摘要:

    目的:观察颈康方联合推拿治疗神经根型颈椎病(CSR) 的临床疗效。方法:纳入2024年1— 12 月在汕头市中医医院骨伤三科接受治疗的CSR患者60例,采用随机数字表法按照1∶1比例分为治疗组和对 照组各30例。治疗组给予颈康方联合常规推拿治疗,对照组仅给予常规推拿治疗。比较2组临床疗效,以及治 疗前后视觉模拟评分法(VAS) 评分、田中靖久颈椎病症状量表评分及C-反应蛋白(CRP) 水平。结果:治疗 组总有效率为93.33%(28/30),对照组为73.33%(22/30),2组比较,差异有统计学意义(P<0.05)。治疗后, 2组VAS评分均较治疗前降低(P<0.05),且治疗组VAS评分低于对照组(P<0.05)。治疗后,2组田中靖久 颈椎病症状量表评分均较治疗前升高(P<0.05),且治疗组评分高于对照组(P<0.05)。治疗后,2组血清 CRP水平均较治疗前降低(P<0.05),且治疗组CRP水平低于对照组(P<0.05)。结论:颈康方联合推拿治疗 CSR可提高临床疗效,减轻临床症状,改善颈部功能,其机制可能与减轻机体炎症反应有关。

    Abstract:

    Abstract: Objective: To observe the clinical efficacy of Jingkang Prescription combined with tuina in the treatment of cervical spondylotic radiculopathy (CSR) . Methods: Sixty patients with CSR admitted to the Third Orthopedics and Traumatology Department of Shantou Hospital of Traditional Chinese Medicine from January to December 2024 were included and divided into the treatment group and the control group equally according to the random number table method,with 30 cases in each group. The treatment group was treated with Jingkang Prescription combined with conventional tuina therapy, while the control group received conventional tuina therapy alone. The Clinical efficacy, Visual Analogue Scale (VAS) scores, Tanaka Yasuhisa Cervical Spondylopathy Symptom Scale scores,and serum C-reactive protein (CRP) levels were compared between the two groups before and after treatment. Results:The total effective rate was 93.33%( 28/30) in the treatment group and 73.33%( 22/30) in the control group, the difference being statistically significant (P<0.05) . After treatment, the VAS scores in the two groups were decreased when compared with those before treatment (P<0.05),and the VAS score in the treatment group was lower than that in the control group (P<0.05) . After treatment, the scores of Tanaka Yasuhisa Cervical Spondylopathy Symptom Scale in the two groups were increased when compared with those before treatment (P<0.05), with the treatment group achieving higher score than the control group (P<0.05) . After treatment,the serum CRP levels in the two groups declined when compared with those before treatment (P<0.05), and the serum CRP level in the treatment group was lower than that in the control group (P<0.05) . Conclusion: Jingkang Prescription combined with tuina in the treatment of CSR improves clinical efficacy,alleviates clinical symptoms,enhances cervical function, and its mechanism may be related to reducing the body's inflammatory response.

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吕文勇,胡泽昊,黄秋璇,林创坚,曹月容,肖聪,陈国华.颈康方联合推拿治疗神经根型颈椎病临床研究[J].新中医,2025,57(14):91-95

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  • 在线发布日期: 2025-07-26
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