本文選題：風寒濕型 + 神經(jīng)根型頸椎病　； 參考：《華北理工大學(xué)》2016年碩士論文

【摘要】：目的觀察桂枝加術(shù)附湯加減治療風寒濕型神經(jīng)根型頸椎病的治療效果。方法篩選符合納入條件的風寒濕型神經(jīng)根型頸椎病患者,隨機分為治療組和對照組。治療組給予桂枝加術(shù)附湯加減治療,每日2次,飯后服用;對照組按說明給予根痛平顆粒治療。治療組和對照組均治療14天。兩組患者在治療前與治療后均填寫患者信息調(diào)查表、頸椎病癥狀量表和舌象評分表。采用統(tǒng)計學(xué)方法統(tǒng)計分析資料數(shù)據(jù),比較治療效果。結(jié)果用藥前后組內(nèi)比較,在頸椎活動度、疼痛麻木程度、疼痛持續(xù)時間、疼痛頻數(shù)、舌象、椎間孔擠壓試驗、工作和生活能力、總體狀況評分方面與用藥前相比兩組均有顯著差異(P㩳0.05)。治療組用藥后各項評分均優(yōu)于用藥前。對照組用藥后舌象評分劣于用藥前,其余各項評分均優(yōu)于用藥前。用藥后兩組間比較,治療組在頸椎活動度、疼痛麻木程度、疼痛持續(xù)時間、疼痛頻數(shù)、舌象、椎間孔擠壓試驗、工作和生活能力、總體狀況方面與對照組均存在明顯差異(P㩳0.05),且各項評分明顯優(yōu)于對照組。治療組總有效率86.7%,對照組總有效率53.3%,兩組總有效率存在明顯差異(P㩳0.05),治療組總有效率明顯優(yōu)于對照組。治療組臨床改善率與患者舌體肥大程度成正相關(guān)。結(jié)論桂枝加術(shù)附湯加減治療風寒濕型神經(jīng)根型頸椎病在改善患者頸椎活動度、疼痛麻木程度、疼痛持續(xù)時間、疼痛頻數(shù)、舌象、椎間孔擠壓試驗、工作和生活能力、總體狀況方面均有效,對體內(nèi)水濕明顯者具有更好的療效,與根痛平顆粒相比,具有更好的臨床效果,且無不良反應(yīng)。
[Abstract]:Objective to observe the therapeutic effect of Guizhi plus Shu Fu decoction on cervical spondylosis of nerve root type of wind-cold and dampness type. Methods the patients with rheumatic, cold and wet nerve root type cervical spondylosis were selected and randomly divided into treatment group and control group. The treatment group was treated with Guizhi plus Shu Fu decoction, twice a day, after meals, while the control group was treated with root Tongping granule according to the instructions. The treatment group and control group were treated for 14 days. Before and after treatment, the two groups completed the information questionnaire, the cervical spondylopathy symptom scale and the tongue image scale. Statistical method was used to analyze the data and compare the therapeutic effect. Results before and after treatment, the cervical motion, pain numbness, pain duration, frequency of pain, tongue picture, intervertebral foramen extrusion test, work and life ability were compared. There was significant difference between the two groups in general status score and that before treatment. The scores in the treatment group were better than before. In the control group, the tongue score was worse than before, and the other scores were better than before. After treatment, the treatment group was compared in cervical motion, pain numbness, pain duration, pain frequency, tongue picture, intervertebral foramen extrusion test, work and life ability. There were significant differences between the general status and the control group, and the scores were obviously superior to those of the control group. The total effective rate of the treatment group was 86.7, the total effective rate of the control group was 53.3, and the total effective rate of the two groups was significantly different. The total effective rate of the treatment group was obviously better than that of the control group. The clinical improvement rate in the treatment group was positively correlated with the degree of tongue body hypertrophy. Conclusion the treatment of cervical spondylopathy with rheumatic and wet nerve root type with Guizhi plus Shu Fu Tang can improve the cervical movement, numbness of pain, duration of pain, frequency of pain, tongue picture, compression test of intervertebral foramen, work and life ability. All of them were effective in the whole situation, and had better curative effect on those with obvious water dampness in vivo. Compared with root Tongping granule, it had better clinical effect and no adverse reaction.
【學(xué)位授予單位】：華北理工大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R274.9

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