首页|黄芪桂枝五物汤结合颈椎推拿治疗神经根型颈椎病的临床效果研究

黄芪桂枝五物汤结合颈椎推拿治疗神经根型颈椎病的临床效果研究

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目的 探讨神经根型颈椎病患者采用黄芪桂枝五物汤+颈椎推拿疗法治疗的临床效果.方法 选取 120 例神经根型颈椎病患者作为研究对象,以随机数字表法将患者分为对照组和观察组,每组 60 例.对照组施以颈椎推拿疗法治疗,观察组施以黄芪桂枝五物汤+颈椎推拿疗法治疗.对比两组患者治疗效果、匹茨堡睡眠质量指数量表(PSQI)评分、日常生活活动能力(ADL)评分、视觉模拟评分法(VAS)评分、功能受限评分、眩晕评分以及不良反应发生率.结果 观察组患者治疗总有效率(96.67%)同对照组(80.00%)对比,差异性显著(P<0.05);治疗前,观察组患者PSQI评分、ADL评分结果同对照组对比,差异无统计学意义(P>0.05);治疗后,观察组PSQI评分(5.13±0.32)分低于对照组的(9.32±1.25)分,ADL评分(83.59±10.19)分高于对照组的(71.49±5.49)分,差异性显著(P<0.05);治疗前,观察组患者VAS评分、功能受限评分、眩晕评分结果同对照组对比,差异无统计学意义(P>0.05);治疗后,观察组VAS评分、功能受限评分、眩晕评分分别为(2.42±0.89)、(1.25±0.39)、(1.22±0.35)分,均低于对照组的(3.69±1.72)、(2.49±0.53)、(2.96±0.79)分,差异性显著(P<0.05);两组患者治疗后不良反应主要集中于胃肠道不适方面,组间对比差异无统计学意义(P>0.05).结论 临床对神经根型颈椎病患者合理运用黄芪桂枝五物汤+颈椎推拿疗法治疗,对于患者治疗效果、睡眠质量、日常生活能力有明显提高,肩颈部疼痛、眩晕及活动受限等症状明显缓解,且不会导致不良反应增加.
Study on clinical effect of Huangqi Guizhi Wuwu Decoction combined with cervical massage in the treatment of cervical spondylotic radiculopathy
Objective To explore the clinical effect of Huangqi Guizhi Wuwu Decoction combined with cervical massage in the treatment of cervical spondylotic radiculopathy.Methods A total of 120 patients with cervical spondylotic radiculopathy were selected as research subjects and divided into a control group and an observation group by random number table method,with 60 cases in each group.The control group received cervical massage therapy,and the observation group received Huangqi Guizhi Wuwu Decoction + cervical massage therapy.Both groups were compared in terms of therapeutic effect,pittsburgh sleep quality Index scale(PSQI)score,activities of daily living(ADL)score,visual analogue scale(VAS)score,functional limitation score,vertigo score,and incidence of adverse reactions.Results The total effective rate of patients in the observation group(96.67%)was significantly higher than the control group(80.00%),and the difference was significant(P<0.05).Before treatment,there was no significant difference in PSQI score and ADL score between the observation group and the control group(P>0.05).After treatment,PSQI score of(5.13±0.32)points in the observation group was lower than(9.32±1.25)points in the control group,and ADL score of(83.59±10.19)points was higher than(71.49±5.49)points in the control group,and the difference was significant(P<0.05).Before treatment,VAS score,functional limitation score and vertigo score of patients with cervical spondylotic radiculopathy in the observation group had no statistical significance compared with those in the control group(P>0.05).After treatment,VAS score,functional limitation score and vertigo score in the observation group were(2.42±0.89),(1.25±0.39)and(1.22±0.35)points,which were lower than(3.69±1.72),(2.49±0.53)and(2.96±0.79)points in the control group,and the difference was significant(P<0.05).The adverse reactions of the two groups were mainly concentrated in gastrointestinal discomfort,and there was no statistical significance between the two groups(P>0.05).Conclusion The reasonable application of Huangqi Guizhi Wuwu Decoction + cervical massage therapy for patients with cervical spondylotic radiculopathy can significantly improve the treatment effect,sleep quality and activities of daily living of patients,and significantly relieve symptoms such as shoulder and neck pain,vertigo and limited activity,without increasing adverse reactions.

Cervical spondylotic radiculopathyHuangqi Guizhi Wuwu DecoctionCervical massageTherapeutic effect

回晓婷、徐昕宇、李丽、栾龙、王岐

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114001 辽宁省鞍山市中医院

114045 辽宁省鞍山千山温泉职工疗养院

114048 辽宁省鞍山市汤岗子康复医院

神经根型颈椎病 黄芪桂枝五物汤 颈椎推拿 治疗效果

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(3)
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