中西医结合保守治疗在颈椎病中的应用分析  

Application Analysis of Conservative Treatment of Integrated Traditional Chinese and Western Medicine in Cervical Spondylosis

作　　者：赵君虎 何维俊 ZHAO Junhu;HE Weijun(Department of Orthopedics and Traumatology,Lanzhou Petrochemical General Hospital,Lanzhou 730060,Gansu,China)

机构地区：[1]兰州石化总医院骨伤科,甘肃兰州730060

出　　处：《世界复合医学(中英文)》2024年第10期44-47,60,共5页World Journal of Complex Medicine

摘　　要：目的 探讨中西医结合保守治疗在颈椎病治疗中的应用效果。方法 选取2020年6月—2023年12月兰州石化总医院收治的80例颈椎病患者为研究对象,按照治疗方法不同分为观察组和对照组,各40例。对照组给予西药(双氯芬酸钠缓释胶囊)联合针灸治疗,观察组在对照组基础上增加理疗治疗。对比两组颈椎功能、颈椎前屈活动度、椎动脉血流速度及血流阻力指数指标水平。结果 治疗后,与治疗前相比,两组颈椎病临床评价量表评分与颈椎前屈活动度均提高,且观察组高于对照组,差异有统计学意义(P均<0.05)。治疗后,与治疗前相比,两组收缩期峰值流速、舒张末期流速均提高,且观察组高于对照组,差异有统计学意义(P均<0.05)。治疗后,观察组阻力指数为0.58±0.04,低于对照组的0.62±0.06,差异有统计学意义(P<0.05)。结论 中西医结合保守治疗在颈椎病治疗中具有明显优势,能够有效提高患者的颈椎功能和前屈活动度,改善椎动脉血流速度,降低血流阻力指数,促进患者健康恢复。Objective To explore the application effect of conservative treatment of integrated traditional Chinese and Western medicine in the treatment of cervical spondylosis.Methods A total of 80 patients with cervical spondylosis admitted to Lanzhou Petrochemical General Hospital from June 2020 to December 2023 were selected as the research objects.According to different treatment methods,the patients were divided into observation group and control group,with 40 cases in each group.The control group was treated with Western medicine(diclofenac sodium sustained-release capsules) combined with acupuncture,and the observation group was treated with physiotherapy on the basis of the control group.The cervical spine function,cervical flexion activity,vertebral artery blood flow velocity and blood flow resistance index were compared between the two groups.Results After treatment,compared with before treatment,the scores of Clinical Assessment Scale for Cervical Spondylosis and cervical flexion activity of the two groups increased,and those in the observation group were higher than the control group,and the differences were statistically significant(all P<0.05).After treatment,the peak systolic velocity and end-diastolic velocity of the two groups were higher than those before treatment,the observation group was higher than the control group,and the differences were statistically significant(all P<0.05).After treatment,the resistance index of the observation group was 0.58±0.04,which was lower than 0.62±0.06 of the control group,and the difference was statistically significant(P<0.05).Conclusion Conservative treatment of integrated traditional Chinese and Western medicine has obvious advantages in the treatment of cervical spondylosis.It can effectively improve the cervical spine function and flexion activity of patients,improve the blood flow velocity of vertebral artery,reduce the blood flow resistance index,and promote the healthy recovery of patients.

关 键 词：中西医治疗 保守治疗 颈椎病 颈椎功能 

分 类 号：R681.5[医药卫生—骨科学]