羌活胜湿汤加减结合针灸推拿治疗神经根型颈椎病的疗效分析.pdfVIP

中国实用医药2026年1月第21卷第1期ChinaPracMed,Jan2026,Vol.21,No.1:115·

活胜湿汤加减结合针灸推拿治疗神经根型颈椎病的

疗效分析

赵华陈品付梦雪

【摘要】目的探讨关活胜湿汤加减结合针灸推拿治疗神经根型颈椎病的疗效。方法纳入

86例神经根型颈椎病患者作为临床样本，分组方法参考随机数字表法，将样本分为常规治疗组（43例，

接受羌活胜湿汤加减治疗）、联合治疗组（43例，接受羌活胜湿汤加减联合针灸推拿治疗）。对比两组

患者治疗前后的颈椎功能障碍指数量表(NDI)、视觉模拟评分法(VAS)评分以及治疗效果。结果治

疗后，与常规治疗组患者的(14.62±1.42)、(1.71±0.77)分相比，联合治疗组患者的NDI评分(11.24±

1.15)分、VAS评分(1.06±0.34)分均明显更低，具有统计学意义(P0.05)。联合治疗组患者的治疗总有

效率(100.00%)与常规治疗组患者(79.07%)相比明显更高，具有统计学意义(P0.05)。结论采取羌活

胜湿汤加减结合针灸推拿对神经根型颈椎病患者进行治疗能够有效改善其颈椎功能，疼痛症状得到明显

改善，疗效显著。

【关键词】羌活胜湿汤加减；针灸推拿；颈部功能；神经根型颈椎病

D01:10.14163/j.cnki.11-5547/r.2026.01.030

AnalysisofthecurativeeffectofmodifiedQianghuoShengshiDecoctioncombinedwithacupuncture

andTuinainthetreatmentofcervicalspondyloticradiculopathyZHAOHua,CHENPin,FUMeng-xue.

DepartmentofTraditionalChineseMedicine,SihongCountyKangshenHospital,Suqian223800,China

[AbstractObjectiveToexplorethecurativeeffectofmodifiedQianghuoShengshiDecoctioncombined

withacupunctureandTuinainthetreatmentofcervicalspondyloticradiculopathy.Methods86patientswith

cervicalspondyloticradiculopathyasclinicalsamples.Thegroupingmethodreferstotherandomnumbertable

method,andthesamplesweredividedintotheconventionaltreatmentgroup(43cases,modifiedQianghuo

ShengshiDecoction)andthecombinedtreatmentgroup(43cases,modifiedQianghuoShengshiDecoction

combinedwithacupunctureandTuina).Comparisonofthepre-andpost-treatmentscoresontheNeckDisability

Index(NDI)andVisualAnalogueScale(VAS),aswellasthetreatmentoutcomesbetweenthetwopatientgroups.

ResultsComparedwithpatientsintheconventionaltreatmentgroup[(14.62±1.42)and(1.71±0.77)pointsJ,

theNDIscore(11.24±1.15)pointsandVASscore(1.06±0.34)pointsofpatientsinthecombinedtreatmentgroup

weresignificantlyloweraftertreatment,an