根痛饮膏方治疗神经根型颈椎病的临床观察

发布时间：2019-01-19 15:14

【摘要】：目的:观察“根痛饮”膏方配合颈椎牵引治疗神经根型颈椎病的确切疗效并且是否能减少患者消化道不良反应的发生,同时探究其治疗神经根型颈椎病的作用机制。方法:将确诊为神经根型颈椎病的50例患者随机分到观察组与对照组,每组25例。观察组予口服“根痛饮”膏方配合颈椎牵引,对照组予口服双氯芬酸钠双释放肠溶胶囊配合颈椎牵引,治疗14天。将未完成完整治疗疗程而中途退出的1例、未按照规定方案治疗的2例予以剔除,最后得到符合本次课题研究要求的47例。其中观察组24例,对照组23例。记录两组病例治疗前、治疗后、治疗结束后2周VAS评分、20分量表评分、NDI评分、临床总体疗效及两组病例在治疗期间出现的消化道不良反应情况,数据采用SPSS 22.0统计学软件进行统计学分析。结果:对两组内病例治疗前与治疗后、治疗结束后2周的VAS评分、20分量化表评分、NDI评分结果进行比较,差异有统计学意义(P0.05);对两组间病例总体疗效、VAS评分、20分量化表评分、NDI评分结果进行比较,差异无统计学意义(P0.05);对两组间治疗期间消化道不良反应发生率进行比较,观察组治疗期间消化道不良反应发生率低于对照组,差异有统计学意义(P0.05)。结论:两种联合疗法均能有效改善患者病情,具有良好疗效;观察组治疗期间消化道不良反应发生率低于对照组;口服中药“根痛饮”膏方配合颈椎枕颌带牵引对神经根型颈椎病患者有显著的疗效,消化道不良反应少,易于被患者所接受,此联合疗法可广泛应用于临床。
[Abstract]:Objective: to observe the effect of root cervical spondylopathy treated by "root Tongyin" ointment and cervical traction, and whether it can reduce the occurrence of adverse reactions in digestive tract, and to explore the mechanism of treatment of cervical spondylosis of nerve root type. Methods: 50 patients with cervical spondylopathy of nerve root type were randomly divided into observation group and control group with 25 cases in each group. The observation group was treated with "root Tongyin" ointment combined with cervical traction, and the control group with diclofenac sodium double release enteric capsule combined with cervical traction for 14 days. One case who had not completed the complete course of treatment and one case who had quit halfway through the course of treatment, and 2 cases who had not been treated in accordance with the prescribed scheme, were eliminated. Finally, 47 cases which met the requirements of this study were obtained. There were 24 cases in the observation group and 23 cases in the control group. The VAS score, 20 points scale score, NDI score, the total clinical efficacy and the adverse reactions of digestive tract in the two groups were recorded before, after and after treatment. The data were analyzed by SPSS 22. 0 statistical software. Results: two groups of patients before and after treatment, 2 weeks after the treatment of VAS score, 20 quantitative table score, NDI score results were compared, the difference was statistically significant (P0.05); There was no significant difference between the two groups in the overall curative effect, VAS score, 20-point quantification table score and NDI score (P0.05). The incidence of gastrointestinal adverse reactions in the observation group was lower than that in the control group (P0.05). Conclusion: both two kinds of combination therapy can effectively improve the patient's condition and have good curative effect, the incidence of adverse reactions of digestive tract in the observation group is lower than that in the control group. The oral Chinese medicine "root pain drink" ointment combined with cervical vertebra occipitomaxillary traction has remarkable curative effect on patients with cervical spondylosis of nerve root type. The adverse reactions of digestive tract are few and easy to be accepted by patients. This combination therapy can be widely used in clinic.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R274.9

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