【摘要】：目的:觀察“根痛飲”膏方配合頸椎牽引治療神經(jīng)根型頸椎病的確切療效并且是否能減少患者消化道不良反應(yīng)的發(fā)生,同時(shí)探究其治療神經(jīng)根型頸椎病的作用機(jī)制。方法:將確診為神經(jīng)根型頸椎病的50例患者隨機(jī)分到觀察組與對(duì)照組,每組25例。觀察組予口服“根痛飲”膏方配合頸椎牽引,對(duì)照組予口服雙氯芬酸鈉雙釋放腸溶膠囊配合頸椎牽引,治療14天。將未完成完整治療療程而中途退出的1例、未按照規(guī)定方案治療的2例予以剔除,最后得到符合本次課題研究要求的47例。其中觀察組24例,對(duì)照組23例。記錄兩組病例治療前、治療后、治療結(jié)束后2周VAS評(píng)分、20分量表評(píng)分、NDI評(píng)分、臨床總體療效及兩組病例在治療期間出現(xiàn)的消化道不良反應(yīng)情況,數(shù)據(jù)采用SPSS 22.0統(tǒng)計(jì)學(xué)軟件進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果:對(duì)兩組內(nèi)病例治療前與治療后、治療結(jié)束后2周的VAS評(píng)分、20分量化表評(píng)分、NDI評(píng)分結(jié)果進(jìn)行比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05);對(duì)兩組間病例總體療效、VAS評(píng)分、20分量化表評(píng)分、NDI評(píng)分結(jié)果進(jìn)行比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);對(duì)兩組間治療期間消化道不良反應(yīng)發(fā)生率進(jìn)行比較,觀察組治療期間消化道不良反應(yīng)發(fā)生率低于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:兩種聯(lián)合療法均能有效改善患者病情,具有良好療效;觀察組治療期間消化道不良反應(yīng)發(fā)生率低于對(duì)照組;口服中藥“根痛飲”膏方配合頸椎枕頜帶牽引對(duì)神經(jīng)根型頸椎病患者有顯著的療效,消化道不良反應(yīng)少,易于被患者所接受,此聯(lián)合療法可廣泛應(yīng)用于臨床。
[Abstract]:Objective: to observe the effect of root cervical spondylopathy treated by "root Tongyin" ointment and cervical traction, and whether it can reduce the occurrence of adverse reactions in digestive tract, and to explore the mechanism of treatment of cervical spondylosis of nerve root type. Methods: 50 patients with cervical spondylopathy of nerve root type were randomly divided into observation group and control group with 25 cases in each group. The observation group was treated with "root Tongyin" ointment combined with cervical traction, and the control group with diclofenac sodium double release enteric capsule combined with cervical traction for 14 days. One case who had not completed the complete course of treatment and one case who had quit halfway through the course of treatment, and 2 cases who had not been treated in accordance with the prescribed scheme, were eliminated. Finally, 47 cases which met the requirements of this study were obtained. There were 24 cases in the observation group and 23 cases in the control group. The VAS score, 20 points scale score, NDI score, the total clinical efficacy and the adverse reactions of digestive tract in the two groups were recorded before, after and after treatment. The data were analyzed by SPSS 22. 0 statistical software. Results: two groups of patients before and after treatment, 2 weeks after the treatment of VAS score, 20 quantitative table score, NDI score results were compared, the difference was statistically significant (P0.05); There was no significant difference between the two groups in the overall curative effect, VAS score, 20-point quantification table score and NDI score (P0.05). The incidence of gastrointestinal adverse reactions in the observation group was lower than that in the control group (P0.05). Conclusion: both two kinds of combination therapy can effectively improve the patient's condition and have good curative effect, the incidence of adverse reactions of digestive tract in the observation group is lower than that in the control group. The oral Chinese medicine "root pain drink" ointment combined with cervical vertebra occipitomaxillary traction has remarkable curative effect on patients with cervical spondylosis of nerve root type. The adverse reactions of digestive tract are few and easy to be accepted by patients. This combination therapy can be widely used in clinic.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R274.9

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