[1]张洋 程少丹△ 葛程 刘猛 鞠申丹 庞海莉 吕磊 乔祺 孙勇 武小东 周苗苗.整颈三步九法结合中药治疗神经根型颈椎病的临床研究[J].中国中医骨伤科杂志,2018,26(06):34-37.
　ZHANG Yang CHENG Shaodan GE Cheng LIU Meng JU Shendan PANG Haili YU Leisup> QIAO Qi SUN Yong WU Xiaodong ZH.Effect of Three-steps and Nine-therapy Combined with Yiqi Huayu Bushen Recipe for Treating Cervical Spondylotic Radiculopathy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(06):34-37.
点击复制

整颈三步九法结合中药治疗神经根型颈椎病的临床研究()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年06期
页码:
34-37
栏目:
临床研究
出版日期:
2018-06-02

文章信息/Info

Title:
Effect of Three-steps and Nine-therapy Combined with Yiqi Huayu Bushen Recipe for Treating Cervical Spondylotic Radiculopathy
文章编号:
1005-0205(2018)06-0034-04
作者:
张洋1; 2 程少丹1; 2△ 葛程1; 2 刘猛1; 2 鞠申丹1; 2 庞海莉1; 2 吕磊1; 2 乔祺1; 2 孙勇1; 2 武小东1; 2 周苗苗1; 2
1上海市光华中西医结合医院(上海,200052) 2上海市中医药研究院中西医结合关节炎研究所 △通信作者 E-mail:chengshaodannew@126.com
Author(s):
ZHANG Yang1; 2 CHENG Shaodan1; 2△ GE Cheng1; 2 LIU Meng1; 2 JU Shendan1; 2 PANG Haili1; 2 YU Lei<sup>1; 2 QIAO Qi1; 2 SUN Yong1; 2 WU Xiaodong1; 2 ZH
1Shanghai Guanghua Hospital of Traditional Chinese Medicine,Shanghai 200052,China; 2Department of Arthritis of Traditional Chinese Medicine,Shanghai Institute of Traditional Chinese Medicine,Shanghai 200052,China.
关键词:
整颈三步九法;  益气化瘀补肾中药;  神经根型颈椎病;  临床研究
Keywords:
Keywords: three-steps and nine-therapy;  Yiqi Huayu Bushen recipe;  cervical spondylotic radiculopathy;  clinical trial
分类号:
R681.5
文献标志码:
A
摘要:
目的:观察“整颈三步九法”结合“益气化瘀补肾中药”内服治疗神经根型颈椎病的临床疗效和安全性。方法:纳入相关病人60例,采用随机数字表法随机分为治疗组和对照组各30例。治疗组采用整颈三步九法结合益气化瘀补肾中药内服; 对照组采用牵引+口服药(西乐葆、甲钴铵片),两组均治疗两周。采用视觉模拟评分(VAS)和颈残疾指数(NDI)在治疗前、治疗后1,2,4及12周时进行评定。结果:治疗后1周的VAS评分和NDI评分上治疗组和对照组差异无统计学意义(P>0.05),在治疗后2,4及12周的VAS评分和NDI评分上治疗组改善均优于对照组,差异有统计学意义(P<0.05)。两组患者在治疗过程中及治疗后均未发生不良反应。结论:“整颈三步九法”结合“益气化瘀补肾中药”内服治疗神经根型颈椎病可显著改善患者疼痛和颈椎功能,且安全性较高。
Abstract:
Abstract Objective:To observe the therapeutic effect and safety of three-steps and nine-therapy combined with Yiqi Huayu Bushen(YQHYBS)recipe for cervical spondylotic radiculopathy.Methods:All 60 patients with cervical spondylotic radiculopathy were divided into the treatment group and control group randomly,30 cases in each group.The patients in the treatment group were treated with three-steps and nine-therapy combined with YQHYBS recipe,while the control group were treated with traction and oral celebrex and cobamamide tablets.Two groups were treated for two weeks.The visual analogue scale(VAS)and neck disability index(NDI)were used to evaluate the clinical efficacy.The VAS and NDI were observed and recorded at 1st weeks,2nd weeks,4th weeks and 12th weeks after treatment.Results:There was no significant difference in the VAS score and NDI score between the two groups at 1st weeks after treatment(P>0.05),and VAS and NDI score of treatment group were better than control group at 2nd weeks,4th weeks and 12th weeks after treatment(P<0.05).There was no adverse reaction between the two groups in the treatment process and after the treatment.Conclusion:Three-steps and nine-therapy combined with YQHYBS recipe for treating cervical spondylotic radiculopathy can significantly improve cervical vertebra function and relief pain and have high security.

