芪芍通痹胶囊治疗神经根型颈椎病的临床疗效观察

发布时间：2018-02-22 22:59

本文关键词： 神经根型颈椎病芪芍通痹胶囊临床疗效观察　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过对神经根型颈椎病患者在服用芪芍通痹胶囊后症状的变化以及生活质量方面的改善情况观察,更进一步的确定芪芍通痹胶囊对神经根型颈椎病的疗效,从而更加系统和全面的分析本药的作用机理及其临床价值。方法:本次课题研究的对象全部为2015年11月-2017年1月期间于黑龙江中医药大学附属第二医院骨科门诊收治的确诊为CSR的患者。治疗开始之前所有患者均经过各项检查,明确诊断为神经根型颈椎病,并在所有患者中挑选出符合纳入标准的60例患者,将其随机分成AB两组,使每组中均含有30例患者,其中A组命名为治疗组,B组命名为对照组,A组采用的治疗方法为单纯口服芪芍通痹胶囊,而B组则应用口服根痛平颗粒对照,经过一个疗程为期30天的严格治疗后,观察相应评定标准,并做统计学分析。结果:服用芪芍通痹胶囊的A组有11例患者治愈,有9例患者可以达到显效,其中6例患者治疗后效果尚可,定为有效,2例患者疗效不明显判定为无效,其总有效率为92.9%。其治愈率为39.3%;而服用根痛平颗粒治疗的B组,达到治愈级别的患者为10例,达到显效级别的患者数量为14例,效果尚可的患者有2例,可判定为有效。另有2例患者经治疗后效果不明显,将其判定为无效,B组的总有效率为92.9%,其治愈率为35.8%。结论:AB两组患者分别在临床症状、体征、疼痛级别等几个方面上显现出了不同的结果,两组治疗方法对神经根型颈椎病的治疗,尤其是改善患者疼痛程度方面,基本取得了一致的效果,但服用芪芍通痹胶囊在改善患者症状体征方面的效果更为理想。
[Abstract]:Objective: to observe the changes of symptoms and the improvement of quality of life in patients with cervical spondylopathy of nerve root type after taking Qishaotongbi capsule, and to further determine the curative effect of Qishao Tongbi capsule on cervical spondylosis of nerve root type. Thus more systematic and comprehensive analysis of the mechanism of the drug and its clinical value. Methods: the subjects of this study were from November 2015 to January 2017 in the second affiliated Hospital of Heilongjiang University of traditional Chinese Medicine orthopedic outpatient clinic. All patients who were diagnosed with CSR were examined before treatment began. 60 patients with cervical spondylopathy of nerve root type were selected from all patients and randomly divided into AB group and 30 patients in each group. Group A was named as treatment group, group B was named control group, group A was named as control group, group A was treated with Qishuotongbi capsule alone, while group B was treated with oral root Tongping granule as control, after a course of 30 days of strict treatment. Results: in group A, 11 cases were cured, 9 cases were able to achieve remarkable effect, and 6 cases had good effect after treatment. The total effective rate was 92.9. the cure rate was 39.3%, while in group B, 10 patients were cured and 14 patients were effective. There were 2 cases with good effect, which could be judged as effective, and 2 cases had no obvious effect after treatment. The total effective rate and cure rate of group B were 92.9 and 35.8respectively. Conclusion the two groups of patients have clinical symptoms and signs, respectively. Pain levels and other aspects showed different results. The two groups of treatment methods for the treatment of cervical spondylopathy root type, especially in improving the degree of pain, basically achieved a consistent effect. But taking Qishao Tongbi capsule to improve the symptoms and signs of patients is more effective.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R681.55

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