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颈椎2号方合颈椎介入治疗神经根型颈椎病的临床观察
引用本文:常峥,刘志军,夏锴.颈椎2号方合颈椎介入治疗神经根型颈椎病的临床观察[J].湖南中医药大学学报,2014,34(10):46-49.
作者姓名:常峥  刘志军  夏锴
作者单位:常德市第一中医医院,湖南常德,415000
摘    要:目的 观察颈椎2号方合颈椎介入治疗神经根型颈椎病(肝肾不足,痰瘀阻络证)患者的临床疗效.方法 将57例患者随机分为观察组29例,对照组28例.观察组患者行介入治疗后口服颈椎2号方;对照组患者单纯介入治疗.分别在治疗前、治疗后3d、2周、3个月、1年随访时对患者的颈肩臂痛进行VAS评分,采用颈椎JOA 20分法对患者治疗前及末次随访时的情况进行评分,对患者进行治疗前及1年随访时的颈椎功能障碍指数调查问卷.结果 两组患者术后颈肩臂痛显著缓解,术后3d、2周、3个月VAS评分两组差异无统计学意义(P>0.05),1年随访时,观察组VAS评分低于对照组,差异有统计学意义(P<0.01);JOA 20分法评价中,观察组疗效优于对照组(P<0.05);而两组患者颈椎功能障碍组间差异无统计学意义(P>0.05).两组均无不良反应发生.结论 颈椎2号方结合颈椎介入治疗神经根型颈椎病(肝肾不足,痰瘀阻络证)疗效确切.

关 键 词:神经根型颈椎病  颈椎2号方  颈椎介入  臭氧  胶原酶  临床观察

Clinical Observation of Jingzhui Erhao Decoction Combined with Cervical Intervention on Treating Cervical Spondylosis
CHANG Zheng,LIU Zhijun,XIA Kai.Clinical Observation of Jingzhui Erhao Decoction Combined with Cervical Intervention on Treating Cervical Spondylosis[J].Journal of Traditional Chinese Medicine University of Hunan,2014,34(10):46-49.
Authors:CHANG Zheng  LIU Zhijun  XIA Kai
Institution:(The First TCM Hospital of Changde, Changde, Hunan 415000, China)
Abstract:Objective The clinical effect of cervical intervention combined with taking orally Jingzhui Erhao Decoction on treating cervical radiculopathy (syndromes of deficiency of liver and kidney, andphlegm and blood stasis obstruct collaterals). Metheds 57 patients were randomly divided into the observation group-29 cases and the control group-28 cases. Patients in the treatment group treated with cervical intervention were given in an oral Jingzhui Erhao Decoction, while the patients in the control group were only treated with cervical intervention alone. The VAS scores were measured for the neck-shoulder-upper limb pain of followed postoperative patients after 3 days, 2 weeks, 3 months, 1 year. JOA 20 method was adopted to evaluate the condition of patients before treatment and at the latest follow-up and NDI questionnaire before treatment and during 1-year follow-up period. Results Pain in both groups were relieved promptly andremarkably, the differences of VAS score between two groups were not significant statistically at the follow-up point of 3 days, 2 weeks and 3 months (P〉0.05). But 1 year postoperative the VAS score of the observation group was lower than the control group, the difference was significant statistically (P〉0.01). In JOA 20 score, the effect of the observation group was better than the control (P〉0.05). In the NDI questionnaire, the difference between two groups was not significant statistically (P〉0.05). No adverse reactions were observed in both groups. Conclusion The procedure of cervical intervention with taking orally Jingzhui Erhao decoction combined with cervical intervention in treating cervical radiculopathy (deficiency of liver and kidney, and phlegm and blood stasis obstruct collaterals) showed obvious treatment effect.
Keywords:nerve root type cervical spondylosis  Jingzhui Erhao decoction  cervical intervention  ozone  collagenase  clinical observation
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