本文關(guān)鍵詞： 神經(jīng)根型頸椎病 芪芍通痹膠囊 臨床療效觀察　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】：目的:通過(guò)對(duì)神經(jīng)根型頸椎病患者在服用芪芍通痹膠囊后癥狀的變化以及生活質(zhì)量方面的改善情況觀察,更進(jìn)一步的確定芪芍通痹膠囊對(duì)神經(jīng)根型頸椎病的療效,從而更加系統(tǒng)和全面的分析本藥的作用機(jī)理及其臨床價(jià)值。方法:本次課題研究的對(duì)象全部為2015年11月-2017年1月期間于黑龍江中醫(yī)藥大學(xué)附屬第二醫(yī)院骨科門(mén)診收治的確診為CSR的患者。治療開(kāi)始之前所有患者均經(jīng)過(guò)各項(xiàng)檢查,明確診斷為神經(jīng)根型頸椎病,并在所有患者中挑選出符合納入標(biāo)準(zhǔn)的60例患者,將其隨機(jī)分成AB兩組,使每組中均含有30例患者,其中A組命名為治療組,B組命名為對(duì)照組,A組采用的治療方法為單純口服芪芍通痹膠囊,而B(niǎo)組則應(yīng)用口服根痛平顆粒對(duì)照,經(jīng)過(guò)一個(gè)療程為期30天的嚴(yán)格治療后,觀察相應(yīng)評(píng)定標(biāo)準(zhǔn),并做統(tǒng)計(jì)學(xué)分析。結(jié)果:服用芪芍通痹膠囊的A組有11例患者治愈,有9例患者可以達(dá)到顯效,其中6例患者治療后效果尚可,定為有效,2例患者療效不明顯判定為無(wú)效,其總有效率為92.9%。其治愈率為39.3%;而服用根痛平顆粒治療的B組,達(dá)到治愈級(jí)別的患者為10例,達(dá)到顯效級(jí)別的患者數(shù)量為14例,效果尚可的患者有2例,可判定為有效。另有2例患者經(jīng)治療后效果不明顯,將其判定為無(wú)效,B組的總有效率為92.9%,其治愈率為35.8%。結(jié)論:AB兩組患者分別在臨床癥狀、體征、疼痛級(jí)別等幾個(gè)方面上顯現(xiàn)出了不同的結(jié)果,兩組治療方法對(duì)神經(jīng)根型頸椎病的治療,尤其是改善患者疼痛程度方面,基本取得了一致的效果,但服用芪芍通痹膠囊在改善患者癥狀體征方面的效果更為理想。
[Abstract]:Objective: to observe the changes of symptoms and the improvement of quality of life in patients with cervical spondylopathy of nerve root type after taking Qishaotongbi capsule, and to further determine the curative effect of Qishao Tongbi capsule on cervical spondylosis of nerve root type. Thus more systematic and comprehensive analysis of the mechanism of the drug and its clinical value. Methods: the subjects of this study were from November 2015 to January 2017 in the second affiliated Hospital of Heilongjiang University of traditional Chinese Medicine orthopedic outpatient clinic. All patients who were diagnosed with CSR were examined before treatment began. 60 patients with cervical spondylopathy of nerve root type were selected from all patients and randomly divided into AB group and 30 patients in each group. Group A was named as treatment group, group B was named control group, group A was named as control group, group A was treated with Qishuotongbi capsule alone, while group B was treated with oral root Tongping granule as control, after a course of 30 days of strict treatment. Results: in group A, 11 cases were cured, 9 cases were able to achieve remarkable effect, and 6 cases had good effect after treatment. The total effective rate was 92.9. the cure rate was 39.3%, while in group B, 10 patients were cured and 14 patients were effective. There were 2 cases with good effect, which could be judged as effective, and 2 cases had no obvious effect after treatment. The total effective rate and cure rate of group B were 92.9 and 35.8respectively. Conclusion the two groups of patients have clinical symptoms and signs, respectively. Pain levels and other aspects showed different results. The two groups of treatment methods for the treatment of cervical spondylopathy root type, especially in improving the degree of pain, basically achieved a consistent effect. But taking Qishao Tongbi capsule to improve the symptoms and signs of patients is more effective.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R681.55

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