[1]董宝杰,刘波,岳沛芬,等.柔性手法联合独活寄生汤治疗神经根型颈椎病的临床研究[J].中国中医骨伤科杂志,2024,32(12):20-24+30.[doi:10.20085/j.cnki.issn1005-0205.241204 ]
　DONG Baojie,LIU Bo,YUE Peifen,et al.Clinical Study on the Treatment of Cervical Spondylotic Radiculopathy with Flexible Manipulation Combined with Duhuo Parasitic Decoction[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(12):20-24+30.[doi:10.20085/j.cnki.issn1005-0205.241204 ]
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柔性手法联合独活寄生汤治疗神经根型颈椎病的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年12期
页码:
20-24+30
栏目:
临床研究
出版日期:
2024-12-15

文章信息/Info

Title:
Clinical Study on the Treatment of Cervical Spondylotic Radiculopathy with Flexible Manipulation Combined with Duhuo Parasitic Decoction
文章编号:
1005-0205(2024)12-0020-05
作者:
董宝杰1; 刘波2; 岳沛芬2; 刘妍1; 李洁3△
1北京中医药大学东直门医院(北京,101121)
2北京市海淀医院
3开滦总医院
Author(s):
DONG Baojie1; LIU Bo2; YUE Peifen2; LIU Yan1; LI Jie3△
1Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 101121,China; 2Beijing Haidian Hospital,Beijing 100080,China; 3Kailuan General Hospital,Tangshan 063000,Hebei China.
关键词:
神经根型颈椎病;  斜角肌柔性手法;  独活寄生汤;  颈椎功能
Keywords:
cervical spondylotic radiculopathy;  flexible manipulation of the scalene muscle;  Duhuo parasitic decoction;  cervical spine function
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.241204
文献标志码:
A
摘要:
目的:探究斜角肌柔性手法联合独活寄生汤治疗神经根型颈椎病(CSR)的临床效果。方法:选取2021年1月至2022年12月收治的172例风寒湿痹、肝肾亏虚神经根型颈椎病患者,用随机数字表法将其随机分为两组,对照组86例采用独活寄生汤治疗,观察组86例在对照组基础上增加斜角肌柔性手法治疗。对比两组患者以中医证候评分评定的治疗总有效率、血清白三烯D4(LTD4)水平、颈痛量表(NPQ)评分、颈椎功能障碍指数(NDI)评分、视觉模拟量表(VAS)评分、田中靖久评分、颈部活动度。结果:治疗后观察组患者的中医证候评分相较于对照组更低,两组比较差异有统计学意义(P<0.05); 两组患者临床疗效判定由两组中医证候量化评分(采用尼莫地平法计算公式)计算,观察组患者总有效率高于对照组(P<0.05); 两组患者治疗后的各指标与评分均有改善,观察组治疗后的LTD4水平、NPQ评分、NDI评分、VAS评分、中医证候评分低于对照组,田中靖久评分和颈部活动度大于对照组,两组比较差异有统计学意义(P<0.05)。结论:斜角肌柔性手法联合独活寄生汤治疗神经根型颈椎病,能明显降低LTD4水平和NPQ评分,减轻炎症反应,缓解颈痛症状,改善颈椎功能。
Abstract:
Objective:To explore the clinical effect of flexible manipulation of the scalene muscle combined with Duhuo parasitic decoction in the treatment of cervical spondylotic radiculopathy(CSR).Methods:172 patients with wind cold dampness syndrome and liver and kidney deficiency CSR admitted from January 2021 to December 2022 were selected and divided into two groups by drawing lots(control group,n=86; observation group,n=86).The control group received treatment with Duhuo parasitic decoction,while the observation group received additional treatment with flexible manipulation of the scalene muscle.Compare the total effective rate of treatment evaluated by the traditional Chinese medicine(TCM)syndrome score,serum leukotriene D4(LTD4)levels,neck pain questionnaire(NPQ)score,neck disability index(NDI)score,visual analogue scale(VAS)score,Tanaka Jingjiu score,and neck range of motion of treatment between two groups.Results:After treatment,the TCM syndrome score of the observation group was lower than that of the control group,with statistical significance(P<0.05).The clinical efficacy assessment of the two groups was calculated using the Nimodipine method formula based on the quantitative scoring of TCM symptoms in both groups.The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,both groups showed improvement in various indicators and scores.The observation group had lower LTD4 levels,NPQ scores,NDI scores,VAS scores,and TCM symptom scores than the control group,while the Tanaka Jingjiu score and neck mobility were higher than the control group,with statistically significant differences(P<0.05).Conclusion: The combination of flexible manipulation of the scalene muscle and Duhuo parasitic decoction can effectively reduce LTD4 levels and NPQ scores,alleviate inflammatory reactions,alleviate neck pain symptoms,and improve cervical function in the treatment of CSR.

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备注/Memo

备注/Memo:
基金项目:中医药传承与创新“百千万”人才工程(岐黄工程)项目国家中医药管理局第六批全国老中医药专家学术经验继承项目(20170615)
△通信作者 E-mail:lijie0970@163.com
更新日期/Last Update: 2024-12-05