神经根型颈椎病患者应用正清风痛宁注射液行颈部椎旁注射治疗的效果  

Effect of Zhengqing Fengtongning Injection on Cervical Paravertebral Injection in Patients with Cervical Spondylotic Radiculopathy

作　　者：甘贤斌 郭景华 罗毅卿 江崛 陈青 GAN Xianbin;GUO Jinghua;LUO Yiqing;JIANG Jue;CHEN Qing(Department of Traditional Chinese Medicine,the Third Affiliated Hospital of Gannan Medical College,Ganzhou 341000,China;不详)

机构地区：[1]赣南医学院第三附属医院中医科,江西赣州341000 [2]江西省中西医结合医院康复科,江西南昌330002

出　　处：《中国医学创新》2024年第1期102-105,共4页Medical Innovation of China

基　　金：赣州市指导性科技计划项目(GZ2020ZSF108)。

摘　　要：目的:研究神经根型颈椎病患者用正清风痛宁注射液行颈部椎旁注射治疗的效果。方法:以随机数字表法将2019年12月—2021年1月赣南医学院第三附属医院收治的96例神经根型颈椎病患者分为对照组(48例)和治疗组(48例)。对照组以颈椎牵引进行治疗,治疗组以正清风痛宁注射液行颈部椎旁注射治疗,两组均持续治疗4周。比较两组治疗后临床疗效,治疗前及治疗1~4周症状量表评分,治疗前后疼痛程度及治疗期间不良反应发生情况。结果:治疗组总有效率为87.50%高于对照组的70.83%(P<0.05)。治疗1~4周两组每周的症状量表评分均较治疗前升高,且治疗组评分均较对照组高,差异均有统计学意义(P<0.05)。治疗4周后,两组McGil疼痛问卷中的视觉模拟评分法(VAS)、疼痛分级指数(PRI)、现有疼痛强度(PPI)评分均比治疗前低,且治疗组上述评分均比对照组低,差异均有统计学意义(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:神经根型颈椎病患者应用正清风痛宁注射液行颈部椎旁注射能有效改善临床症状,疗效更佳,降低疼痛程度,且安全性良好。Objective:To investigate the effect of Zhengqing Fengtongning Injection on cervical paravertebral injection in patients with cervical spondylotic radiculopathy.Method:A total of 96 patients with cervical spondylotic radiculopathy admitted to the Third Affiliated Hospital of Gannan Medical from December 2019 and January 2021 were divided into the control group(48 cases)and the treatment group(48 cases)by the random number table method.The control group was treated with cervical traction,and the treatment group was treated with Zhengqing Fengtongning Injection on cervical paravertebral injection.Both groups were treated for 4 weeks.The clinical efficacy after treatment,symptom scale scores before treatment and 1-4 weeks of treatment,degree of pain before and after treatment,and adverse reactions during treatment were compared between the two groups.Result:The total effective rate of the treatment group was 87.50%,which was higher than 70.83%of the control group(P<0.05).After 1-4 weeks of treatment,the weekly symptom scale scores of the two groups were higher than those before treatment,and the scores of the treatment group were higher than those of the control group,the differences were statistically significant(P<0.05).After 4 weeks of treatment,the visual analogue scale(VAS),pain rating index(PRI)and present pain intensity(PPI)scores of McGil pain questionnaire in the two groups were lower than those before treatment,the above scores in the treatment group were lower than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Zhengqing Fengtongning Injection on cervical paravertebral injection in patients with cervical spondylotic radiculopathy can effectively improve the clinical symptoms,has better efficacy,reduces the degree of pain,and has good safety.

关 键 词：神经根型颈椎病 颈部椎旁注射 正清风痛宁注射液 临床症状 疼痛程度 

分 类 号：R274.9[医药卫生—中西医结合]