[1]孙志华,刘乃嘉,王银平,等.桂枝加葛根汤加味联合颈十针治疗神经根型颈椎病51例临床观察[J].甘肃中医药大学学报,2019,36(01):71-74.[doi:10.16841/j.issn1003-8450.2019.01.16]
 SUN Zhihua,LIU Naijia,WANG Yinping,et al.Clinical observation on 51 cases of modified Guizhi Jia Gegen Tang(桂枝加葛根汤) combined with neck ten needle therapy in the treatment of cervical spondylotic radiculopathy[J].Journal of Gansu University of Chinese Medicine,2019,36(01):71-74.[doi:10.16841/j.issn1003-8450.2019.01.16]
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桂枝加葛根汤加味联合颈十针治疗神经根型颈椎病51例临床观察
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《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
36卷
期数:
2019年01期
页码:
71-74
栏目:
针灸推拿
出版日期:
2019-02-25

文章信息/Info

Title:
Clinical observation on 51 cases of modified Guizhi Jia Gegen Tang(桂枝加葛根汤) combined with neck ten needle therapy in the treatment of cervical spondylotic radiculopathy
作者:
孙志华1 刘乃嘉2 王银平3 何天有2 文新2
1. 金塔县中医院针灸理疗康复科, 甘肃 酒泉 735000;
2. 甘肃中医药大学附属医院针灸科, 甘肃 兰州 730000;
3. 甘肃中医药大学针灸推拿学院, 甘肃 兰州 730000
Author(s):
SUN Zhihua1 LIU Naijia2 WANG Yinping3 HE Tianyou2 WEN Xin2
1. Physiotherapy Rehabilitation Department of Acupuncture and Moxibustion, Jinta County Hospital of TCM, Jiuquan, Gansu, 735000, China;
2. Department of Acupuncture and Moxibustion, Affiliated Hospital of Gansu University of Chinese Medicine, Lanzhou, Gansu, 730000, China;
3. School of Acu-moxibustion and Massage, Gansu University of Chinese Medicine, Lanzhou, Gansu, 730000, China
关键词:
神经根型颈椎病桂枝加葛根汤加味颈十针视觉模拟评分法评分临床疗效
Keywords:
cervical spondylotic radiculopathyGuizhi Jia Gegen Tang(桂枝加葛根汤)neck ten needle the-rapyvisual analogue score(VAS)clinical efficacy
分类号:
R246.1
DOI:
10.16841/j.issn1003-8450.2019.01.16
摘要:
目的 观察桂枝加葛根汤加味联合颈十针治疗神经根型颈椎病的临床疗效。方法 将153例神经根型颈椎病患者采用随机数字表法分为治疗组、对照组1、对照组2,各51例。治疗组给予桂枝加葛根汤加味联合颈十针治疗,对照组1给予桂枝加葛根汤加味联合普通针刺治疗,对照组2给予颈十针治疗,6 d为1个疗程,治疗2个疗程后比较3组的临床疗效及治疗前后的视觉模拟评分法(VAS)评分。结果 对照组1总有效率为84.3%,对照组2为82.4%,治疗组为92.2%,治疗组总有效率明显高于对照组1和对照组2,差异均有统计学意义(P<0.05);治疗后3组VAS评分均明显降低,与同组治疗前比较差异有统计学意义(P<0.05),且治疗组明显低于对照组1和对照组2,差异均有统计学意义(P<0.05)。结论 桂枝加葛根汤加味联合颈十针治疗神经根型颈椎病疗效确切,能明显改善患者的临床症状,值得临床推广应用。
Abstract:
Objective To observe the clinical efficacy of modified Guizhi Jia Gegen Tang(桂枝加葛根汤) combined with neck ten needle therapy in the treatment of cervical spondylotic radiculopathy. Methods Totally 153 patients with cervical spondylotic radiculopathy were divided into treatment group,control group 1 and control group 2 according to random number table,with 51 cases in each.The treatment group was given modified Guizhi Jia Gegen Tang combined with neck ten needle therapy,the control group 1 was given modified Guizhi Jia Gegen Tang combined with ordinary acupuncture therapy,and the control group 2 was given neck ten needle therapy.Six days constituted a course of treatment.After 2 courses,the clinical efficacy and the visual analogue score(VAS) before and after treatment in the 3 groups were compared. Results The total effective rate of the control group 1 was 84.3%,that of the control group 2 was 82.4%,and that of the treatment group was 92.2%.The total effective rate of the treatment group was superior to that of the control group 1 and the control group 2,the difference was statistically significant(P<0.05).After treatment,the VAS scores of the three groups all decreased significantly,the difference was statistically significant compared with the same group before treatment(P<0.05),moreover,the treatment group was significantly lower than the control group 1 and the control group 2,the difference was statistically significant(P<0.05).Conclusion It has obvious curative effect to use modified Guizhi Jia Gegen Tang combined with neck ten needle therapy in the treatment of cervical spondylotic radiculopathy,which can markedly improve the clinical efficacy of the patients.It deserves clinical promotion and application.

参考文献/References:

[1] 王天仪,艾尔·萨德尔.神经根型颈椎病的诊断定位与治疗进展[J].中国误诊学杂志,2008,8(27):6570-6572.
[2] 魏戌,于杰,冯敏山,等.神经根型颈椎病非手术疗法循证证据纵览[J].中国中医骨伤科杂志,2017,25(2):66-70.
[3] 范华雨,张胜利.神经根型颈椎病的中医药治疗进展[J].中医临床研究,2018,10(14):138-140.
[4] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:189-190.
[5] 张小英,安军明,谢伟.针刺配合整脊疗法治疗神经根型颈椎病疗效观察[J].现代中西医结合杂志,2018,27(28):3150-3152.
[6] 刘波,欧阳松,舒文韬,等.杜氏手法结合内热针治疗神经根型颈椎病临床研究[J].四川中医,2018,36(8):136-137.
[7] 王英杰.神经根型颈椎病治疗现状与进展[J].中国矫形外科杂志,2014,22(9):812-814.

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备注/Memo

备注/Memo:
收稿日期:2018-11-04。
作者简介:孙志华(1969-),男,主治医师,主要从事风湿、骨关节疼痛的中医治疗。
通信作者:文新(1978-),男,副主任医师,医学硕士,主要从事神经、免疫系统疾病的针灸治疗。E-mail:13519318714@163.com
更新日期/Last Update: 1900-01-01