益肾补肝方联合动态牵引治疗肝肾不足型神经根型颈椎病临床研究
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R274.9

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Clinical Study on Yishen Bugan Prescription Combined with Dynamic Traction for Cervical Spondylotic Radiculopathy of Liver-Kidney Deficiency Type
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    摘要:

    目的:观察益肾补肝方联合动态牵引治疗肝肾不足型神经根型颈椎病的临床疗效。方法:选取2024年6月—2025年6月在湛江市第一中医医院脊柱病专科一区门诊就诊的72例肝肾不足型CSR患者作为研究对象,按随机数字表法分为试验组和对照组各36例。对照组予口服益肾补肝方治疗,试验组予益肾补肝方联合动态牵引治疗,2 组均连续治疗1 周。治疗前后评估疼痛视觉模拟法(VAS) 评分、颈椎功能障碍指数(NDI) 评分、田中靖久颈椎病症状量表20分法评分、中医证候评分,检测白细胞计数(WBC) 水平、C反应蛋白(CRP) 水平。比较2组的临床疗效与临床满意度,评估安全性。结果:治疗后,试验组总有效率高于对照组(P<0.05)。2组VAS评分、NDI评分、中医证候评分均较治疗前下降,田中靖久颈椎病症状量表20分法评分均较治疗前升高,差异均有统计学意义(P<0.05);试验组VAS评分、NDI评分、中医证候评分均低于对照组,田中靖久颈椎病症状量表20 分法评分高于对照组,差异均有统计学意义(P<0.05)。2 组WBC、CRP水平均较治疗前下降(P<0.05);试验组WBC、CRP水平均低于对照组(P<0.05)。试验组总满意度高于对照组(P<0.05)。治疗过程中,2组患者均未出现明显不良反应。结论:益肾补肝方联合动态牵引治疗肝肾不足型神经根型颈椎病疗效确切,能够有效缓解患者的颈部疼痛症状,改善颈椎功能,减轻机体炎症反应,临床应用安全性较好,满意度较高。

    Abstract:

    Abstract: Objective: To observe the clinical efficacy of Yishen Bugan Prescription combined with dynamic traction in treating cervical spondylotic radiculopathy (CSR) of liver-kidney deficiency type. Methods: A total of 72 patients with CSR of liver-kidney deficiency type who attended the outpatient clinic of the First Department of Spinal Diseases at Zhanjiang First Hospital of Chinese Medicine from June 2024 to June 2025 were enrolled and randomly divided into a trial group and a control group using a random number table method,with 36 cases in each group. The control group received oral Yishen Bugan Prescription, while the trial group received Yishen Bugan Prescription combined with dynamic traction. Both groups were treated continuously for one week. Visual Analogue Scale (VAS) scores of pain,Neck Disability Index (NDI) scores,Tanaka's 20-Point Cervical Spondylosis Symptom Scale scores, and traditional Chinese medicine syndrome scores were assessed before and after treatment. White blood cell (WBC) count and C-reactive protein (CRP) levels were measured. Clinical efficacy and patient satisfaction rate were compared between the two groups,and safety was evaluated. Results:After treatment,the total effective rate in the trial group was higher than that in the control group (P<0.05). The VAS scores,NDI scores,and traditional Chinese medicine syndrome scores decreased in both groups compared to before treatment,while Tanaka's 20-Point Cervical Spondylosis Symptom Scale scores increased,with statistically significant differences (P<0.05). The trial group showed lower VAS scores, NDI scores, and traditional Chinese medicine syndrome scores, and higher Tanaka's 20-Point Cervical Spondylosis Symptom Scale scores than the control group,with statistically significant differences (P<0.05). The WBC count and CRP levels decreased in both groups compared to before treatment (P<0.05),and the trial group had lower WBC count and CRP levels than the control group (P<0.05). The overall satisfaction rate in the trial group was higher than that in the control group (P<0.05). No significant adverse reactions were observed in either group during treatment. Conclusion: Yishen Bugan Prescription combined with dynamic traction demonstrates definite efficacy in treating CSR of liver-kidney deficiency type. It can effectively relieve neck pain, improve cervical spine function, reduce inflammatory responses,and exhibits good clinical safety and high patient satisfaction rate.

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李俊逸,钟康华,俞振杰,侯铭铿,钟其港.益肾补肝方联合动态牵引治疗肝肾不足型神经根型颈椎病临床研究[J].新中医,2026,58(19):26-31

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  • 在线发布日期: 2026-10-16
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