颈痛方联合温针灸治疗神经根型颈椎病寒湿痹阻证临床研究
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R681.5

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Clinical Study on Jingtong Prescription Combined with Warming-Needle Moxibustion for Cervical Spondylotic Radiculopathy with Cold-Dampness Obstruction Syndrome
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    摘要:

    目的:观察颈痛方联合温针灸治疗神经根型颈椎病寒湿痹阻证的临床疗效。方法:选取100 例神经根型颈椎病寒湿痹阻证患者,按随机数字表法分为试验组和对照组,每组50 例。对照组给予20%甘露醇联合美洛昔康片治疗,试验组在对照组基础上给予颈痛方联合温针灸治疗。比较2 组Northwick Park 颈痛量表(NPQ)、颈椎功能障碍指数(NDI)、匹兹堡睡眠质量指数(PSQI)、健康调查简表(SF-36) 评分及症状积分。结果:治疗3 d、7 d、14 d,2 组NPQ 评分均较治疗前降低(P<0.05),试验组NPQ 评分均低于同期对照组(P<0.05)。治疗后,2 组症状积分及NDI 评分均较治疗前降低(P<0.05),试验组症状积分及NDI 评分均低于对照组(P<0.05)。治疗后,2 组PSQI 评分均较治疗前降低(P<0.05),试验组PSQI 评分低于对照组(P<0.05);2 组SF-36 评分均较治疗前升高(P<0.05),试验组SF-36 评分高于对照组(P<0.05)。结论:颈痛方联合温针灸治疗神经根型颈椎病寒湿痹阻证,可有效缓解患者颈椎疼痛,改善颈椎功能,提高睡眠质量及生活质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Jingtong prescription combined with warmingneedle moxibustion for cervical spondylotic radiculopathy with cold-dampness obstruction syndrome. Methods : A total of 100 cases of patients with cervical spondylotic radiculopathy with cold-dampness obstruction syndrome were selected and divided into the experiment group and the control group according to the random number table method,with 50 cases in each group. The control group was treated with 20% mannitol combined with meloxicam tablets, and the experiment group was additionally treated with Jingtong prescription combined with warming- needle moxibustion based on the treatment of the control group. The scores of Northwick Park Neck Pain Questionnaire(NPQ),neck disability index(NDI),Pittsburgh Sleep Quality Index(PSQI) and 36-Item Short Form Health Survey(SF-36) as well as the symptom scores in the two groups were compared. Results:After 3,7 and 14 days of treatment,the NPQ scores in the two groups were decreased when compared with those before treatment(P<0.05),and the NPQ scores in the experiment group were lower than those in the control group at the same time period(P<0.05). After treatment,the symptom scores and NDI scores in the two groups were decreased when compared with those before treatment(P<0.05), and the symptom score and NDI score in the experiment group were lower than those in the control group(P<0.05). After treatment,the PSQI scores in the two groups were decreased when compared with those before treatment(P<0.05), and the PSQI score in the experiment group was lower than that in the control group(P<0.05); the SF- 36 scores in the two groups were increased when compared with those before treatment(P<0.05),and the SF- 36 score in the experiment group was higher than that in the control group(P<0.05). Conclusion:Jingtong prescription combined with warming-needle moxibustion for cervical spondylotic radiculopathy with cold-dampness obstruction syndrome can effectively relieve cervical vertebrae pain and improve cervical spine function,sleep quality and quality of life.

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张占伟,胡亚东,李文侠.颈痛方联合温针灸治疗神经根型颈椎病寒湿痹阻证临床研究[J].新中医,2022,54(20):95-98

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  • 在线发布日期: 2022-10-28
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