Clinical Study on the Treatment of Cervical Spondylotic Radiculopathy with Flexible Manipulation Combined with Duhuo Parasitic Decoction
Objective:To explore the clinical effect of flexible manipulation of the scalene muscle combined with Duhuo par-asitic decoction in the treatment of cervical spondylotic radiculopathy(CSR).Methods:172 patients with wind cold damp-ness syndrome and liver and kidney deficiency CSR admitted from January 2021 to December 2022 were selected and divid-ed into two groups by drawing lots(control group,n=86;observation group,n=86).The control group received treat-ment 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 statisti-cal 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 treat-ment,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 mobil-ity were higher than the control group,with statistically significant differences(P＜0.05).Conclusion:The combination of flexi-ble 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.
cervical spondylotic radiculopathyflexible manipulation of the scalene muscleDuhuo parasitic decoctioncer-vical spine function
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