身痛逐瘀汤联合上肢牵抖治疗神经根型颈椎病(气滞血瘀证)对患者椎-基底动脉血流动力学及颈椎功能的影响  

Effect ofShentong Zhuyu decoction with upper limb distraction combined on vertebrae-basilar hemodynamics and cervical vertebra function of cervical spondylopathy of nerve root type(syndrome of Qizhi Xueyu)

作　　者：杨振 马允 周文俊 YANG Zhen;MAYun;ZHOU Wenjun(Tuina First Department,Wuhu Traditional Chinese Medicine Hospital,Wuhu Anhui 241000,China;Tuina Second Department,Wuhu Traditional Chinese Medicine Hospital,Wuhu Anhui 241000,China)

机构地区：[1]芜湖市中医医院推拿一科,安徽芜湖241000 [2]芜湖市中医医院推拿二科,安徽芜湖241000

出　　处：《四川中医》2024年第6期156-160,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：2022年度芜湖市卫生健康委科研项目(编号:WHWJ2022z014)。

摘　　要：目的:研究身痛逐瘀汤联合上肢牵抖治疗神经根型颈椎病(气滞血瘀证)对患者椎-基底动脉血流动力学及颈椎功能的影响。方法:2021年8月~2023年5月我院收治的神经根型颈椎病患者64例,通过随机数字表法分为对照组(n=32)与试验组(n=32)。对照组予以常规推拿手法治疗,试验组采用身痛逐瘀汤联合上肢牵抖治疗,以10d为1个疗程,两组均治疗3个疗程。比较两组治疗3个疗程后疗效,治疗前、治疗3个疗程后颈椎功能、肌电图、椎-基底动脉血流动力学,治疗期间不良反应发生情况。结果:治疗3个疗程后,试验组总有效率96.88%相较对照组的总有效率75.00%更高(P<0.05)。与治疗前比较,治疗3个疗程后两组视觉模拟评分(VAS)评分、颈椎功能障碍指数(NDI)指数、阻力指数(RI)均降低,且组间比较试验组更低(P<0.05)。与治疗前比较,治疗3个疗程后两组颈椎等长肌力的前屈、后伸、左屈、右屈,F波波幅、F波传导速度、运动神经传导速度(MCV)及感觉神经传导速度(SCV)、收缩期峰值流速(PSV)、血管搏动指数(PI)、峰值平均血流速度(VM)均升高,且组间比较试验组更高(P<0.05)。试验组并发症发生率12.50%,与对照组6.25%比较,差异无统计学意义(P>0.05)。结论:身痛逐瘀汤联合上肢牵抖治疗神经根型颈椎病(气滞血瘀证)疗效确切,可改善颈椎功能,分析与其调节肌电图、椎-基底动脉血流动力学有关,安全性良好。Objective To study the effects of upper limb distraction combined with Shantongzhuyu decoction on vertebrae-basilar hemodynamics and cervical vertebra function in the treatment of cervical radiculopathy(syndrome of Qizhi Xueyu).Methods 64patients with cervical radiculopathy treated in our hospital from August 2021to May 2023were divided into the control group(n=32)and the experimental group(n=32)by random number table method.The control group was treated with conventional massage,and the experimental group was treated with Shentong Zhuyu decoction with upper limb distraction combined for 10d as a course of treatment,both groups were treated with 3courses of treatment.The efficacy after 3courses of treatment,cervical spine function,electromyography,vertebrobasilar hemodynamics before and after 3courses of treatment,and the occurrence of adverse reactions during treatment of the two groups were compared.Results After 3courses of treatment,the total effective rate of 96.88%in experimental group was higher than that of 75.00%in control group(P<0.05).Compared with before treatment,score of visual analogue score(VAS),cervical dysfunction index(NDI)and resistance index(RI)decreased in two groups after 3courses of treatment,and the experimental group was lower(P<0.05).Compared with before treatment,the anterior flexion,posterior extension,left flexion,right flexion,F wave amplitude,F wave conduction velocity,motor nerve conduction velocity(MCV),sensory nerve conduction velocity(SCV),systolic peak velocity(PSV),vascular pulsation index(PI),peak mean blood flow velocity(VM)of cervical vertebrae isometric muscle strength in both groups increased after 3courses of treatment,the experimental group was higher(P<0.05).The complication rate of the experimental group was 12.50%,compared with the control group 6.25%,there was no significant difference(P>0.05).Conclusion The Shentong Zhuyu decoction with upper limb distraction combined had a definite effect in the treatment of cervical spondylopathy of nerve root type(Qizhi Xueyu s

关 键 词：神经根型颈椎病 上肢牵抖 身痛逐瘀汤 颈椎功能 肌电图 椎-基底动脉血流动力学 安全性 

分 类 号：R681.55[医药卫生—骨科学]