复方黄连液湿敷配合牵引治疗神经根型颈椎病临床观察  

Clinical Observation on Compound Coptis Liquid Wet Dressing Combined with Traction in the Treatment of Nerve Root Type Cervical Spondylosis

作　　者：蒋顺琬 陈大宇 麦庆春 JIANG Shunwan;CHEN Dayu;MAI Qingchun(The Fourth Clinical Medical School of Guangzhou University of Chinese Medicine / Shenzhen Traditional Chinese Medicine Hospital ,Shenzhen Guangdong China 518030)

机构地区：[1]广州中医药大学第四临床医学院/深圳市中医院,广东深圳518030

出　　处：《中医学报》2018年第4期571-573,615,共4页Acta Chinese Medicine

基　　金：广东省自然科学基金资助项目(7004848)

摘　　要：目的:观察复方黄连液湿敷配合牵引治疗神经根型颈椎病的临床疗效。方法:将160例神经根型颈椎病患者随机分为治疗组和对照组,每组80例。治疗组采用复方黄连液(黄连、黄芩、黄柏、栀子、地榆、大黄、黄芪、冰片)湿敷配合牵引治疗,对照组采用双柏散(侧柏叶、黄柏、大黄、薄荷、泽兰)配合牵引治疗,两组患者均以7 d为1个疗程,2个疗程后比较两组的临床疗效、视觉模拟评分法(visual analogue scale,VAS)评分和中医证候积分情况。结果:治疗组有效率为92.50%,对照组有效率为75.20%,两组比较,差异有统计学意义(P<0.05);两组患者经过治疗后,治疗组VAS评分低于对照组,疼痛的减轻程度高于对照组,差异有统计学意义(P<0.05);治疗后,治疗组中医证候积分低于对照组,差异有统计学意义(P<0.05)。结论:复方黄连液湿敷配合牵引治疗神经根型颈椎病疗效显著,且能改善患者的疼痛症状,提高患者生存质量。Objective： To observe the clinical efficacy of compound Coptis liquid wet dressing combined with traction in the treatment of nerve root type cervical spondylosis. Methods： 160 cases of patients were randomly divided into the treatment group of 80 cases,and the control group of 80 cases. The treatment group was treated with compound Coptis liquid（ composition： Coptis Chinensis,Scutellaria Baicalensis,Cortex Phellodendri,Fructus Gardeniae,Sanguisorba Officinalis,Rheum Officinale,Astragalus,Borneol） wet dressing with traction therapy,and the control group was given Shuangbai San（ composition： Cacumen Biotae,Cortex Phellodendri,Rheum Officinale,Mint,Herba Lycopi） with traction treatment,7 days for a course,at the end of two courses of treatment,the clinical efficacy,visual analogue scale（ VAS） score and TCM syndromes were compared between the two groups. Results： The effective rate of treatment group was 92. 50%,the control group was 75. 20%,and the difference was statistically significant（ P 〈0. 05）; VAS score of treatment group was significantly lower than the control group,alleviation the degree of pain was significantly higher than the control group,with statistical significance the difference（ P〈 0. 05）. After treatment,the improvement of TCM syndrome score of the observation group lower than that of the control group,and the difference was statistically significant（ P〈 0. 05）. Conclusion： Compound Coptis liquid wet dressing combined with traction treatment of nerve root type cervical spondylosis effect is obvious,which can effectively improve the pain of patients,improve the quality of life of patients.

关 键 词：神经根型颈椎病 复方黄连液 牵引疗法 双柏散 视觉模拟评分法 中医药疗法 中西医结合 

分 类 号：R274.981.55[医药卫生—中西医结合]