摘要
目的探讨中医骨伤手法联合中药内服治疗椎动脉型颈椎病的效果。方法选择2018年7月—2019年7月进行治疗的椎动脉型颈椎病患者96例,采用随机数字表法分为对照组和观察组,每组48例。对照组患者采用中药内服进行治疗,观察组患者在对照组的基础上联合中医骨伤手法进行治疗,对2组临床效果进行评估,比较2组视觉模拟评分(VAS)及症状评分、血流变指标水平、不良反应。结果 2组患者治疗后VAS评分和症状积分明显低于治疗前(P<0.05),观察组评分情况明显低于对照组(P<0.05);治疗后,2组RPV、ESR、HCT明显改善,红细胞电泳、变形指数明显高于治疗前(P<0.05),且观察组改善情况明显优于对照组(P<0.05);观察组不良反应总发生率为6.25%,对照组不良反应总发生率为10.42%,2组不良反应比较,差异不具有显著性(P>0.05)。结论中医骨伤手法联合中药内服治疗椎动脉型颈椎病能够内外兼治,起到了消炎止痛的效果,改善了患者血液流变学各项指标水平,取得了良好的临床效果,且不良反应较小,安全性高,值得推广应用。
Objective To investigate the effect of traditional Chinese medicine bone injury manipulation combined with oral administration of Chinese medicine in the treatment of vertebral artery type cervical spondylotic disease. Methods 96 cases of CSA patients who came to our hospital for treatment from July 2018 to July 2019 were selected and divided into control group and observation group by random number table method, with 48 cases in each group. Patients in the control group were treated with oral administration of Chinese medicine, and patients in the observation group were treated with combined manipulation of traditional Chinese medicine bone injury on the basis of the control group. The clinical effect of the two groups was evaluated, and visual simulation score, symptom score, blood rheology index level and adverse reactions in the two groups were compared. Results After treatment, VAS score and symptom score of the two groups were significantly lower than before treatment(P<0.05), and the scores of the observation group were significantly lower than that of the control group(P<0.05). After treatment, RPV, ESR and HCT of the two groups were significantly improved, erythrocyte electrophoresis and deformation index were significantly higher than before treatment(P<0.05), and the improvement of the observation group was significantly better than that of the control group(P<0.05). The total incidence of adverse reactions was 6.25% in the observation group and 10.42% in the control group. The difference between the two groups was not significant(P>0.05). Conclusion The traditional Chinese medicine bone injury manipulation combined with oral administration of Chinese medicine in the treatment of vertebral artery type cervical spondylotic disease can reduce inflammation and relieve pain, improve the level of hemorheology, and achieve good clinical effect, has less adverse reaction and high safety, and is worthy of promotion and application.
作者
郑昆仑
信金党
谷福顺
王爱国
ZHENG Kunlun;XIN Jindang;GU Fushun;WANG Aiguo(Orthopedics Department,the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300250,China)
出处
《光明中医》
2020年第15期2319-2321,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
基金
天津市中医药重点领域科技项目(No.2017007)。
关键词
中医骨伤手法
中药内服
椎动脉型颈椎病
traditional Chinese medicine bone injury technique
oral administration of Chinese medicine
vertebral artery type cervical spondylopathy
