项痹康方辨证加减热敷联合澳式手法治疗神经根型颈椎病的效果观察  

Observation on the Effect of Xiangbikang Formula and Modified TCM Hot Compress Based on Syndrome Differentiation Combined with Maitland Manipulation in the Treatment of Cervical Spondylotic Radiculopathy

作　　者：范鹏 刘冬银 张学新 王雷[4] 刘伯辉 杨涛 王珊 赵家仪 郭凤红 FAN Peng;LIU Dongyin;ZHANG Xuexin;WANG Lei;LIU Bohui;YANG Tao;WANG Shan;ZHAO Jiayi;GUO Fenghong(Department of Rehabilitation,Qinhuangdao Hospital of Traditional Chinese Medicine,Qinhuangdao,Hebei 066000,China;Department of Intensive Medicine,Qinhuangdao Hospital of Traditional Chinese Medi-cine,Qinhuangdao,Hebei 066000,China;Department of Internal Medicine,Qinhuangdao Hospital of Traditional Chinese Medicine,Qinhuangdao,Hebei 066000,China;Department of Acupuncture and Moxibustion,Qinhuangdao Hospital of Traditional Chinese Medicine,Qinhuangdao,Hebei 066000,China;Department of Science and Education,Qinhuangdao Hospital of Traditional Chinese Medicine,Qinhuangdao,Hebei 066000,China)

机构地区：[1]北京中医药大学东方医院秦皇岛医院(秦皇岛市中医医院)康复科,河北秦皇岛066000 [2]北京中医药大学东方医院秦皇岛医院(秦皇岛市中医医院)重症医学科,河北秦皇岛066000 [3]北京中医药大学东方医院秦皇岛医院(秦皇岛市中医医院)内科,河北秦皇岛066000 [4]北京中医药大学东方医院秦皇岛医院(秦皇岛市中医医院)针灸科,河北秦皇岛066000 [5]北京中医药大学东方医院秦皇岛医院(秦皇岛市中医医院)科教科,河北秦皇岛066000

出　　处：《临床误诊误治》2025年第7期88-92,共5页Clinical Misdiagnosis & Mistherapy

基　　金：河北省中医药管理局科研计划项目(2020371);秦皇岛市科学技术局2019年市级科技计划自筹经费项目(201902A123)。

摘　　要：目的探讨项痹康方辨证加减热敷联合澳式手法治疗神经根型颈椎病(CSR)的效果。方法将2023年4月至2024年3月收治的100例CSR患者作为研究对象,按照信封随机法分为对照组(n=50,行澳式手法治疗)和研究组(n=50,在对照组的基础上联合项痹康方辨证加减热敷治疗)。观察比较2组疗效、不良反应,以及治疗前后中医证候积分、疼痛视觉模拟评分法(VAS)和Northwick Park颈痛量表(NPQ)评分。结果研究组治疗总有效率为94.00%(47/50)比对照组的80.00%(40/50)更高(P<0.05)。2组治疗后各项中医证候积分、疼痛VAS和NPQ评分均较治疗前降低,且研究组比对照组更低(P<0.05)。2组不良反应发生率比较无差异(P>0.05)。结论项痹康方辨证加减热敷联合澳式手法治疗CSR能够提高临床效果,明显减轻患者各项症状及疼痛感,而且生活能力显著改善。Objective To investigate the effect of Xiangbikang formula and modified traditional Chinese medicine(TCM)hot compress based on syndrome differentiation combined with Maitland manipulation in the treatment of cervical spon⁃dylotic radiculopathy(CSR).Methods A total of 100 patients with CSR treated from April 2023 to March 2024 were select⁃ed as the research subjects,ad divided into control group(n=50,treated with Maitland manipulation)and research group(n=50,combined with Xiangbikang formula combined with modified TCM hot compress based on syndrome differentiation)according to envelope randomization method.The curative effects and adverse reactions of the two groups were observed and compared,as well as TCM syndrome scores,visual analogue scale(VAS)pain score and Northwick Park neck pain question⁃naire(NPQ)scores before and after treatment.Results The total effective rate of the research group was 94.00%(47/50),which was higher than that of the control group[80.00%(40/50)](P<0.05).After treatment,the scores of TCM syndrome,VAS pain score and NPQ score in the two groups were lower than those before treatment,and lower in the research group than in the control group(P<0.05).There was no difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Xiangbikang formula and modified TCM hot compress based on syndrome differentiation combined with Maitland manipulation for CSR treatment can improve clinical effect,significantly reduce symptoms and pain of patients,and significantly improve their living ability.

关 键 词：神经根型颈椎病 项痹康方 辨证加减 澳式手法 中医证候积分 疼痛 生活能力 

分 类 号：R687[医药卫生—骨科学]