不同配比药物艾条温和灸治疗风寒湿证神经根型颈椎病400例临床观察

发布时间：2018-07-10 05:26

本文选题：神经根型颈椎病 + 药艾条　；参考：《中医杂志》2017年12期

【摘要】：目的观察不同组成药艾条对400例神经根型颈椎病患者的临床疗效。方法将400例风寒湿证神经根型颈椎病患者随机分为治疗组(药艾条,正常比例)、清艾组(仅用艾绒)、对照组1~6(分别使用药艾条按不同比例制备的拟药艾条)各50例,进行温和灸治疗,各组均每两日艾灸1次,共90天。观察各组临床疗效以及临床神经病理性疼痛量表(NPQ)百分比和视觉模拟评分法(VAS)评分改善情况。结果治疗组、清艾组、对照组1、对照组2、对照组3、对照组4、对照组5、对照组6临床疗效总有效率分别为98.0%、84.0%、78.0%、70.0%、62.0%、88.0%、84.0%及82.0%,治疗组总有效率明显高于清艾组及对照组1~6(P0.05或P0.01),清艾组及对照组4、5、6总有效率明显高于对照组3(P0.05或P0.01)。各组患者治疗后NPQ百分比及VAS评分均明显下降(P0.05或P0.01);治疗后治疗组NPQ百分比及VAS评分均明显低于清艾组及对照组1~6(P0.01);治疗后清艾组及对照组1、4、5、6 NPQ百分比及VAS评分明显低于对照组3(P0.05或P0.01)。结论药艾条对风寒湿引起的神经根型颈椎病临床疗效较好,以艾绒联合三种中药效果最佳。
[Abstract]:Objective to observe the clinical effect of different components of Aplendron on 400 patients with cervical spondylopathy of nerve root type. Methods 400 cases of cervical spondylopathy of nerve root type with wind-cold and dampness syndrome were randomly divided into treatment group (normal proportion), Qingai group (using only Ailong) and control group (50 cases each). All groups were treated with mild moxibustion once every two days for 90 days. The clinical efficacy, the percentage of clinical neuropathic pain scale (NPQ) and the improvement of visual analogue score (VAS) were observed. Control group 1, control group 2, control group 3, control group 4, control group 5. The total effective rates of clinical efficacy in the control group were 98.00.84.0% and 78.0% respectively. The total effective rate in the treatment group was significantly higher than that in the Qingai group and the control group (P0.05 or P0.01). The total effective rate in the treatment group was significantly higher than that in the Qingai group and the control group (P0.05 or P0.01), and the total effective rate in the treatment group was significantly higher than that in the Qingai group and the control group (P0.05 or P0.01). The rate was significantly higher than that of the control group (P0.05 or P0.01). After treatment, the percentage of NPQ and VAS scores in the treatment group were significantly lower than those in the Qingai group and the control group (P0.01), and the percentage of NPQ and VAS score in the treatment group and control group were significantly lower than those in the control group (P0.01), and the percentage of NPQ and VAS score in the treatment group and control group were significantly lower than those in the control group (P0.01). It was significantly lower than that of the control group (P0.05 or P0.01). Conclusion the clinical effect of Aplendron on nerve root type cervical spondylosis caused by wind cold and dampness is better than that of Ailong combined with three kinds of traditional Chinese medicine.
【作者单位】：上海中医药大学附属岳阳中西医结合医院;上海市针灸经络研究所;
【基金】：上海中医药大学研究生教育创新计划项目(JX61.02.03.27)
【分类号】：R246.9

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