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中药硬膏联合颈椎静力牵引治疗神经根型颈椎病的临床研究 被引量:2

Observation on treating nerve root cervical by TCM plaster pluscervical static traction
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摘要 目的:观察中药硬膏联合颈椎静力牵引治疗神经根型颈椎病(Cervical Spondylotic Radiculopathy,CSR)的临床疗效。方法:选取78例神经根型颈椎病患者为研究对象,按照随机分组法分为治疗组与对照组。其中治疗组38例,采用颈椎静力牵引及柱状枕头应用,联合中药硬膏热贴敷治疗;对照组40例,单纯采用颈椎静力牵引及柱状枕头应用。并对治疗前及治疗后中医证候积分、疼痛程度模拟量表(Visual Analogue Scale,VAS)评分、颈椎功能障碍指数量表(Neck Disability Index,NDI)评分及总有效率等指标进行统计,并进行相关统计学分析。结果:两组治疗前在颈部压痛、肢体麻木、颈肩部疼痛、颈部活动障碍积分、VAS评分及NDI评分比较中,差异无统计学意义(P>0.05),经治疗后,两组在相应评分比较中差异有统计学意义(P<0.05)。两组疗效对比,治疗组总有效率明显优于对照组,差异具有统计学意义。结论:中药硬膏联合颈椎静力牵引治疗神经根型颈椎病效果显著,对于改善颈部压痛、肢体麻木、颈肩部疼痛、颈部活动障碍及缓解疼痛等方面,疗效明显,可在临床推广应用。 Objective:To observe the clinical effect of TCM plaster plus CSR on nerve root cervical spondylosis.Methods:78 cases were divided into the experimental group and control group.40 patients in the control group were treated by cervical static traction and columnar pillows,38 patients in the experimental group was give TCM plaster more.The TCM syndrome points,VAS pain score,NDI score and total efficiency in groups were collected and analyzed.Results:After treatment,there was statistically significant differences in neck tenderness,limb numbness,neck and shoulder pain,neck activity disorder score,VAS score and NDI score between groups(P﹤0.05).The efficiency in the experimental group was significantly better than the control group,with a statistically significant difference.Conclusion:TCM plaster plus cervical static traction shows a significant effect on CSR,can improve neck tenderness,limb numbness,neck and shoulder pain,neck movement disorder and pain relief,is worthy of popularization and application.
出处 《中医临床研究》 2020年第5期83-85,共3页 Clinical Journal Of Chinese Medicine
基金 河南省科技攻关计划(172102310197),“解痉”“调曲”理论在颈椎病治疗中的作用研究。
关键词 神经根型颈椎病 颈椎牵引 中药硬膏 CSR Cervical traction TCM plaster
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