中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
3期
339-341
,共3页
颈椎病%中西医结合疗法%布洛芬
頸椎病%中西醫結閤療法%佈洛芬
경추병%중서의결합요법%포락분
Cervical spondylosis%Traditional Chinese medicine and western medicine therapy%Brufen
目的 观察自拟中药方剂联合布洛芬治疗神经根型颈椎病的疗效.方法 选取神经根型颈椎病患者170例,在知情同意情况下,按数字表法随机分为对照组和治疗组各85例,对照组给予布洛芬治疗,治疗组在此基础上给予自拟中药方剂(基本组方:炒枳壳、醋延胡索、丹参、葛根、泽兰、路路通、浙贝母)治疗,观察两组临床疗效、疼痛、麻木积分变化.结果 对照组总有效率为84.7%,治疗组总有效率为94.1%,两组差异有统计学意义(x2=3.997,P＜0.05);两组治疗后疼痛、麻木症状积分分别为[(7.8 ±-2.4)、(9.4±2.1)分]和[(2.5±0.6)、(3.1±0.9)分],均低于治疗前[(11.9±2.3)、(12.3±2.9)分]和[(5.6±1.4)、(5.3±1.2)分](t=34.641、6.159、6.173、6.080,均P＜0.05),且治疗组比对照组下降更为明显(t=9.283、3.464,均P＜0.05).两组均未发生严重不良反应.结论 自拟方剂联合布洛芬治疗颈椎病临床疗效显著,不良反应少.
目的 觀察自擬中藥方劑聯閤佈洛芬治療神經根型頸椎病的療效.方法 選取神經根型頸椎病患者170例,在知情同意情況下,按數字錶法隨機分為對照組和治療組各85例,對照組給予佈洛芬治療,治療組在此基礎上給予自擬中藥方劑(基本組方:炒枳殼、醋延鬍索、丹參、葛根、澤蘭、路路通、浙貝母)治療,觀察兩組臨床療效、疼痛、痳木積分變化.結果 對照組總有效率為84.7%,治療組總有效率為94.1%,兩組差異有統計學意義(x2=3.997,P＜0.05);兩組治療後疼痛、痳木癥狀積分分彆為[(7.8 ±-2.4)、(9.4±2.1)分]和[(2.5±0.6)、(3.1±0.9)分],均低于治療前[(11.9±2.3)、(12.3±2.9)分]和[(5.6±1.4)、(5.3±1.2)分](t=34.641、6.159、6.173、6.080,均P＜0.05),且治療組比對照組下降更為明顯(t=9.283、3.464,均P＜0.05).兩組均未髮生嚴重不良反應.結論 自擬方劑聯閤佈洛芬治療頸椎病臨床療效顯著,不良反應少.
목적 관찰자의중약방제연합포락분치료신경근형경추병적료효.방법 선취신경근형경추병환자170례,재지정동의정황하,안수자표법수궤분위대조조화치료조각85례,대조조급여포락분치료,치료조재차기출상급여자의중약방제(기본조방:초지각、작연호색、단삼、갈근、택란、로로통、절패모)치료,관찰량조림상료효、동통、마목적분변화.결과 대조조총유효솔위84.7%,치료조총유효솔위94.1%,량조차이유통계학의의(x2=3.997,P＜0.05);량조치료후동통、마목증상적분분별위[(7.8 ±-2.4)、(9.4±2.1)분]화[(2.5±0.6)、(3.1±0.9)분],균저우치료전[(11.9±2.3)、(12.3±2.9)분]화[(5.6±1.4)、(5.3±1.2)분](t=34.641、6.159、6.173、6.080,균P＜0.05),차치료조비대조조하강경위명현(t=9.283、3.464,균P＜0.05).량조균미발생엄중불량반응.결론 자의방제연합포락분치료경추병림상료효현저,불량반응소.
Objective To observe the effect of the self-made traditional Chinese medicine combined with brufen in treatment of cervical spondylosis. Methods 170 cases were divided into the treatment group(85 cases) and the control group(85 cases) randomly. The control group was treated with brufen. Patients in treatment group received routine treatment plus the self-made traditional Chinese medicine. After the treatment, the curative effect, aches and coma were analyzed. Results The total effective rate was 94. 1% in treatment group but 84. 7% in control group.Difference between the two groups had statistical significance( x2 = 3.997,P ＜ 0. 05). The integrate of 1 ahes and coma were ( 7. 8 ± 2. 4), (9. 4 ± 2. 1 ) marks and ( 2. 5 ± 0. 6), (3. 1 ± 0. 9) respectively, it was lower than before treatment(11.9 ±2.3) ,(12.3 ±2.9) marks and (5.6 ± 1.4) ,(5.3 ± 1.2) marks. Aches and coma showed a great difference after treatment from those before treatment( t = 34. 641、6. 159、6. 173、6. 080,all P ＜0. 05 ). Aches and coma were lower then those of control group(t =9. 283、3. 464,all P ＜0. 05). No severe adverse reaction occurred in two groups. Conclusion The self-made traditional Chinese medicine combined with brufen is effective to treat aches and coma in cervical spondylosis. The method was feasible for treat aches and coma in cervical spondylosis.
