综合理筋手法配合蠲痹汤加减治疗神经根（风寒湿型）颈椎病临床研究
发布时间：2018-12-28 14:29
【摘要】：目的:为了观察综合理筋手法配合中药汤剂蠲痹汤加减在临床上治疗神经根(风寒湿型)颈椎病的临床疗效。方法:本实验研究以祖国传统医学中医理论为基础,经过认真、准确的中医辨证,将神经根型颈椎病进行辨证,对凡是西医诊断属神经根型颈椎病,中医辨证后归属风寒湿型的疾病即可纳入实验范围。本项实验研究拟订纳入患者120例,且全部经过严格的纳入标准进行筛查,按照科研方法,将120例符合纳入标准的患者随机分为对照组和观察组,每组患者各60例,在治疗方法上给予对照组综合理筋手法治疗,观察组需在与对照组同样的综合理筋手法治疗的基础上给予准确的中医辨证,然后加服中药处方蠲痹汤加减口服治疗,疗程为14天,共2个疗程。分别于治疗前和治疗后对两组患者的VAS疼痛评分、椎活动受限改善情况和田中靖久症状量表积分情况进行测定,并观察比较疗效,对于同组病人进行治疗前后比较,两组患者治疗后组间进行比较。结果:实验结果表明观察组采用综合理筋手法配合蠲痹汤加减中药汤剂口服的总有效率达88.3%;对照组则仅采用和观察组相同的综合理筋手法治疗的总有效率为78.3%;观察组的总有效率明显高于对照组,两者比较具有统计学意义(P0.05),同时也说明针对神经根风寒湿型颈椎病两种不同的治疗方法存在着显著性差异,相比于对照组,观察组的优势较为明显;其次是两组对于改善颈椎关节活动受限、疼痛与麻木、手指疼痛与麻木、工作和生活能力、手的功能上面均有疗效,但观察组的疗效明显优于对照组,差异具有统计学意义(P0.05)。结论:对于神经根风寒湿型颈椎病的治疗,综合理筋手法配合蠲痹汤加减中药汤剂口服取得了较好的临床疗效,对比单用综合理筋手法治疗在许多症状改善等发面都有良好的效果,整个实验过程中也并未出现不良反应及副作用,从而证明了本实验药物的安全性,在临床治疗上也是值得采用和推广的有效治疗方法,期待针对神经根风寒湿型颈椎病的治疗取得新的突破。
[Abstract]:Objective: to observe the clinical curative effect of treating cervical spondylosis of nerve root (wind-cold and dampness type) with comprehensive manipulation of muscle and traditional Chinese medicine decoction Juanbi decoction. Methods: on the basis of the traditional Chinese medicine theory of traditional Chinese medicine, this experiment made the syndrome differentiation of nerve root type cervical spondylosis by careful and accurate TCM differentiation, and diagnosed the cervical spondylopathy of nerve root type by western medicine. The disease that belongs to wind, cold and dampness type after syndrome differentiation can be included in the scope of experiment. 120 patients were included in this experimental study, and all were screened by strict inclusion criteria. According to scientific research methods, 120 patients who met the inclusion criteria were randomly divided into control group and observation group, with 60 patients in each group. In the treatment method, the control group was given comprehensive manipulation therapy, and the observation group was treated with traditional Chinese medicine syndrome differentiation on the basis of the same comprehensive treatment as the control group, and then was treated by oral administration of Juanbi decoction, a prescription of traditional Chinese medicine. The course of treatment was 14 days. Before and after treatment, the VAS pain score, the improvement of vertebral movement limitation and the score of Tianzhong Jingjiu symptom scale were measured, and the curative effects were observed and compared before and after treatment, and the same group patients were compared before and after treatment. Comparison was made between the two groups after treatment. Results: the experimental results showed that the total effective rate of the observation group was 88.30.The total effective rate of the observation group was 88.3in addition and subtractive decoction of Juanbi decoction, while the total effective rate of the control group was 78.3%, which was only the same as that of the observation group. The total effective rate of the observation group was significantly higher than that of the control group (P0.05). It also showed that there were significant differences between the two different treatment methods for the nerve root wind-cold and dampness type cervical spondylosis, compared with the control group. The advantages of the observation group were obvious. Secondly, the two groups were effective in improving cervical joint movement limitation, pain and numbness, finger pain and numbness, work and life ability, hand function, but the curative effect of the observation group was significantly better than that of the control group. The difference was statistically significant (P0.05). Conclusion: for the treatment of cervical spondylopathy of nerve root with wind-cold and dampness type, the comprehensive manipulation of regulating tendons combined with Juanbi decoction plus and subtraction of traditional Chinese medicine decoction has obtained better clinical curative effect. Compared with the treatment with comprehensive manipulation of reinforcing muscles alone, it has a good effect on many symptoms, such as improvement of symptoms, and no adverse reactions and side effects occurred in the whole process of the experiment, thus proving the safety of the drugs in this experiment. In clinical treatment is also worthy of use and promotion of effective treatment, looking forward to a new breakthrough in the treatment of nerve root rheumatism and dampness type cervical spondylopathy.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9
