中西医综合治疗难治性神经根型颈椎病120例临床体会  

Clinical Experience of Treating Refactory Nerve Root Cervical Spondylosis by the Combination of TCM and WM

作　　者：田向东[1] 方建国[2] 谢国庆 王庆甫[1] 杜春林[1] 黄沪[1] 李俊海[1] 时宗庭[1] 石鑫超[1] 

机构地区：[1]北京中医药大学第三附属医院,北京100029 [2]北京中医药大学东直门医院,北京100700 [3]北京广济中医医院,北京100029

出　　处：《中国中医基础医学杂志》2013年第8期923-925,共3页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：针刀疗法联合星状神经节阻滞术治疗颈性眩晕作用机制探讨及临床疗效观察(JYBZZ-JS099)

摘　　要：目的:探讨中西医综合疗法治疗难治性神经根型颈椎病的临床疗效。方法:将120例患者随机分为2组,每组60例。对照组采用推拿、牵引、理疗、药物等传统方法治疗,治疗组采用神经阻滞、小针刀、推拿为中西医综合治疗。观察其治疗4周及6月后的临床效果。结果:治疗4周后中西医综合组总有效率96.7%,传统治疗组84.0%,2组比较差异有统计学意义(P<0.05)。中西医综合组治疗6个月后疗效与治疗4周后比较差异无统计学意义,而传统治疗组6个月后疗效较治疗4周后明显降低(P<0.05)。结论:中西医综合治疗难治性神经根型颈椎病效果明显。Objective： To explore the clinical curative effects of combining traditional Chinese and Western medicine in treating refractory nerve root cervical spondylosis. Methods： 120 cases of nerve root type cervical spondylosis patients were divided into two groups of 60 cases for each; one were treated by combining traditional Chinese and Western medicine as treatment group, the other were treated by traditional therapy （bone setting manipulation, drawing, physiotherapy and drug） as matched group. The information of the curative effect by two groups was observed after 4 weeks and 6 months. Result： By 4 weeks after treatment, the effective percentage of two groups are 96. 7% （treatment group） and 84. 0% （ matched group） respectively. 6 months later, the effect in treatment group is the same as that by 4 weeks. But it shows an obviously drop in the matched group （ P 〈 0. 05 ）. Conclusion ： The application of combination of traditional Chinese and Western medicine has distinctly clinical curative effects in treating refractory nerve root type cervical spondylosis.

关 键 词：中西医综合治疗 难治性颈神经根病 小针刀 神经阻滞 手法复位 

分 类 号：R681.55[医药卫生—骨科学]