三藤汤治疗颈型颈椎病的临床观察.docVIP

精品论文 参考文献 三藤汤治疗颈型颈椎病的临床观察 郭亮1 刘红艳* 　　（北京市中医医院推拿科 北京 101300） 　　【摘 要】目的：研究观察三藤汤对颈型颈椎病的临床治疗效果，确定其疗效。方法：从推拿科门诊选择2011年7月至2014年5月的颈型颈椎病患者共51例，遵照随机法的原则分为2组，治疗组（口服三藤汤）27例，对照组（口服芬必得）24例，1周为1个疗程，4周后观察两组的临床疗效。结果：治疗组颈型颈椎病患者愈合6例，显效15例，无效6例，总有效率77.8%，对照组愈合2例，显效10例，无效11例，总有效率52.2%，经两组疗效对比，差异有显著意义（Plt;0.05）。结论：三藤汤具有调和营卫，祛风活血散寒的功效，用于颈型颈椎病，可明显缓解局部肌肉的痉挛疼痛，对颈型颈椎病具有明显的治疗作用。 　　【关键词】三藤汤；颈型颈椎病；布洛芬缓释胶囊； 　　【中图分类号】R681 【文献标识码】B 【文章编号】1003-5028（2015）6-0577-01 　　【Abstract】 objective: to study the observed three cane soup the clinical therapeutic effect of neck type of cervical spondylosis, determine its curative effect. Methods: from the massage clinic choice in July 2011 to May 2014, a total of 51 patients with neck type of cervical spondylosis, comply with the principle of method of random divided into 2 groups, the treatment group (oral three rattan soup), 27 cases in the control group (oral Finn will) 24 cases, 1 week for a period of treatment, observe the clinical curative effect of two groups after 4 weeks. Results: the treatment group neck type of cervical spondylosis patients healed 6 cases, 15 cases were markedly improved, 6 had no effect, the total effective rate77.8%, control group healing in 2 cases, 10 cases were markedly effective, ineffective in 11 cases, total effective rate 52.2%, compared with two groups of curative effect, the difference is significant (P lt; 0.05.Conclusion: three rattan soup has to reconcile camp guard, invigorate the circulation of cold wind effect, for the neck type of cervical spondylosis, can obviously relieve local muscle spasm and pain, for the neck type of cervical spondylosis has obvious therapeutic effect 　　颈型颈椎病是为各种类型的颈椎病发病较早的阶段，以颈部生理曲度变直,颈部局部僵硬皱痛为主，又称为局部型颈椎病，临床上多见于久坐并且长期低头工作的人群，如办公室公务员、司机、教师等[1]，由于其症状以局部酸痛僵硬为主，活动后症状有所缓解，病情较轻，所以绝大多数的患者不予重视,但随着年龄的增长，病情会逐步加重，可形成神经根型、椎动脉型、交感神经型、甚或髓型颈椎病。我科自十年前建科以来，致力于颈肩腰腿痛及亚健康状态的治疗研究，对颈椎病的治疗采用中医正骨加中药的治疗方式，取得较为满意的疗效，现将我科常用根据伤寒葛根汤加减的三藤汤用于治疗颈型颈椎的疗效观察报道如下： 　　1 临床资料 　　1.1 临床资料的选择 　　本次实验所有病人均来自于2011年7月至2014年5月的顺义