中药封包联合颈椎操治疗神经根型颈椎病的效果及对颈椎活动度、疼痛情况的影响  

Effect of Traditional Chinese Medicine Package Combined with Cervical Exercise in Treatment of Cervical Spondylotic Radiculopathy and Influence on Cervical Range of Motion and Pain

作　　者：朱晓闪 宋鸿 朱桂平 ZHU Xiaoshan;SONG Hong;ZHU Guiping(Suzhou Hospital Affiliated to Anhui Medical University,Suzhou 234000,Anhui,China)

机构地区：[1]安徽医科大学附属宿州医院,安徽宿州234000

出　　处：《辽宁中医杂志》2025年第4期142-145,共4页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的探究中药封包联合颈椎操治疗神经根型颈椎病的效果及对颈椎活动度、疼痛情况的影响。方法选取2022年1月—2023年5月于安徽医科大学附属宿州医院诊治的神经根型颈椎病患者61例,采用随机数字表法分为对照组30例和观察组31例。对照组采用常规颈椎牵引治疗,观察组在对照组治疗的基础上予以颈椎操和中药封包辅助治疗。评估两组疗效,对比治疗前后治疗效果、颈椎活动度、疼痛情况及不良反应。结果观察组有效率96.77%,高于对照组的80.00%,差异有统计学意义(P<0.05);经治疗后,观察组各方向的颈椎活动度明显高于比对照组,差异均有统计学意义(P<0.05)。在治疗后7 d和15 d后,观察组疼痛评分分别为(4.01±0.64)分、(2.49±0.74)分,明显低于对照组(4.72±0.90)分、(4.39±1.08)分,差异有统计学意义(P<0.05)。观察组不良反应发生率较低,仅为6.45%。结论中药封包联合颈椎操治疗神经根型颈椎病可以提高治疗效果,有效提高颈椎活动度,降低患者疼痛感,且安全可靠,具有推荐价值。Objective To investigate the effect of traditional Chinese medicine package combined with cervical exercise in the treatment of cervical spondylotic radiculopathy(CSR)and the influence on cervical range of motion and pain.Methods A total of 61 patients with CSR who were treated at Suzhou Hospital,Affiliated Hospital of Anhui Medical University from January 2022 to March 2023 were selected,and divided into the control group(30 cases)and the observation group(31 cases)by random number table method.The control group was treated with conventional cervical traction,while the observation group was treated with cervical exercise and traditional Chinese medicine package as adjuvant treatment on the basis of the treatment of control group.The efficacy in the two groups was evaluated.The rapeutic effects,cervical range of motion,pain and adverse reactions were compared between the groups.Results The effective rate in the observation group was 96.77%,higher than 80.00%in the control group(P<0.05).After treatment,the cervical range of motion in all directionswas significantly larger than that of the control group(P<0.05).After 7 d and 15 dof treatment,the pain scores of the observation group[(4.01±0.64)points and(2.49±0.74)points]were significantly lower than those of the control group[(4.72±0.90)points and(4.39±1.08)points](P<0.05).The incidence of adverse reactions in the observation group(6.45%)was relatively low.Conclusion Traditional Chinese medicine package combined with cervical exercisecan improve the therapeutic effects on CSR,effectively improve the cervical range of motionand reduce thepain.It is safe and reliable.

关 键 词：中药封包 颈椎操 神经根型颈椎病 颈椎活动度 疼痛感 

分 类 号：R274[医药卫生—中医骨伤科学]