摘要
目的：探究针药联合中医功法在颈型颈椎病患者中的应用价值。方法：将本院2013年3月—2016年3月收治的102例颈型颈椎病患者纳入研究,采取随机数字表法将其分为观察组（51例）和对照组（51例）,对照组予以复方氯唑沙宗片治疗,观察组则予以针药联合中医功法（桂枝加葛根汤联合针灸推拿及八段锦方案）治疗,对比两组患者治疗效果、颈椎生理功能恢复时间、颈关节活动度、不良反应情况及患者治疗满意度,并采取视觉模拟评分法（VAS）评估患者疼痛程度,焦虑自评量表（SAS）及抑郁自评量表（SDS）评估患者治疗前后心理状态。结果：观察组患者治疗总有效率高达100.00%,患者治疗满意率高达98.04%,分别高于对照组88.24%、84.31%,不良反应率为1.96%,低于对照组15.69%,均P〈0.05,差异具有统计学意义;观察组颈椎生理功能恢复时间短于对照组,颈关节活动度优于对照组,P〈0.05;观察组患者治疗前VAS、SAS、SDS评分相当,P〉0.05,治疗后各组评分均改善,观察组评分优于对照组,P〈0.05,差异具有统计学意义。结论：桂枝加葛根汤联合针灸推拿及八段锦在颈型颈椎病患者中的应用价值极高,临床治疗效果显著,患者恢复好,不良反应少,患者疼痛减轻,心理状态佳,满意度,可高度推广应用。
Objective： To explore the value of TCM comprehensive therapy in patients with cervical spondylosis. Methods： In our hospital during March 2013—March 2016,102 cases of cervical spondylopathy were randomly divided into observation group（51 cases） and control group（51 cases）. The control group received Composite Chlorzoxazone Tablets treatment and the observation group received the combined therapy of traditional Chinese medicine treatments（Guizh Jia Gegen Decoction combined acupuncture,Tuina and Baduanjin）. We compared two groups＇ treatment effect and physiological function of cervical vertebra recovery time,neck joint activity,adverse reactions and patients satisfaction and took the visual analogue scale（VAS） to assess the degree of pain in patients,self rating Anxiety Scale（SAS） and self rating Depression Scale（SDS） and assessed the psychological state of patients before and after treatment. Results： Total effective rate of observation group patients was as high as 100. 00%. The patients satisfaction rate was as high as 98. 04%,higher than the control group＇ s 88. 24% and 84. 31%,respectively. The adverse reaction rate was 1. 96%,lower than the control group＇s 15. 69%,P〈0. 05. The difference was statistically significant. The observation group＇s cervical vertebra physiology function recovery time was shorter than that of the control group and the neck of motion was better than that of control group,P〈0. 05. The observation group＇ s VAS,SAS and SDS scores of patients before treatment were not significant,P〈0. 05. Each score was improved after treatment. The observation group＇ s scores were better than those of the control group,P〉0. 05. The difference was statistically significant. Conclusion： Acupuncture and Tuina combined Guizh Jia Gegen Decoction and Baduanjin have high value for application in the neck type of cervical spondylosis patients and the clinical treatment effect is significant with less adverse reaction. It is worthy of highly popularization and application.
作者
刘彬
LIU Bin(Department of Encephalopathy Rehabilitation, First Hospital Affiliated to Tianjin Medical University,Tianjin 300193, China)
出处
《辽宁中医杂志》
CAS
2018年第5期1049-1052,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
天津市自然科学基金资助项目(14JCZDJC354878)
关键词
颈型颈椎病
针灸
推拿
桂枝加葛根汤
八段锦
复方氯唑沙宗片
neck type of cervical spondylosis
acupuncture
Tuina
Guizh Jia Gegen Decoction
Baduanjin
CompoundChlorzoxazone Tablets
