摘要
目的观察通督强脊手法联合桂枝加葛根汤治疗风寒湿阻型颈型颈椎病的临床疗效。方法选取2023年1~12月云霄县中医院收治的风寒湿阻型颈型颈椎病患者60例,采用随机数字表法分为对照组和治疗组,各30例,治疗期间对照组脱落1例,治疗组脱落2例。对照组采用通督强脊“三步五法”推拿手法治疗,治疗组在对照组基础上联合桂枝加葛根汤治疗。比较两组治疗疗效及治疗前后中医证候积分、颈部疼痛程度[视觉疼痛模拟评分法(VAS)]、颈椎功能障碍指数(NDI)问卷评分、颈椎活动度。结果治疗组治疗总有效率为92.86%,稍高于对照组的86.21%,但差异无统计学意义(P>0.05);治疗组治疗后中医证候积分、VAS、NDI评分均低于对照组,颈椎活动度大于对照组,差异有统计学意义(P<0.05)。结论通督强脊手法联合桂枝加葛根汤组在对改善风寒湿阻型颈型颈椎病中医证候、颈痛、颈椎功能活动度方面优于通督强脊疗法,有较好的临床疗效。
Objective To observe the clinical efficacy of Tongdu Qiangji Manipulation combined with Guizhijiagegen Decoction in the treatment of cervical spondylosis of the wind-cold-dampness obstruction type.Methods Sixty patients with wind-cold-dampness obstruction type cervical spondylosis of the cervical type admitted to Yunxiao County Hospital of Traditional Chinese Medicine from January to December 2023 were selected and divided into a control group and a treatment group by random number table method,with 30 cases in each group.During the treatment period,1 case dropped out of the control group and 2 cases dropped out of the treatment group.The control group was treated with the"Three Steps and Five Methods"massage technique of Tongdu Qiangji,while the treatment group was treated with Guizhijiagegen Decoction on the basis of the control group.The therapeutic effects of the two groups,as well as the scores of Traditional Chinese Medicine syndromes before and after treatment,the degree of neck pain[Visual Analogue Scale(VAS)],the score of the Neck Disability Index(NDI)questionnaire,and the range of cervical motion were compared.Results The total effective rate of treatment in the treatment group was 92.86%,slightly higher than 86.21%in the control group,but the difference was not statistically significant(P>0.05).After treatment,the Traditional Chinese Medicine syndrome score,VAS score and NDI score of the treatment group were all lower than those of the control group,and the range of cervical motion was greater than that of the control group,the differences were statistically significant(P<0.05).Conclusion The Tongdu Qiangji manipulation combined with Guizhijiagegen Decoction group is superior to the Tongdu Qiangji therapy in improving the TCM syndromes,neck pain and cervical functional range of wind-cold-dampness-obstructed cervical spondylosis,and has a better clinical effect.
作者
陈锦辉
陈少清
陈群
郑屛屛
郑秀莲
CHEN Jin-hui;CHEN Shao-qing;CHEN Qun;ZHENG Ping-ping;ZHENG Xiu-lian#(Yunxiao County Hospital of Traditional Chinese Medicine,Zhangzhou City,Fujian Province,Yunxiao363300;College of Rehabilitation Medicine,Fujian University of Traditional Chinese Medicine,Fuzhou350122)
出处
《实用中西医结合临床》
2025年第9期1-5,共5页
Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine
基金
福建省财政资助专项项目(编号:X2021003)。
关键词
颈型颈椎病
风寒湿阻型
通督强脊手法
桂枝加葛根汤
中医证候积分
颈痛
Cervical spondylosis of cervical type
Wind-cold-dampness obstruction type
Tongdu Qiangji technique
Guizhijiagegen decoction
Traditional chinese medicine syndrome score
Neck pain
