温经通络药枕联合牵引治疗神经根型颈椎病的临床研究分析 临床医学专业VIP免费

温经通络药枕联合牵引治疗神经根型颈椎病的临床研究ClinicalResearchontheTreatmentofCervicalSpondyloticRadiculo-pathybyWarmingandActivatingMeridianChineseMedicinePillowwithTractionTherapy中文摘要目的：本课题拟将自制温经通络药枕联合牵引与单纯使用颈椎牵引疗法治疗神经根型颈椎病进行临床治疗效果的观察及对比，验证温经通络药枕对神经根型颈椎病治疗的临床疗效，为患者提供一种方便快捷、价格低廉、安全有效的治疗方法。方法：①收集并整理神经根型颈椎病临床治疗方法的文献资料，并对该资料进行分析总结。②选取2017年1月至2017年10月期间江西中医药大学附属医院骨科神经根型颈椎病患者作为研究对象，将符合纳入标准的60例神经根型颈椎病患者，随机分为治疗组及对照组两组，每组各30例患者。治疗组选用自制温经通络药枕联合牵引治疗，对照组单纯使用颈椎牵引疗法治疗。两组治疗疗程均为2周。两组患者在开始治疗前、治疗结束时（2周）及治疗结束后3个月分别进行指标观察。最后利用SPSS17.0软件包进行数据处理，得出研究结果。结果：①治疗结束时，治疗组30例病人中，共有12例患者治愈，11例患者显效，6例患者有效，1例患者无效；对照组30例病人中，共有5例患者治愈，11例患者显效，10例患者有效，4例患者无效。治疗组有效率为96.7%，对照组有效率为90%，经t检验P<0.05，具有显著性差异，说明温经通络药枕联合牵引比单纯使用牵引疗法疗效更优。②治疗后3个月，治疗组与对照组NDI评分及临床症状体征改善情况比较有显著性差异（P<0.05），说明温经通络药枕联合牵引比单纯使用牵引疗法具有更好的远期疗效。结论：药枕联合牵引治疗神经根型颈椎病安全有效，具有良好的近期和远期疗效，能显著改善和缓解神经根型颈椎病的临床症状及体征；同时，中药外治法还避免了口服西药带来的毒副作用。此法方便简单、经济实惠，患者乐于接受，治疗依从性高，可以在临床上大力推广应用。关键词：药枕；牵引；神经根型颈椎病；治疗；临床研究ClinicalResearchontheTreatmentofCervicalSpondyloticRadiculopathybyWarmingandActivatingMeridianChineseMedicinePillowwithTractionTherapy[Author]WuQiangDirectedby：WangLi[Abstract]Objective:ThispaperwillbemadewarmingandactivatingmeridianChinesemedicinepillowcombinedwithtractionandsimpletractiontreatmentofnerveroottypecervicalspondylosisclinicalcurativeeffectobservation,comparison,clinicalverificationwarmingandactivatingmeridianChinesemedicinepillowfortreatingcervicalspondyloticradiculopathy,toprovideconvenient,economicalandeffectivemethodforthetreatmentofpatients.Methods:①Theliteratureoftheclinicaltreatmentofcervicalspondyloticradicularspondylosiswascollectedandarrangedintheearlystage,andthedatawereanalyzedandsummarized.②FromJanuary2017toOctober2017,patientswithcervicalspondyloticradiculardiseaseinDepartmentoforthopedicsaffiliatedtoJiangxiUniversityoftraditionalChinesemedicinewereselectedassubjects.60patientswhomettheinclusioncriteriawererandomlydividedintotreatmentgroupandcontrolgroup,twocases,30casesineachgroup.Thetreatmentgroupusedpillowcombinedwithtractiontherapy,thecontrolgroupusedtractiontherapy.Thetwogroupsweretreatedfor2weeks.Thetwogroupswereobservedbeforethebeginningoftreatment,attheendofthetreatment(2weeks)and3monthsaftertheendofthetreatment.Atlast,dataprocessingiscarriedoutbySPSS17.0softwarepackage,andtheresultsareobtained.Results:①Attheendofthetreatment,30casesintheobservationgroupwerecured,12caseswerecured,11casesweremarkedlyeffective,6caseswereeffective,1caseswereinvalid,30casesinthecontrolgroupwerecured,5caseswereeffective,11caseswereeffective,10caseswereeffective,and4caseswereinvalid.Theobservationgroupwas96.7%,thecontrolgroupwas90%,byttestP<0.05,withsignificantdifferences,...