颈肩腰腿痛贴联合电针治疗急性期神经根型颈椎病气滞血瘀证临床研究OA北大核心CSTPCD
Clinical Study on Neck-shoulder-waist-leg Pain Cataplasms Combined with Electroacupuncture in the Treatment of Cervical Radiculopathy with Qi Stagnation and Blood Stasis Syndrome in Acute Stage
目的 观察颈肩腰腿痛贴联合电针治疗急性期神经根型颈椎病(CR)气滞血瘀证的临床疗效,评价颈肩腰腿痛贴的增效作用及安全性.方法 采用随机数字表法将132例急性期CR气滞血瘀证患者分为治疗组和对照组各66例.治疗组采用电针联合颈肩腰腿痛贴治疗,对照组采用电针联合安慰贴.2组均每日1次,连续治疗5 d后休息2 d,共治疗3周,治疗后1、2周随访.观察2组临床疗效,比较2组治疗前后及随访时简式麦吉尔疼痛问卷(SF-MPQ)评分、颈椎功能障碍指数(NDI)评分及正中神经及尺神经的F波传导速度,记录2组相关不良反应.结果 治疗组、对照组分别脱落5、7例.治疗组总有效率为91.80%(56/61)、愈显率为36.07%(22/61),对照组总有效率为84.75%(50/59)、愈显率为18.65%(11/59),2组愈显率比较差异有统计学意义(P<0.05).与本组治疗前比较,2组治疗后及随访1、2周时SF-MPQ评分、NDI评分均明显改善(P<0.05),治疗后正中神经及尺神经的F波传导速度均加快(P<0.05).2组同一时间点比较,治疗组治疗后及随访1、2周时SF-MPQ评分、NDI评分均优于对照组(P<0.05),正中神经及尺神经的F波传导速度快于对照组(P<0.05).2组均未出现严重不良反应.结论 颈肩腰腿痛贴联合电针可改善急性期CR气滞血瘀证临床症状,在电针治疗基础上加用颈肩腰腿痛贴可加快疾病恢复进程,具有增效作用.
Objective To observe the clinical efficacy of neck-shoulder-waist-leg pain cataplasms combined with electroacupuncture in the treatment of acute cervical radiculopathy(CR)with qi stagnation and blood stasis syndrome;To evaluate the synergistic effect and safety of neck-shoulder-waist-leg pain cataplasms.Methods Totally 132 CR patients with qi stagnation and blood stasis type in acute stage were randomly divided into treatment group(66 cases)and control group(66 cases).The treatment group was treated with electroacupuncture combined with neck-shoulder-waist-leg pain cataplasms,and the control group was treated with electroacupuncture combined with placebo.Both groups were treated once a day for 5 days and then rested for 2 days for 3 weeks,and follow-up was performed at 1 and 2 weeks after treatment.Clinical efficacy of both groups was observed.The short-form McGill pain questionnaire(SF-MPQ)score,neck disability index(NDI)score,and the F-wave conduction velocity of the median nerve and ulnar nerve were compared before and after treatment and at follow-up.Results 5 and 7 cases were lost in the treatment group and the control group,respectively.The total effective rate of the treatment group was 91.80%(56/61),and the recovery rate was 36.07%(22/61).The total effective rate of the control group was 84.75%(50/59),and the recovery rate was 18.65%(11/59).The difference in recovery rates between the two groups was statistically significant(P<0.05).Compared with before treatment,the SF-MPQ score and NDI score in both groups improved significantly(P<0.05)after treatment and at 1 and 2 weeks of follow-up,and the F-wave conduction velocity of the median and ulnar nerves increased significantly(P<0.05)after treatment.Comparison between two groups at the same time points showed that the SF-MPQ score and NDI score of the treatment group were better than those of the control group(P<0.05)after treatment and at 1 and 2 weeks of follow-up,and the F-wave conduction velocity of the median and ulnar nerves was faster than that of the control group(P<0.05)after treatment.There were no serious adverse reactions in the two groups.Conclusion Neck-shoulder-waist-leg pain cataplasms combined with electroacupuncture can improve the clinical symptoms of CR with qi stagnation and blood stasis syndrome in acute stage.Electroacupuncture plus neck-shoulder-waist-leg pain cataplasms can speed up the recovery process of the disease,which has synergistic effect.
杨松;孟灵;何道;刘芝俐;严森;蒋学余
湖南中医药大学附属岳阳医院,湖南 岳阳 414000
中医学
神经根型颈椎病颈肩腰腿痛贴电针
cervical radiculopathyneck-shoulder-waist-leg pain cataplasmselectroacupuncture
《中国中医药信息杂志》 2024 (003)
155-159 / 5
国家重点研发计划(2018YFC1707806);湖南省中医药管理局局市(州)联合中医药科研课题(E2023039、E2023040);湖南省卫生健康委科研课题(D202304079413);湖南中医药大学校院联合基金项目(2022XYLH190);岳阳市中医医院院级科研基金项目(2022年)
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