中药熏蒸联合小针刀治疗神经根型颈椎病患者的效果  

Effects of traditional Chinese medicine fumigation combined with small needle knife in treatment of patients with cervical spondylotic radiculopathy

作　　者：马会娜 MA Huina(Department of Rehabilitation and Physiotherapy of Pingdingshan Medical Area of 989 Hospital of PLA Joint Logistics Support Force,Pingdingshan 467000 Henan,China)

机构地区：[1]解放军联勤保障部队989医院平顶山医疗区康复理疗科,河南平顶山467000

出　　处：《中国民康医学》2024年第15期145-148,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察中药熏蒸联合小针刀治疗神经根型颈椎病患者的效果。方法:选取2021年8月至2022年6月该院收治的90例神经根型颈椎病患者进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各45例。对照组采用小针刀治疗,研究组在对照组基础上联合中药熏蒸治疗。比较两组临床疗效,治疗前后颈椎功能[颈椎病临床评价量表(CASCS)]、疼痛程度[视觉模拟评分法(VAS)]、颈椎活动度、症状改善时间,以及不良反应发生率。结果:研究组治疗总有效率为88.89%(40/45),高于对照组的71.11%(32/45),差异有统计学意义(P<0.05);治疗后,研究组VAS评分低于对照组,CASCS评分高于对照组,颈椎前屈、后伸、左旋、右旋、左侧屈、右侧屈角度均大于对照组,疼痛消失时间、肢体麻木消失时间和握力恢复时间均短于对照组,差异有统计学意义(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:中药熏蒸联合小针刀治疗神经根型颈椎病患者效果显著,能够加快症状消失,减轻疼痛程度,增大颈椎活动度,提高颈椎功能,效果优于单用小针刀治疗。Objective:To observe effects of traditional Chinese medicine fumigation combined with small needle knife in treatment of patients with cervical spondylotic radiculopathy.Methods:A prospective study was conducted on 90 patients with cervical spondylotic radiculopathy admitted to this hospital from August 2021 to June 2022.According to the random number table method,they were divided into study group and control group.45 cases each.The control group was treated with small needle knife,while the study group was treated with traditional Chinese medicine fumigation on the basis of that of the control group.The clinical efficacy,the cervical function[clinical assessment scale for cervical spondylosis(CASCS)],the pain degree[visual analogue scale(VAS)],the cervical range of motion,and the symptom improvement time before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the study group was 88.89%(40/45),which was higher than 71.11%(32/45)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the VAS score of the study group was lower than that of the control group;the CASCS score was higher than that of the control group;the angles of cervical anteflexion,posterior extension,left rotation,right rotation,leftflexion and rightflexion were larger than those of the control group;the pain disappearance time,the limb numbness disappearance time and the grip strength recovery time were shorter than those in the control group;and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Traditional Chinese medicine fumigation combined with small needle knife is effective in the treatment of the patients with cervical spondylotic radiculopathy.It can accelerate the disappearance of symptoms,reduce the pain degree,increase the cervical range of motion and improve the cervical function

关 键 词：中药熏蒸 小针刀 神经根型 颈椎病 颈椎活动度 

分 类 号：R274.9[医药卫生—中西医结合]