摘要
目的探讨骨痛灵酊结合推拿手法及颈椎卧位牵引治疗神经根型颈椎病(CSR)的临床效果。方法将102例CSR患者按照随机数字表法分为对照组及治疗组,各51例。对照组给予推拿手法后行颈椎卧位牵引治疗,治疗组给予推拿手法后行颈椎卧位牵引治疗+骨痛灵酊湿敷治疗。比较两组患者的临床疗效及症状消失时间,简化McGill疼痛问卷(SF-MPQ)[疼痛总分(T)、视觉模拟评分法(VAS)评分、现有疼痛强度(PPI)评分],田中靖久颈椎病20分量化表评分及颈椎功能障碍指数量表(NDI)评分。结果治疗组临床治疗总有效率94.12%明显高于对照组的80.39%,症状消失时间(9.24±3.88)d明显短于对照组的(12.15±4.57)d,差异存在统计学意义(P<0.05)。治疗后,两组SF-MPQ的T、VAS评分、PPI评分均降低,且治疗组T(15.51±2.43)分、VAS评分(1.66±0.75)分、PPI评分(3.01±1.01)分低于对照组的(19.47±2.55)、(3.78±0.68)、(4.54±1.55)分,差异存在统计学意义(P<0.05)。治疗后,两组田中靖久颈椎病20分量化表评分均升高、NDI评分均降低,且治疗组田中靖久颈椎病20分量化表评分(16.01±3.01)分高于对照组的(13.57±2.67)分,NDI评分(10.65±4.18)分低于对照组的(14.57±3.17)分,差异存在统计学意义(P<0.05)。结论骨痛灵酊结合推拿手法及颈椎卧位牵引治疗CSR疗效确切,能更有效改善患者疼痛及颈椎功能活动度,提高CSR康复效果。
Objective To explore the clinical effect of Gutongling tincture combined with massage manipulation and supine cervical traction in treatment of cervical spondylotic radiculopathy(CSR).Methods 102 patients with CSR were divided into control group and treatment group according to random numerical table,each with 51 cases.The control group was given spine cervical traction after massage manipulation,and the treatment group was given spine cervical traction after massage manipulation+wet application of Gutongling tincture.Patients in both groups were compared in terms of clinical efficacy and symptom disappearance time,short form-McGill pain questionnaire(SF-MPQ)[total pain score(T),visual analog scale(VAS)score,and present pain intensity(PPI)Score],Yasuhisa Tanaka Cervical Spine Disease 20-point Scale score,and Neck Disability Index(NDI)score.Results The total clinical effective rate of the treatment group was 94.12%,which was significantly higher than 80.39%of the control group;the symptom disappearance time was(9.24±3.88)d,which was significantly shorter than(12.15±4.57)d of the control group;the difference was statistically significant(P<0.05).After treatment,T,VAS and PPI scores on SF-MPQ were decreased in both groups;the treatment group had T score of(15.51±2.43)points,VAS score of(1.66±0.75)points,and PPI score of(3.01±1.01)points,which were lower than(19.47±2.55),(3.78±0.68),and(4.54±1.55)points in the control group;the difference was statistically significant(P<0.05).After treatment,the Yasuhisa Tanaka Cervical Spine Disease 20-point Scale score increased and NDI score decreased in both groups;the Yasuhisa Tanaka Cervical Spine Disease 20-point Scale score was(16.01±3.01)points in the treatment group,which was higher than(13.57±2.67)points in the control group;NDI score was(10.65±4.18)points,which was lower than(14.57±3.17)points in the control group;the difference was statistically significant(P<0.05).Conclusion Gutongling tincture combined with massage manipulation and supine cervical traction in the treatment of CSR has a definite effect,which can more effectively improve patients'pain,cervical functional activity,and enhance the rehabilitation effect of CSR.
作者
毛玉梅
魏刚
张松
邹运恩
MAO Yu-mei;WEI Gang;ZHANG Song(Yubei District Traditional Chinese Medicine Hospital,Chongqing 401120,China)
出处
《中国现代药物应用》
2025年第10期149-152,共4页
Chinese Journal of Modern Drug Application
关键词
神经根型颈椎病
骨痛灵酊
推拿
卧位牵引
疼痛
有效性
Cervical spondylotic radiculopathy
Gutongling tincture
Massage
Supine cervical traction
Pain
Effectiveness
