中药内服联合针刀治疗椎动脉型颈椎病临床观察  

Oral Administration of Chinese Medicine Combined with Acupotomy in the Treatment of Vertebral Artery Type Cervical Spondylosis

作　　者：高叙军 曾欢高 毕殿海 占欢腾 GAO Xujun;ZENG Huan'gao;BI Dianhai;ZHAN Huanteng(Department of Orthopedics and Traumatology,Xinyu Hospital of Traditional Chinese Medicine,Jiangxi Province,Xinyu 338025,China)

机构地区：[1]新余市中医院骨伤科,江西新余338025

出　　处：《中国中医药现代远程教育》2023年第15期98-100,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的探讨中药内服联合针刀治疗椎动脉型颈椎病的临床应用价值。方法应用医学研究观察法,选取新余市中医院骨伤科2019年4月—2021年4月收治的66例椎动脉型颈椎病患者为评定受试样本。根据不同的治疗方式,分为病例数相同的试验组和对照组。对照组为西医对症支持治疗组,试验组为中药内服联合针刀治疗组,临床就2组的治疗情况进行对比分析。结果试验组的总有效率为93.94%(31/33),对照组的总有效率为75.76%(25/33),试验组显著高于对照组,差异有统计学意义(x^(2)=4.242,P=0.039<0.05)。试验组在治疗后的视觉模拟量表(VAS)评分、主观症状评分、颈椎病临床评价量表(CACSS)评分显著优于对照组,差异有统计学意义(P<0.05)。结论中药内服联合针刀治疗椎动脉型颈椎病的临床效果突出,能降低患者疼痛,改善患者的临床症状和预后,可在后续治疗实践中加以推广实施。Objective To explore the clinical value of oral administration of Chinese medicine combined with acupotomy in the treatment of vertebral artery type cervical spondylosis.Methods Using medical research and observation method,66 patients with vertebral artery type cervical spondylosis from April 2019 to April 2021 were selected as the evaluation samples.According to different treatment methods,they were divided into the experimental group and the control group with the same number of cases.The control group was treated with symptomatic support of Western medicine,while the experimental group was treated with oral administration of Chinese medicine combined with acupotomy.The clinical treatment of the two groups was compared and analyzed.Results The total effective rate of the experimental group(93.94%,31/33)was significantly higher than that of the control group(75.76%,25/33)and the difference was statistically significant(x^(2)=4.242,P=0.039<0.05).The experimental group was significantly better than the control group in visual analog scale(VAS)score,subjective symptom score and clinical evaluation scale of cervical spondylosis(CACSS)score after treatment,with the statistically significant differences(P<0.05).Conclusion The clinical effect of oral Chinese medicine combined with acupotomy in the treatment of vertebral artery type cervical spondylosis is outstanding.It can reduce the patients’pain and improve their clinical symptoms and prognosis.It should be promoted and implemented in subsequent treatment practices.

关 键 词：椎动脉型颈椎病 中药内服 针刀疗法 中医药疗法 

分 类 号：R274.9[医药卫生—中西医结合]