参考文献/References:

[1] 刘沛霖.活血通络中药内服+穴位注射治疗气虚血瘀证神经根型颈椎病疗效及对炎性细胞因子水平的影响[J].现代中西医结合杂志,2017,26(34):3861-3864.
[2] 施杞工作室.施杞学术经验撷英[M].上海:上海中医药大学出版社,2010:53-60.
[3] 吴弢,高翔,叶秀兰,等.施杞运用圣愈汤治疗颈椎病学术思想探析[J].中医文献杂志,2010,28(4):45-46.
[4] 国家中医药管理局.中医病证诊断疗效标准[M].北京:中国医药科技出版社,2012.
[5] 叶秀兰,唐占英,胡志俊,等.“整颈三步九法”治疗颈椎病多中心随机对照临床研究[J].上海中医药杂志,2012,46(4):47-49.
[6] 李军,叶秀兰,唐占英,等.整颈三步九法推拿治疗颈性眩晕患者60例临床观察[J].中医杂志,2013,54(24):2110-2113.
[7] 杨矛.施氏“整颈三步九法”治疗神经根型颈推病的随机对照临床应用研究[D].合肥:安徽中医药大学,2015.
[8] 谢兴文,王拥军,莫文,等.施杞教授从“痹”论治颈椎病的学术思想初探[J].上海中医药大学学报,2006,20(1):35-37.
[9] 陈鑫,冯京京.单味中药对免疫系统的调节作用研究[J].中医研究,2015,28(4):78-80.
[10] 洪海都,温俊茂,陈宗俊.黄芪主要活性成分的药理作用研究进展[J].世界最新医学信息文摘,2016,16(14):49-50.
[11] 金玉青,洪远林,李建蕊,等.川芎的化学成分及药理作用研究进展[J].中药与临床,2013,4(3):44-48.
[12] 汪庆飞,高家荣.补骨脂的药理作用研究进展[J].中国妇幼健康研究,2016,27(S1):256-257.
[13] 邵航,张俐.补骨脂抗骨质疏松作用的研究进展[J].中国中医骨伤科杂志,2015,23(3):69-71.
[14] 李具宝,周泉,赵永见,等.益气化瘀补肾方对脊髓型颈椎病患者退变椎间盘细胞ColⅠ与ColⅡ mRNA表达的影响[J].上海中医药大学学报,2011,25(5):61-65.
[15] 江建春,崔学军,卞琴,等.益气化瘀补肾方对大鼠气虚型颈椎病的作用机制研究[J].上海中医药大学学报,2009,23(4):50-53.
[16] 王拥军,施杞,江建春,等.益气化瘀补肾方治疗气虚血瘀肾虚型颈椎病大鼠的机制研究[J].中西医结合学报,2009,7(1):53-58. (收稿日期:2018-01-02)

备注/Memo

备注/Memo:
基金项目:上海市进一步加快中医药事业发展三年行动计划 (2014-2016年)建设项目(ZY3-LCPT-1-1003) 上海市卫计委科研课题(2016LP049,201740205) 上海市长宁区卫计委科研课题(20144Y016) 上海市长宁区青年中医医师培养计划项目 (2015CNQNZY001) 上海市长宁区“光华卓越PI工程”项目(2016-01; 2016-05)
更新日期/Last Update: 2018-06-02