潘慧琴

[摘要] 目的 探讨桂枝葛根汤治疗颈椎病的临床疗效。 方法 选择颈椎病患者80例，按照数字随机法分为2组，各40例，对照组使用止痛剂、镇静剂、维生素B1、B12等药物处理，并结合牵引治疗，观察组则在对照组的基础上使用桂枝葛根汤，连续治疗14d后比较两组患者治疗后不同时间点疼痛VAS评分，并统计两组整体临床疗效。 结果 两组均从治疗后3d开始其疼痛VAS评分显著低于治疗前，且观察组从治疗后3d开始其疼痛VAS评分低于同期对照组（P＜0.05），观察组优良率为57.5%，显著高于对照组的27.5%（x2=7.366，P=0.007）。 结论 针对颈椎病患者使用桂枝葛根汤，能显著缓解患者疼痛症状，提高临床治疗效果，值得临床推广。

[关键词] 桂枝葛根汤；颈椎病；临床疗效

[中图分类号] R285.6   [文献标识码] B   [文章编号] 2095-0616（2014）08-78-03

Analysis of clinical efficacy of cassia twig kudzu decoction in treatment of cervical spondylosis

PAN Huiqin

Department of Pharmacy, Hedong Hospital of Puyang Oil Field General Hospital, Puyang 457001,China

[Abstract] Objective To explore the clinical efficacy of cassia twig kudzu decoction in the treatment of cervical spondylosis. Methods Eighty patients with cervical spondylosis were selected and divided into 2 groups according to the random number method, with 40 patients in each group. The control group received analgesics,sedatives,vitamin B1 and B12 and other drug treatment combined with traction treatment. The observation group received cassia twig kudzu decoction on the basis of the control group. After 14 days of continuous treatment,the two groups of patients'VAS scores at different time points after the treatment were compared and the overall clinical efficacy of the two groups were analyzed. Results After 3 days of treatment, the pain VAS scores of both groups began to become significantly lower than those before treatment. After 3 days of treatment, the pain VAS scores of the observation group began to become significantly lower than those of the control group in the corresponding period (P＜0.05).The excellent and good rate of the observation group was 57.5%,which was significantly higher than the27.5% of the control group (x2=7.366, P=0.007). Conclusion The application of cassia twig kudzu decoction in the treatment of cervical spondylosis can significantly relieve the patients'pain and improve the clinical treatment effects, thereby worthy of clinical promotion.

[Key words] Cassia twig kudzu decoction;Cervical spondylosis;Clinical effect

祖国医学将颈椎病纳入“痹证”“痿证”“眩晕”之范畴，其多因机感伤寒致湿邪入侵伤及经络，或因积劳成疾而致肝肾虚弱，以及年老体衰，空疏由表及腠理，并丹田不聚气而气血盈亏，筋骨之失养，终因风寒湿邪侵及筋骨，所致经络不畅，痰瘀而阻隔，气滞而血瘀而成[1]，其临床症疾为颈项疼痛，伴有头晕目眩，及肢体麻木，酸胀而软弱且无力等症状。本研究主要探讨桂枝葛根汤治疗颈椎病的临床效果，现报道如下。

1 资料与方法

1.1 一般资料

选择2010年1月~ 2012年12月我院收治的颈椎病患者80例，按照数字随机法分为2组，各40例，其中观察组：男23例，女17例，年龄18～50岁，平均（37.8±3.5）岁，病程3～31年，平均（10.3±1.3）年。颈椎病西医分型：神经根型15例，脊髓型5例，椎动脉型4例，交感神经型5例，混合型颈椎11例。……