中医综合疗法治疗颈椎病100例临床观察

刘虹豆1，余洋2，樊效鸿2

(1.成都中医药大学，成都 611137；2.成都中医药大学附属医院，成都 611137)

摘要：目的观察不同中医综合方案治疗颈椎病的临床疗效。方法将符合诊断标准的50例颈椎病患者随机分为5组，运用不同的中医综合治疗方案(针灸、推拿、中药离子透入、中药熏洗)，分别对5个治疗组治疗前和治疗后不同时间点(1月、2月、3月、半年)的VAS评分及颈椎JOA功能评分进行记录并进行统计分析。结果第5组痊愈16例,显效3例,有效1例，无效0例，与其他4组比较，P<0.05；各组疗效随时间推移略有降低，治疗后6个月逐渐趋于稳定；治疗后6个月，VAS及JOA评分各组间比较无统计学意义。结论针灸、推拿、中药离子透入、中药熏洗4种中医治疗方法综合治疗颈椎病的短期疗效较3种方法综合治疗效果更佳，而远期疗效无统计学意义。

关键词：颈椎病；针灸；推拿；中药离子透入；中药熏洗

DOI:10.13463/j.cnki.jlzyy.2015.01.010

中图分类号：R274文献标志码： A

文章编号：1003-5699(2015)01-0034-03

基金项目：国家中医药管理局研究项目(JDZX2012126)。

作者简介：刘虹豆(1991-)，女，硕士研究生,主要从事中西医结合临床脊柱疾病的研究。

收稿日期:(责任编辑：张晔2014-09-09)

Clinical observation on 100 cases of cervical spondylopathy treated

by integrated traditional Chinese medicine

LIU Hongdou1,YU Yang2,FAN Xiaohong2

(1.Chengdu University of TCM,Chengdu 611137,China

2.The Affiliated Hospital to Chengdu University of TCM,Chengdu 611137,China)

Abstract：ObjectiveTo observe the clinical effect of integrated traditional Chinese medicine on the treatment of cervical spondylosis.Methods50 cases of cervical spondylosis patients who meet the diagnostic criteria were randomly divided into 5 groups.They were treated with a variety of integrated treatments of traditional Chinese medicine(acupuncture massagc,TCMion penetration;TCM fumigation).VAS score and JOA cervical functional scores of the 5 groups were recorded and analyzed before and after the treatment at different time points (one month,two months,three months,six months).ResultsIn the 5th group, there were 16 recovered cases,3 markedly effective cases,1 effective case,0 ineffective case compared with the other four groups P<0.05.The curative effect of each group after treatment decreased slightly with the elapse of time.After 6-month treatment,it gradually tends to be stable.After 6-month treatment,VAS and JOA scores had no statistical significant among groups.ConclusionThe short-term efficacy of using four kinds of Chinese medicine combined therapies for treatment of cervical spondylosis was better than that of three kinds of therapies and the long-term efficacy had no statistical significance.

Keywords:cervical spondylosis;acupuncture;massage;TCMion penetration;TCM fumigation

颈椎病是指颈椎间盘退行性变、颈椎肥厚增生以及颈部损伤等引起颈椎骨质增生，或椎间盘脱出、韧带增厚，刺激或压迫脊髓、神经、血管而产生一系列症状的临床综合征[1]，可引起颈、肩、臂、头痛、眩晕、瘫痪等各种症状。其病因复杂多样，疗效不一，严重影响广大患者的生活质量。近年来大量研究[2-3]显示，中医综合治疗颈椎病具有显著的优势。本研究从2013年1—6月运用5种不同中医综合方案治疗颈椎病患者100例，临床疗效满意。现整理如下。

1临床资料

1.1诊断标准参照1993年第二届全国颈椎病专题座谈会纪要[4]和国家中医药管理局制定的《中医病证诊断疗效标准》[5]诊断，采取临床症状、体征及影像学检查相结合的原则。……