颈肩痛消丸联合小针刀治疗对改善风寒湿痹型神经根型颈椎病颈椎功能和疼痛的价值

发布时间：2018-05-28 07:44

本文选题：颈肩痛消丸 + 联合　；参考：《中国现代医学杂志》2017年18期

【摘要】：目的探讨颈肩痛消丸联合小针刀治疗对改善风寒湿痹型神经根型颈椎病的颈椎功能和疼痛的价值。方法将风寒湿痹型神经根型颈椎病患者46例按信封法随机分为研究组(n=23)和对照组(n=23)。对照组采用小针刀颈部软组织松解和颈复康颗粒连续治疗1个月。研究组采用小针刀颈部软组织松解和颈肩痛消丸连续治疗1个月。比较两组治疗前后的疼痛视觉模拟评分(VAS)、颈椎功能障碍指数量表(NDI)和生活质量(SF-36)得分及不良反应发生率等情况。结果与对照组比较,研究组治疗1周、2周和1个月的颈部疼痛VAS评分,颈部压痛VAS评分、上肢放射痛VAS评分等疼痛评分及NDI均降低,同期SF-36评分则升高(P0.05)。与治疗前比较,研究组治疗1周、2周及1个月的疼痛评分和NDI均降低,同期SF-36评分则升高;对照组治疗2周、1个月的疼痛评分及NDI均降低,同期SF-36则升高(P0.05)。两组等不良反应发生率比较差异无统计学意义(P0.05)。结论颈肩痛消丸联合小针刀治疗风寒湿痹型神经根型颈椎病可行性和安全性良好,值得临床推广。
[Abstract]:Objective to explore the value of neck and shoulder pain pill combined with small needle knife in improving cervical vertebra function and pain in patients with rheumatic and dampness arthralgia type cervical spondylosis. Methods 46 cases of cervical Spondylotic radiculopathy with wind-cold and dampness arthralgia were randomly divided into study group (n = 23) and control group (n = 23). The control group was treated with small needle knife for 1 month. The study group was treated with small needle knife and neck and shoulder pain pill for 1 month. The pain visual analogue score (VASA), cervical vertebrae dysfunction index (NDI) and quality of life (QOL) SF-36 were compared between the two groups before and after treatment. Results compared with the control group, the VAS score, VAS score of cervical tenderness, VAS score of radiation pain of upper extremity and NDI of the study group were lower than those of the control group, while the SF-36 score of the study group was higher than that of the control group (P 0.05). Compared with before treatment, the pain scores and NDI scores in the study group decreased at 1 week and 1 month after treatment, while the SF-36 score increased in the control group, while in the control group, the pain score and NDI decreased at 1 month after 2 weeks of treatment, while the SF-36 increased at the same time (P 0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P 0.05). Conclusion it is feasible and safe to treat cervical spondylopathy of nerve root syndrome of wind-cold and dampness arthralgia type by combining neck and shoulder pain elimination pill with small needle knife, and it is worth popularizing in clinic.
【作者单位】：海南省中医院骨科;
【基金】：基金项目:海南省科学技术厅(No:20168309)
【分类号】：R274.9

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