温经膏配合米字型颈椎保健操治疗神经根型颈椎病的临床效果

杨炎扬　陈小勇

[摘要] 目的 探討温经膏配合米字型颈椎保健操治疗神经根型颈椎病的临床效果。 方法 选择2016年1月～2017年8月三亚市中医院骨科门诊收治的神经根型颈椎病患者60例，按随机数字表法将其分为治疗组和对照组，每组各30例。治疗组予颈项部外敷温经膏配合米字型颈椎保健操治疗，对照组予传统中药溻渍法加可见光配合米字型颈椎保健操治疗。治疗2周后，观察两组的颈项部疼痛视觉模拟评分（VAS）、颈椎功能障碍指数（NDI）、总有效率及3个月后的复发率。 结果 治疗2周后，两组患者颈项痛VAS评分、NDI均低于治疗前，差异均有高度统计学意义（P < 0.01），且治疗组VAS评分、NDI显著低于对照组，差异有高度统计学意义（P < 0.01）。治疗2周后，治疗组总有效率（86.67%）与对照组（73.33%）比较，差异无统计学意义（P > 0.05）。3个月后，治疗组复发率（7.69%）低于对照组（36.36%），差异有统计学意义（P < 0.05）。 结论 温经膏配合米字型颈椎保健操功能锻炼在治疗神经根型颈椎病患者颈项部疼痛方面效果明显，可在一定程度上改善颈椎功能，并且总有效率相对满意，复发率相对较低。

[关键词] 温经膏；米字型颈椎保健操；神经根型颈椎病；临床疗效

[中图分类号] R274.915.5 [文献标识码] A [文章编号] 1673-7210（2018）05（a）-0093-04

Clinical effect of Wenjing Plaster combined with Union Jack type cervical exercise in the treatment of cervical spondylotic radiculopathy

YANG Yanyang1，2 CHEN Xiaoyong3

1.Graduate School， Guangzhou University of Traditional Chinese Medicine， Guangdong Province， Guangzhou 510405， China； 2.Department of Orthopectics， Affiliated Sanya Hospital of Traditional Chinese Medicine of Guangzhou University of Traditional Chinese Medicine， Hainan Province， Sanya 572000， China； 3.Department of Orthopectics， the People's Hospital of Sanya， Hainan Province， Sanya 572000， China

[Abstract] Objective To investigate the clinical effect of Wenjing Plaster with Union Jack type cervical exercise in the treatment of cervical spondylotic radiculopathy. Methods Sixty cases of patients with cervical spondylotic radieulopath admitted to Outpatient Department of Orthopaedics， Sanya Hospital of Traditional Chinese Medicine from January 2016 to August 2017 were selected， and they were divided into treatment group and control group by random number table， with 30 cases in each group. The treatment group was given external application of Wenjing Plaster on the neck combined with Union Jack type cervical exercise， while the control group received traditional Chinese medicine hydropathic compress on the neck with the addition of visible light and Union Jack type cervical exercise. After treatment for 2 weeks， the neck pain visual analogue scale （VAS）， neck disability index （NDI）， total effective rate， and recurrence rate after 3 months in the two groups were observed. Results After treatment for 2 weeks， the neck pain VAS scores and NDI in the two groups were all significantly lower than those before treatment （P < 0.01）， and the neck pain VAS scores and NDI of treatment group were lower than those of control group， the differences were highly statistically significant （P < 0.01）. After treatment for 2 weeks， the total effective rate of the treatment group （86.67%） and control group （73.33%） had no statistically significant difference （P > 0.05）. Three months later， the recurrence rate of the treatment group （7.69%） was lower than that of the control group （36.36%）， the difference was statistically significant （P < 0.05）. Conclusion Wenjing Plaster combined with Union Jack type cervical exercise in the treatment of cervical spondylotic radiculopathy has obvious efficacy， which can improve cervical function in a certain extent， and the total effective rate is relatively satisfactory， the recurrence rate is relatively low.

[Key words] Wenjing Plaster； Union Jack type cervical exercise； Cervical spondylotic radiculopathy； Clinical effect

頸椎病是一种常见病和多发病，而神经根型颈椎病又是其中一种多发类型，该病多与患者长期伏案工作或低头有关，主要由椎体侧方骨质增生，使颈神经根受刺激或压迫所致[1]。由于神经根型颈椎病治疗方法繁多，加之患者病情轻重不一，因此其临床疗效存在差异。广州中医药大学附属三亚市中医院（以下简称“我院”）院内制剂温经膏是一种中药处方制剂，是在现有的巴布剂技术基础上配合传统中药工艺制备而成的贴膏，用于治疗骨科常见颈腰椎疾病，目前已经申请了国家专利（专利号：ZL201210447004.5）。而米字型颈椎保健操是陈小勇教授基于颈椎动静力平衡理论，并根据多年临床实践经验的总结，对治疗神经根型颈椎病行之有效。……