颈舒颗粒治疗气滞血瘀型神经根型颈椎病的临床疗效观察

吴景枫?莫健斌?郭玉刚?梁鸿富

[摘要] 目的 研究颈舒颗粒治疗气滞血瘀型神经根型颈椎病的临床疗效。 方法 从2015年1月～2017年1月，于我院住院部共有80例病患被诊断为气滞血瘀型神经根型颈椎病。以来院治疗时间先后随机分成观察组（40例）和对照组（40例）。观察组采用颈舒颗粒并辅以理疗按摩；对照组给予理疗按摩。观察两组患者临床疗效、体征、症状及疼痛指数。结果 治疗前各临床症状及体征均无显著差异，治疗后观察组主诉与症状，生活与工作能力，手功能及体征均显著高于对照组；经治疗后观察组治愈占比27.50%（11/40），总有效率95.00%（38/40）显著高于对照组的10.00%（4/40），80.00%（32/40）；同时治疗前患者PRI（感觉分与情绪分及总分）差异均无统计学意义，治疗后观察组患者PRI（感覺分与情绪分及总分）均显著低于对照组；治疗前患者VAS、PPI评分均差异无明显差别，治疗后观察组患者VAS、PPI评分均显著低于对照组，差异均有统计学意义（均P<0.05）；绝大多数患者治疗后疗效、体征及症状和疼痛程度具有不同程度的改善。结论 颈舒颗粒治疗气滞血瘀型神经根型颈椎病的疗效好，能改善患者临床症状，降低疼痛程度，值得推广。

[关键词] 颈舒颗粒；气滞血瘀型；神经根型；颈椎病

[中图分类号] R274.9 [文献标识码] A [文章编号] 2095-0616（2017）14-41-04

Observation of clinical curative effect of Jingshu granule in treatment of nerve root cervical spondylosis of Qi Stagnation and Blood Stasis

WU Jingfeng MO Jianbin GUO Yugang LIANG Hongfu

Sixth Department of Orthopedics， Jiangmen Wuyi Hospital of Traditional Chinese Medicine， Jiangmen 529000， China

[Abstract] Objective To study the clinical curative effect of Jingshu granule in treatment of nerve root cervical spondylosis of qi stagnation and blood stasis. Methods 80 patients who were diagnosed with nerve root cervical spondylosis of qi stagnation and blood stasis in inpatient department of our hospital from January 2015 to January 2017 were selected. They were randomly divided into the observation group（40 cases） and the control group（40 cases） according to time for treatment in the hospital. The observation group was given Jingshu granule combined with physiotherapy massage while the control group was treated with physiotherapy massage. Clinical effects， signs， symptoms and pain index of patients in two groups were observed. Results Clinical symptoms and signs before treatment had no significant difference. Complaints， symptoms， living and working ability， signs， symptoms and pain index after treatment of the observation group were significantly higher than those of the control group. After treatment， cure rate and total effective rate of the observation group were respectively 27.50%（11/40） and 95%（38/40）， significantly higher than those of the control group 10%（4/40） and 80%（32/40）. There was no significant difference in PRI（sensory score， emotional score and total score） before treatment. After treatment， PRI（sensory score， emotional score and total score） of patients in the observation group were all significantly lower than those of the control group. Before treatment， VAS score and PPI score of patients all had no significant difference. After treatment， VAS score and PPI score of patients in the observation group were both significantly lower than those of the control group. The differences were statistically significant（P<0.05）. After treatment， it showed that curative effect， signs， symptoms and pain degree of most patients all had improvement of different degrees. Conclusion Jingshu granule in treatment of nerve root cervical spondylosis of qi stagnation and blood stasis has a good curative effect. It can improve clinical symptoms and reduce the degree of pain， which is worthy of promotion.

[Key words] Jingshu granule； Qi stagnation and blood stasis； Nerve root type； Cervical spondylosis

神经根型颈椎病（cervical spondylotic radiulopathy，CSR）是指颈椎单（双）侧脊神经及周围组织被压迫刺激，导致其支配区域发生疼痛、麻木及运动障碍[1]。以往多发人群为中老年人，但随着社会与科技的不断发展，人们的办公与生活方式也在发生改变，其发病人群不断趋于低龄化、年轻化（长期伏案或面对电脑久坐工作及低头玩手机所致）[2]。據不完全数据统计，在我国颈椎病人群中30岁以下患者占比12%左右，严重影响正常的工作与生活[3]。……