摘要
目的探讨整颈三步九法结合圣愈汤加减治疗颈椎病的临床疗效。方法选取2019年1月—2019年12月上海市浦东新区上钢社区卫生服务中心收治的颈椎病患者60例,依据随机分配原则分为结合组和常规组,每组各30例。结合组采用整颈三步九法结合圣愈汤加减治疗,常规组采用牵引治疗和戴芬、甲钴胺口服治疗,治疗疗程均为12周。观察两组患者治疗前后视觉模拟评分(VAS)、颈椎功能障碍指数(NDI)和颈椎功能JOA评分(JOA)变化情况。结果结合组治疗后2周、4周和12周疼痛VAS评分和NDI评分明显低于常规组,结合组干预措施主效应具有统计学意义(P<0.001);结合组治疗后2周、4周和12周日本骨科协会颈椎病(JOA)评分明显高于常规组,差异有统计学意义(P<0.001)。结论整颈三步九法结合圣愈汤加减治疗可以有效地改善颈椎病患者的颈椎功能障碍和疼痛症状,有利于提高患者的治疗效果,值得临床进一步推广。
OBJECTIVE To investigate the clinical efficacy of the three steps and nine methods of neck consolidation combined with the addition and subtraction of Shengyu Decoction in the treatment of cervical spondylosis.METHODS 60 patients with cervical spondylosis admitted to target hospital from January 2019 to December 2019 were selected and randomly divided into the combination group and the conventional group,30 cases in each group.The combination group was treated with three-step nine method of neck consolidation combined with the addition and subtraction of Shengyu Decoction,while the conventional group was treated with traction therapy and oral treatment with Daphne and methyl cobalamin.The treatment course was 12 weeks.The changes of visual analogue scale(VAS),Neck Dysfunction Index(NDI)and JOA score(JOA)were observed before and after treatment.RESULTS The scores of visual analogue scale(VAS)and cervical spinal dysfunction index(NDI)in the combined group were significantly lower than the control group at 2,4 and 12 weeks after treatment,and the the main effect of intervention measures in combination group was statistically significant(P<0.001);the JOA score was significantly higher than the conventional group,and the difference was statistically significant(P<0.001).CONCLUSION The treatment of three steps and nine methods combined with the addition and subtraction of Shengyu Decoction could effectively improve the function and pain symptoms of cervical vertebra in patients with cervical spondylosis.
作者
刘薇
包莉
杨滢
叶洁
张佳雯
王生宝
LIU Wei;BAO Li;YANG Ying(Shanggang Street Community Health Service Center,Pudong New District,Shanghai,200126,China)
出处
《中国初级卫生保健》
2020年第12期84-86,92,共4页
Chinese Primary Health Care
基金
上海市浦东新区卫生系统优秀社区适宜人才培养项目(PWRs2017-23)
上海市浦东新区卫生系统社区学科带头人培养计划(PWRsd2019-08)
上海市“医苑新星”青年医学人才培养资助计划
上海市中医药特色示范社区卫生服务中心(2018年—2020年)建设[ZY(2018-2020)-JCTS-1002-L04]。
关键词
整颈三步九法
圣愈汤加减
颈椎病
疼痛
颈椎功能
疗效
three steps and nine methods for neck rectification
the addition and subtraction of Shengyu decoction
cervical spondylosis
pain
cervical function
efficacy
