颈肩痛消丸联合小针刀治疗对改善风寒湿痹型神经根型颈椎病颈椎功能和疼痛的价值

Effect of relieving pills combined with needle knife on cervical vertebral function and pain of patients with cold dampness type cervical spondylotic radiculopathy

摘要:

目的探讨颈肩痛消丸联合小针刀治疗对改善风寒湿痹型神经根型颈椎病的颈椎功能和疼痛的价值。方法将风寒湿痹型神经根型颈椎病患者46 例按信封法随机分为研究组（n =23）和对照组（n =23）。对照组采用小针刀颈部软组织松解和颈复康颗粒连续治疗1 个月。研究组采用小针刀颈部软组织松解和颈肩痛消丸连续治疗1 个月。比较两组治疗前后的疼痛视觉模拟评分（VAS）、颈椎功能障碍指数量表（NDI）和生活质量（SF-36）得分及不良反应发生率等情况。结果与对照组比较，研究组治疗1 周、2 周和1 个月的颈部疼痛VAS 评 分，颈部压痛VAS 评分、上肢放射痛VAS 评分等疼痛评分及NDI 均降低，同期SF-36 评分则升高（p <0.05）。与治疗前比较，研究组治疗1 周、2 周及1 个月的疼痛评分和NDI 均降低，同期SF-36 评分则升高；对照组治疗2 周、1 个月的疼痛评分及NDI均降低，同期SF-36 则升高（p <0.05）。两组等不良反应发生率比较差异无统计学意义（p >0.05）。结论颈肩痛消丸联合小针刀治疗风寒湿痹型神经根型颈椎病可行性和安全性良好，值得临床推广。

Abstract:

Objective To investigate the effect of the neck-shoulder relieving pills combined with the needle knife in improving cervical vertebrae function and relieving pain of patients with cold dampness type cervical spondylotic radiculopathy. Methods Forty -six cases with cold dampness type cervical spondylotic radiculopathy were randomly divided into experimental group (n = 23) and control group (n = 23). The control group had needle knife therapy of neck soft tissue and treatment of Jingfukang granules for 1 month. The experimental group receive the same needle knife therapy of neck soft tissue and the neck-shoulder relieving pill treatment for 1 month. The pain visual analogue scale (VAS) before and after treatment, cervical radicular disability index (NDI) and life quality (SF-36) scores before and after treatment and the incidence rate of adverse reactions of the two groups were compared. Results Compared with the control group, the neck pain VAS score after treatment for 1 week, 2 weeks and 1 month, the neck tenderness VAS score, the upper extremity radicular pain VAS score and NDI of the experimental group were decreased; however, the SF-36 life quality scores of the experimental group in the same period were increased (p < 0.05). Compared with pretreatment, the neck pain VAS score after treatment for 1 week, 2 weeks and 1 month, the neck pressure pain VAS score, the upper extremity radicular pain VAS score and NDI of the experimental group were decreased； however, the SF -36 life quality scores of the experimental group in the same period were increased; pain scores after treatment for 2 weeks and 1 month and NDI of the control group were decreased; however, the SF-36 life quality scores in the same period were increased (p < 0.05). There were no significant differences in the incidences of adverse reactions between the experimental group and the control group (p >0.05). Conclusions The neck-shoulder relieving pills combined with the needle knife is feasible and safe for treatment of the patients with cold dampness type cervical spondylotic radiculopathy, and it is worthy of clinical application.