| 王超平,郑颖,周健.地稔水煎液熏蒸联合小针刀治疗神经根型颈椎病疗效观察[J].浙江中西医结合杂志,2023,33(2): |
| 地稔水煎液熏蒸联合小针刀治疗神经根型颈椎病疗效观察 |
| Observation on the Clinical Curative Effect of Di Ren fumigation and steaming therapy combined with Acupotomy therapy on cervical spondylosis radiculopathy |
| 投稿时间：2022-03-16 修订日期：2022-07-13 |
| DOI： |
| 中文关键词: 神经根型颈椎病，地稔，畲药，熏蒸，小针刀 |
| 英文关键词:Cervical Spondylosis Radiculopathy, DiRen, She Medicine, Fumigation and Steaming Therapy, Acupotomy |
| 基金项目:畲药地稔外洗联合四妙丸内服治疗湿热痹阻证膝骨关节炎临床研究(2021FSYYZY19)； |
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| 中文摘要: |
| 目的：观察地稔水煎液熏蒸联合小针刀治疗神经根型颈椎病的临床疗效。方法：随机抽取102例符合纳入标准的神经根型颈椎病患者，按治疗方式不同，分为3组，对照组：常规西药治疗；针刀组：常规西药+小针刀治疗；畲药组：常规西药+地稔水煎液药物熏蒸+小针刀治疗，3组疗程同为4周，观察治疗后的临床疗效、VAS评分、NDI评分，血清IL-1β、CRP指标，不良反应发生情况。结果：①三组治疗后总有效率分别为：畲药组97.06%，针刀组82.35%，对照组70.59%，畲药组地稔熏蒸联合针刀治疗疗效最佳；②治疗前三组基线资料比较，差异无统计学意义（P＞0.05）；治疗后三组组间比较，畲药组VAS、NDI评分优化程度最佳，血清IL- 1β、CRP指标水平改善程度优于针刀组及对照组，有统计学意义（P＜0.05）。结论：地稔水煎液熏蒸联合小针刀可有效治疗CSR，显著降低患者痛阈，改善CSR患者炎症水平，疗效最佳。 |
| 英文摘要: |
| Objective To observe the clinical efficacy of DiRen decoction fumigation combined with Acupotomy in the treatment of cervical radiculopathy. Methods A total of 102 cases of cervical spondylosis radiculopathy who met the inclusion criteria were randomly selected and divided into three groups according to the treatment modality, Control group: conventional western medicine treatment. Acupotomy group: conventional western medicine and acupotomy treatment. She medicine group: treatment with conventional western medicine, drug fumigation from DiRen water decoction and acupotomy, the same session of the 3 groups were 4 weeks. The clinical outcome, VAS score, NDI score, and serum IL-1β、CRP indicators, occurrence of adverse reactions were observed after treatment. Results ①The overall efficacies after treatment in the three groups were as follows: 97.06% in the She medicine group, 82.35% in the Acupotomy group, and 70.59% in the Control group, with the best outcome being observed in combination with DiRen fumigation in the She medicine group. ②There were no significant differences in baseline data among the three groups before treatment (P>0.05). When compared among the three groups after treatment, the She medicine group had the best optimization of VAS and NDI scores, serum IL-1β、the level of CRP indicators improved better than that of the Acupotomy group and the Control group with statistical significance (P<0.05). Conclusion The combination of fumigation of DiRen and acupotomy can effectively treat CSR, significantly reduce the pain threshold of patients and improve the level of inflammation in patients with CSR, wich have the best efficacy. |
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