补阳还五汤治疗无骨折脱位颈脊髓损伤的临床观察.docxVIP

补阳还五汤治疗无骨折脱位颈脊髓损伤的临床观察 湖南中医药大学第一附属医院脊柱一科 湖南长沙410007 【摘 要】目的：探讨补阳还五汤治疗无骨折脱位颈脊髓损伤(cervical spinal cord injury without fracture and dislocation, CSCIWFD)的临床疗效。方法: 选取CSCIWFD患者40例，随机分为对照组和治疗组各12例。对照组患者使用 甲钻胺胶囊治疗，治疗组患者采用补阳还五汤治疗，比较两组患者的治疗效果。 结果：经过治疗，两组患者ASIA评分均比治疗前有所上升，其中，治疗组评分 优于对照组，差异有统计学意义(Plt;O. 05)o结论：补阳还五汤治疗无骨折脱 位颈脊髓损伤，能促进脊髓功能恢复，提高病人ASIA评分，改善临床症状，取 得满意的临床疗效。不良反应少，值得临床推广应用。 【关键词】无骨折脱位颈脊髓损伤；补阳还五汤；甲钻胺；临床研究 Clin ical Observati on of BuYangHuanWu Soup for cervical spinal cord in jury without fracture and dislocation. Luo Zhenhua Yang Shaofeng DengBo NieYing Guo Yantao ZhangChao Li Zhaoyong The First Affiliated Hospital of Hunan University of Chinese Medicine Abstract： Objective： To explore clinical efficacy of BuYangHuanWu Soup for treatme nt of fracture and dislocatio n of cervical spinal cord in jury (CSCIWFD) .Methods： 40 cases of CSCIWFD were randomly divided into control group and treatment group with 12 cases in each group.The control group was treated with mecobalamin capsules in the treatment, patients in the treatment group with BuYangHuanWu Soup in treating, compared two groups of patients with therapeutic effect.Results： after treatment, the two groups of patients with ASIA score tha n before treatme nt in creased, the treatme nt group was better tha n the control group, the differenee was statistically significant (Plt;0.05) .Conclusion： BuYangHuanWu Soup in the treatme nt of cervical spinal cord in jury without fracture and dislocation, can promote the recovery of spinal cord function， improve patient Asia score, improve the clinical symptoms, satisfactory clinical efficacy.Less adverse reactions, it is worthy of clinical application. Keywords： cervical spinal cord injury without fracture and dislocation； BuYa ng Hua nWu Soup； clin ical research 无骨折脱位型颈脊髓损伤(cervical spinal cord injury without fracture and dislocation, CSCIWFD)是指患者出现颈脊髓损伤而影像学检查没有发现骨折脱 位的一种特殊类型的颈脊髓损伤，临床并非少见。但是否采取手术治疗，意见尚 未一致【1】。中医中药在治疗脊髓损伤方面有自己独特的优势，为此本文回顾我 院2012年1月至2015年12月采用补阳还五汤治疗无骨折脱位颈脊髓损伤