除痹舒筋汤干预神经根型颈椎病及抑郁、焦虑改善的相关性研究.pdfVIP

提 要 目的：通过神经根型颈椎病伴轻度抑郁、焦虑患者治疗前后症状、体征的改变， 观察除痹舒筋汤对神经根型颈椎病伴轻度抑郁及焦虑患者的治疗效果。并探讨神经根 型颈椎病症状、体征改变和抑郁、焦虑改善的相关性。方法：将 60 例神经根型颈椎 病患者随机分为除痹舒筋汤治疗组和颈复康颗粒对照组，治疗 28 天。比较神经根型 颈椎病患者治疗前后患者症状、体征及抑郁、焦虑自评量表积分的变化。结果：经统 计学分析，治疗组总有效率 93.3％，对照组总有效率 83.3％，两组比较总有效率有 显著性差异（P0.05）。同时症状体征总积分变化与抑郁及焦虑自评量表积分变化间 有直线正相关关系。结论：除痹舒筋汤通过其良好抗炎镇痛作用，免疫调节作用及改 善抑郁情绪等途径，消除神经根水肿，提高患者的生活质量，对神经根型颈椎病有良 好的疗效。 关键词 除痹舒筋汤；神经根型颈椎病；抑郁；焦虑；相关性 The Intervention Effect of “Chubi Shujin Decoction” on Cervicalspondylotic Radiculopathy (CR) and Correlation between Accompany Symptoms of CR and SDS/SAS Specialty: Orthopaedics of TCM Author: Zhao Zeliang Tutor: Prof. Dong Jianwen Abstract Objective：To observe the clinical effect and the mechanism of the treatment of cervicalspondylotic radiculopathy co-exciting mild depression with “Chubi Shujin Decoction”, and to explore the correlation between the accompany symptoms and sighs of cervicalspondylotic radiculopathy and SDS/SAS. Method: All 60 patients of cervicalspondylotic radiculopathy were randomly divided into two groups : the treatment group of “Chubi Shujin Decoction” and the control group of “Jingfukang tablets”. Tests were performed from 28th day after treatment. By observing the changes of accompany symptoms, SDS and SAS before and after treatment ，we can explore the clinical effect and the correlation between the change of the accompany symptoms and sighs of cervicalspondylotic radiculopathy and SDS/SAS. Result: By statistical analysis, the overall response rate was 93.3% in the treatment group and 83.3% in the control group. The difference was significant (p0.05).The changes between the accompany symptoms and sighs