摘要
目的 探讨从厥阴经辨证应用当归四逆加吴茱萸生姜汤加味治疗混合型颈椎病(CS)的临床效果。方法 采用随机数字表法将2021年1月—2023年12月在本院就诊的50例混合型CS患者分为两组,每组25例。其中,对照组采用常规治疗,治疗组在对照组基础上从厥阴经辨证应用当归四逆加吴茱萸生姜汤加味治疗,两组均连续治疗4周。对比两组临床疗效、颈椎活动受限程度、疼痛程度、治疗满意程度、颈椎活动度和不良反应。结果 治疗组治疗总有效率较对照组高(P<0.05);治疗组治疗后颈痛量表(NPQ)各项评分及视觉模拟评分(VAS)较对照组低,田中靖久症状量表20分法各项评分及颈椎活动度较对照组高(P<0.05)。两组未见明显不良反应。结论 从厥阴经辨证应用当归四逆加吴茱萸生姜汤加味治疗混合型CS具有良好的效果,利于减轻患者疼痛及颈部受限程度,获得令人满意的治疗效果,值得推广。
Objective To explore clinical effect of modified angelica cold limbs combined with evodia rutaecarpa ginger decoction based on differentiation of symptoms and signs in Jueyin meridian for mixed cervical spondylosis(CS).Methods The paper divided 50 mixed type CS patients in our hospital from January 2021 to December 2023 into two groups with random number table method,with 25 cases in each group.Control group was treated with routine treatment,while treatment group with angelica cold limbs combined with evodia rutaecarpa ginger decoction based on symptoms differentiation of Jueyin meridian.Both groups were treated continuously for 4 weeks.Clinical effect,degree of cervical mobility limitation,pain level,treatment satisfaction degree,cervical mobility,and adverse reactions were compared between two groups.Results Total effective rate of treatment group was higher than control group(P<0.05).Treatment group had lower scores on Neck Pain Questionnaire(NPQ) and Visual Analog Scale(VAS) than control group,while Tanaka Yasuhisa Symptom Scale 20 point method had higher scores and cervical range of motion than control group(P< 0.05),No significant adverse reactions were observed in both groups.Conclusion Angelica cold limbs combined with evodia rutaecarpa ginger decoction based on differentiation of symptoms and signs in Jueyin meridian can achieve good effect for mixed CS,can help reduce pain and neck limitation of patients,achieve satisfactory treatment effect,which is worthy of promotion.
作者
张淑淋
王楷
张琪
ZHANG Shulin;WANG Kai;ZHANG Qi(Chaozhou City Xiangqiao District People's Hospital,Chaozhou,Guangdong,521000)
出处
《智慧健康》
2024年第7期121-125,共5页
Smart Healthcare
基金
潮州市卫生健康局科研项目《从厥阴经辨证应用当归四逆加吴茱萸生姜汤加味治疗混合型颈椎病》(项目编号:2021054号)。
关键词
混合型颈椎病
厥阴经辨证
当归四逆
吴茱萸生姜汤
Mixed cervical spondylosis
Syndrome differentiation of Jueyin meridian
Angelica cold limbs
Evodia rutaecarpa ginger decoction
