摘要
目的探讨汤药配合针灸治疗交感型颈椎病的临床效果。方法 2012年9月-2015年2月我院收治的交感型颈椎病患者120例,根据简单随机分组分为观察组与对照组各60例,对照组给予常规中药汤药治疗,观察组在对照组治疗的基础上给予针灸治疗,2组治疗观察时间为2个月。结果观察组患者总有效率为93.33%,明显高于对照组的73.33%(P=0.003)。观察组患者眩晕、颈部不适、胸闷心悸等临床症状消失时间[(7.89±3.46)d、(9.41±2.98)d、(6.94±2.89)d]显著短于对照组[(12.82±5.17)d、(13.79±3.93)d、(9.88±4.70)d](P均<0.001)。2组患者治疗前VAS评分(6.89±0.86)、(6.91±0.74)无明显差异(P=0.892),治疗后VAS评分(1.22±0.34)、(2.86±0.45),均显著下降(P<0.001),且观察组显著低于对照组(P<0.001)。2组患者治疗前全血高切黏度、全血低切黏度均无明显差异(P=0.231、P=0.909),治疗后全血高切黏度、全血低切黏度均明显下降(P=0.001、P=0.030),且观察组明显低于对照组(P=0.025、P<0.001)。结论汤药配合针灸治疗交感型颈椎病能促使血液黏度降低,有效改善临床症状,缓解疼痛,从而促进综合疗效的提高。
Objective To investigate the clinical effects of decoction combined acupuncture in treatment of sympathetic cervical spondylosis. Methods From September 2012 to February 2015 in our hospital, 120 sympathetic cervical spondylosis patients were equally divided into the observation group and the control group according to simple randomized, the control group were received conventional medicine decoction, and the observation group in basis of the control group were given acupuncture treatment, the observation periods in the two groups were two months. Results The total effective rate of the observation group was 93.33%, which was significantly higher than that of the control group（73.33%）（P = 0.003）. The patients in the observation group were dizziness, neck discomfort, chest tightness, heart palpitations and other symptoms disappeared time[（7.89±3.46） d,（9.41±2.98） d,（6.94±2.89） d] was significantly shorter than the control group [（12.82±5.17） d,（13.79±3.93） d,（9.88±4.70） d]（P〈 0.001）. The VAS scores of two groups of patients（6.89±0.86, 6.91±0.74） no significant difference（P = 0.892）, VAS score after treatment（1.22±0.34, 2.86±0.45） were significantly decreased（P〈 0.001）, and the observation group was significantly lower than the control group（P〈 0.001）. Two groups of patients before treatment, whole blood viscosity, whole blood viscosity had no significant difference（P = 0.231, P = 0.909）, after treatment, whole blood viscosity, whole blood viscosity decreased significantly（P = 0.001, P = 0.030）, and the observation group was significantly lower than the control group（P = 0.025, P〈 0.001）. Conclusion The decoction combined acupuncture in treatment of sympathetic cervical spondylosis can promote lower blood viscosity, improve clinical symptoms, relieve pain, and thus promote the overall efficacy.
作者
易进科
徐应乐
王文科
徐鹏辉
YI Jinke;XU Yingle;WANG Wenke;XU Penghui(Dongfeng Hospital Affiliated to Hubei University of Medicine,Shiyan 442008,Hubei Province,China)
出处
《吉林中医药》
2018年第8期966-968,共3页
Jilin Journal of Chinese Medicine
关键词
针灸
交感型颈椎病
眩晕
疼痛
血液黏度
acupuncture
sympathetic cervical spondylosis
dizziness
pain
blood viscosity