本文编号：2394074
[Abstract]:Objective: to observe the clinical curative effect of treating cervical spondylosis of nerve root (wind-cold and dampness type) with comprehensive manipulation of muscle and traditional Chinese medicine decoction Juanbi decoction. Methods: on the basis of the traditional Chinese medicine theory of traditional Chinese medicine, this experiment made the syndrome differentiation of nerve root type cervical spondylosis by careful and accurate TCM differentiation, and diagnosed the cervical spondylopathy of nerve root type by western medicine. The disease that belongs to wind, cold and dampness type after syndrome differentiation can be included in the scope of experiment. 120 patients were included in this experimental study, and all were screened by strict inclusion criteria. According to scientific research methods, 120 patients who met the inclusion criteria were randomly divided into control group and observation group, with 60 patients in each group. In the treatment method, the control group was given comprehensive manipulation therapy, and the observation group was treated with traditional Chinese medicine syndrome differentiation on the basis of the same comprehensive treatment as the control group, and then was treated by oral administration of Juanbi decoction, a prescription of traditional Chinese medicine. The course of treatment was 14 days. Before and after treatment, the VAS pain score, the improvement of vertebral movement limitation and the score of Tianzhong Jingjiu symptom scale were measured, and the curative effects were observed and compared before and after treatment, and the same group patients were compared before and after treatment. Comparison was made between the two groups after treatment. Results: the experimental results showed that the total effective rate of the observation group was 88.30.The total effective rate of the observation group was 88.3in addition and subtractive decoction of Juanbi decoction, while the total effective rate of the control group was 78.3%, which was only the same as that of the observation group. The total effective rate of the observation group was significantly higher than that of the control group (P0.05). It also showed that there were significant differences between the two different treatment methods for the nerve root wind-cold and dampness type cervical spondylosis, compared with the control group. The advantages of the observation group were obvious. Secondly, the two groups were effective in improving cervical joint movement limitation, pain and numbness, finger pain and numbness, work and life ability, hand function, but the curative effect of the observation group was significantly better than that of the control group. The difference was statistically significant (P0.05). Conclusion: for the treatment of cervical spondylopathy of nerve root with wind-cold and dampness type, the comprehensive manipulation of regulating tendons combined with Juanbi decoction plus and subtraction of traditional Chinese medicine decoction has obtained better clinical curative effect. Compared with the treatment with comprehensive manipulation of reinforcing muscles alone, it has a good effect on many symptoms, such as improvement of symptoms, and no adverse reactions and side effects occurred in the whole process of the experiment, thus proving the safety of the drugs in this experiment. In clinical treatment is also worthy of use and promotion of effective treatment, looking forward to a new breakthrough in the treatment of nerve root rheumatism and dampness type cervical spondylopathy.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9
【参考文献】
相关期刊论文 前10条
1 周武;;针刺配合自制舒筋止痛汤治疗神经根型颈椎病56例[J];临床合理用药杂志;2015年29期
2 王惠英;;穴位埋线联合中药方剂治疗神经根型颈椎病临床研究[J];亚太传统医药;2015年19期
3 孙玉明;;搜风通络汤治疗神经根型颈椎病27例[J];河南中医;2015年10期
4 杨淑贞;;综合治疗对神经根型颈椎病的康复效果[J];河南医学研究;2015年09期
5 赵明新;董亚静;齐立卿;郝巍;高英雪;;活血通络汤内服联合活络术治疗气虚血瘀证神经根型颈椎病99例[J];中国实验方剂学杂志;2015年17期
6 王海都;袁利红;;通阳利湿方联合中药外敷治疗急性期神经根型颈椎病39例[J];河南中医;2015年09期
7 张浩;沈丽华;;针灸治疗神经根型颈椎病现状及疗效评价[J];山东中医杂志;2015年08期
8 杜建明;王正琴;杨智杰;吴昔钧;陈俊君;张亚峰;田小武;;神经根型颈椎病疗效与X线改变的临床研究[J];辽宁中医药大学学报;2015年08期
9 邓赛男;何白林;;艾灸配合苍龟探穴针刺治疗神经根型颈椎病疗效观察[J];上海针灸杂志;2015年07期
10 魏戌;王尚全;高景华;于杰;冯敏山;银河;陈明;朱立国;;神经根型颈椎病常见体质类型与方药应用[J];北京中医药;2015年07期
，本文编号：2394074
本文链接：https://www.wllwen.com/zhongyixuelunwen/2394074.html
最近更新
教材专著
