桂枝加术附汤加减治疗风寒湿型神经根型颈椎病的临床观察

发布时间：2018-05-19 10:49

本文选题：风寒湿型 + 神经根型颈椎病　；参考：《华北理工大学》2016年硕士论文

【摘要】：目的观察桂枝加术附汤加减治疗风寒湿型神经根型颈椎病的治疗效果。方法筛选符合纳入条件的风寒湿型神经根型颈椎病患者,随机分为治疗组和对照组。治疗组给予桂枝加术附汤加减治疗,每日2次,饭后服用;对照组按说明给予根痛平颗粒治疗。治疗组和对照组均治疗14天。两组患者在治疗前与治疗后均填写患者信息调查表、颈椎病症状量表和舌象评分表。采用统计学方法统计分析资料数据,比较治疗效果。结果用药前后组内比较,在颈椎活动度、疼痛麻木程度、疼痛持续时间、疼痛频数、舌象、椎间孔挤压试验、工作和生活能力、总体状况评分方面与用药前相比两组均有显著差异(P㩳0.05)。治疗组用药后各项评分均优于用药前。对照组用药后舌象评分劣于用药前,其余各项评分均优于用药前。用药后两组间比较,治疗组在颈椎活动度、疼痛麻木程度、疼痛持续时间、疼痛频数、舌象、椎间孔挤压试验、工作和生活能力、总体状况方面与对照组均存在明显差异(P㩳0.05),且各项评分明显优于对照组。治疗组总有效率86.7%,对照组总有效率53.3%,两组总有效率存在明显差异(P㩳0.05),治疗组总有效率明显优于对照组。治疗组临床改善率与患者舌体肥大程度成正相关。结论桂枝加术附汤加减治疗风寒湿型神经根型颈椎病在改善患者颈椎活动度、疼痛麻木程度、疼痛持续时间、疼痛频数、舌象、椎间孔挤压试验、工作和生活能力、总体状况方面均有效,对体内水湿明显者具有更好的疗效,与根痛平颗粒相比,具有更好的临床效果,且无不良反应。
[Abstract]:Objective to observe the therapeutic effect of Guizhi plus Shu Fu decoction on cervical spondylosis of nerve root type of wind-cold and dampness type. Methods the patients with rheumatic, cold and wet nerve root type cervical spondylosis were selected and randomly divided into treatment group and control group. The treatment group was treated with Guizhi plus Shu Fu decoction, twice a day, after meals, while the control group was treated with root Tongping granule according to the instructions. The treatment group and control group were treated for 14 days. Before and after treatment, the two groups completed the information questionnaire, the cervical spondylopathy symptom scale and the tongue image scale. Statistical method was used to analyze the data and compare the therapeutic effect. Results before and after treatment, the cervical motion, pain numbness, pain duration, frequency of pain, tongue picture, intervertebral foramen extrusion test, work and life ability were compared. There was significant difference between the two groups in general status score and that before treatment. The scores in the treatment group were better than before. In the control group, the tongue score was worse than before, and the other scores were better than before. After treatment, the treatment group was compared in cervical motion, pain numbness, pain duration, pain frequency, tongue picture, intervertebral foramen extrusion test, work and life ability. There were significant differences between the general status and the control group, and the scores were obviously superior to those of the control group. The total effective rate of the treatment group was 86.7, the total effective rate of the control group was 53.3, and the total effective rate of the two groups was significantly different. The total effective rate of the treatment group was obviously better than that of the control group. The clinical improvement rate in the treatment group was positively correlated with the degree of tongue body hypertrophy. Conclusion the treatment of cervical spondylopathy with rheumatic and wet nerve root type with Guizhi plus Shu Fu Tang can improve the cervical movement, numbness of pain, duration of pain, frequency of pain, tongue picture, compression test of intervertebral foramen, work and life ability. All of them were effective in the whole situation, and had better curative effect on those with obvious water dampness in vivo. Compared with root Tongping granule, it had better clinical effect and no adverse reaction.
【学位授予单位】：华北理工大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

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