首页|桂枝加葛根汤联合棍点理筋正骨手法治疗颈型颈椎病的临床效果

桂枝加葛根汤联合棍点理筋正骨手法治疗颈型颈椎病的临床效果

Clinical effect of the treatment of cervical-type cervical spondylosis with Guizhi and Gegen Decoction combined with therapy of rod point-pressing

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目的 观察桂枝加葛根汤联合棍点理筋正骨手法对于颈型颈椎病的治疗效果.方法 选取2022年1月至2023年1月亳州市中医院骨伤科收治的120例颈型颈椎病患者作为研究对象,按照随机数字表法分为对照1组(40例)、对照2组(40例)和观察组(40例).对照1组单用桂枝加葛根汤口服治疗,1日1剂,早晚分服,连续服用2周;对照2组单用棍点理筋正骨手法治疗,3d一次,治疗2周;观察组使用桂枝加葛根汤联合棍点理筋正骨手法治疗,治疗2周.比较三组患者治疗前后的疼痛视觉模拟评分法(VAS)评分、颈椎功能障碍指数量表(NDI)和临床疗效.结果 三组患者治疗后的VAS评分、NDI功能评分低于本组治疗前,差异有统计学意义(P<0.05),且观察组的VAS评分、NDI功能评分低于对照1组、对照2组,差异有统计学意义(P<0.05);观察组的疗效优于对照1组、对照2组,差异有统计学意义(P<0.017).结论 桂枝加葛根汤联合棍点理筋正骨手法可显著改善颈型颈椎病临床症状,减轻疼痛,改善颈椎功能.
Objective To observe the therapeutic effect of Guizhi and Gegen Decoction combined with therapy of rod point-pressing on cervical spondylosis.Methods A total of 120 patients with cervical spondylosis treated in the Department of Orthopedics and Traumatology,Bozhou Hospital of Traditional Chinese Medicine from January 2022 to January 2023 were selected as the research objects and divided into control group 1(40 cases),control group 2(40 cases)and observation group(40 cases)according to random number table method.The patients in control group 1 were treated with Guizhi and Gegen Decoction orally,1 dose once a day,in the morning and evening,for 2 weeks.The patients in the control group 2 were treat-ed with rod point-pressing technique therapy,once every 3 days for 2 weeks.The observation group was treated with Guizhi and Gegen Decoction combination with rod point-pressing technique therapy for 2 weeks.The visual analogue scale(VAS),neck disability index(NDI)and clinical efficacy of the three groups were compared before and after treatment.Results The VAS score and NDI function score of the three groups after treatment were lower than before treatment in the same group,the differences were statistically significant(P<0.05),and the VAS score and NDI function score of the observation group were lower than those of control group 1 and control group 2,the differences were statistically significant(P<0.05).The curative effect of observation group was better than control group 1 and control group 2,and the difference was statistically significant(P<0.017).Conclusion Guizhi and Gegen Decoction combined with rod point-pressing technique therapy can significantly improve the clinical symptoms,relieve pain and improve the cervical spine function of cervical-type cervical spondylosis.

Cervical-type cervical spondylosisGuizhi and Gegen DecoctionTherapy of rod point-pressing in the treat-mentExternal therapy of traditional Chinese medicine

刘同明、刘铭、黄敦胜、吕曙光

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安徽省亳州市中医院骨伤科,安徽亳州 236800

颈型颈椎病 桂枝加葛根汤 棍点理筋正骨手法 中医外治法

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(17)