四川中医2024，Vol.42Issue(6)：156-160,5.
身痛逐瘀汤联合上肢牵抖治疗神经根型颈椎病(气滞血瘀证)对患者椎-基底动脉血流动力学及颈椎功能的影响
Effect ofShentong Zhuyu decoction with upper limb distraction combined on vertebrae-basilar hemodynamics and cervical vertebra function of cervical spondylopathy of nerve root type(syndrome of Qizhi Xueyu)
摘要
Abstract
Objective To study the effects of upper limb distraction combined with Shantongzhuyu decoction on vertebrae-bas-ilar hemodynamics and cervical vertebra function in the treatment of cervical radiculopathy(syndrome of Qizhi Xueyu).Methods 64patients with cervical radiculopathy treated in our hospital from August 2021to May 2023were divided into the control group(n=32)and the experimental group(n=32)by random number table method.The control group was treated with conventional mas-sage,and the experimental group was treated with Shentong Zhuyu decoction with upper limb distraction combined for 10d as a course of treatment,both groups were treated with 3courses of treatment.The efficacy after 3courses of treatment,cervical spine function,electromyography,vertebrobasilar hemodynamics before and after 3courses of treatment,and the occurrence of adverse reactions during treatment of the two groups were compared.Results After 3courses of treatment,the total effective rate of 96.88％in experimental group was higher than that of 75.00％in control group(P＜0.05).Compared with before treatment,score of visu-al analogue score(VAS),cervical dysfunction index(NDI)and resistance index(RI)decreased in two groups after 3courses of treatment,and the experimental group was lower(P＜0.05).Compared with before treatment,the anterior flexion,posterior ex-tension,left flexion,right flexion,F wave amplitude,F wave conduction velocity,motor nerve conduction velocity(MCV),sen-sory nerve conduction velocity(SCV),systolic peak velocity(PSV),vascular pulsation index(PI),peak mean blood flow ve-locity(VM)of cervical vertebrae isometric muscle strength in both groups increased after 3courses of treatment,the experimental group was higher(P＜0.05).The complication rate of the experimental group was 12.50％,compared with the control group 6.25％,there was no significant difference(P＞0.05).Conclusion The Shentong Zhuyu decoction with upper limb distraction combined had a definite effect in the treatment of cervical spondylopathy of nerve root type(Qizhi Xueyu syndrome),which could improve the function of cervical vertebra,which was related to the regulation of electromyography and vertebrobasilar blood flow dynamics,and had good safety.关键词
神经根型颈椎病/上肢牵抖/身痛逐瘀汤/颈椎功能/肌电图/椎-基底动脉血流动力学/安全性Key words
Cervical radiculopathy/Upper limb distraction/Shentong Zhuyu decoction/Cervical spine function/Electro-myography/Vertebrobasilar hemodynamics/Security分类
医药卫生引用本文复制引用
杨振,马允,周文俊..身痛逐瘀汤联合上肢牵抖治疗神经根型颈椎病(气滞血瘀证)对患者椎-基底动脉血流动力学及颈椎功能的影响[J].四川中医,2024,42(6):156-160,5.基金项目
2022年度芜湖市卫生健康委科研项目(编号:WHWJ2022z014). （编号:WHWJ2022z014）
