中医药信息2026，Vol.43Issue(3)：61-65,5.DOI:10.19656/j.cnki.1002-2406.20260310
独活寄生汤配合颈椎康复训练治疗风寒湿痹、肝肾亏虚型神经根型颈椎病的临床观察
Clinical Observation on Duhuo Jisheng Decoction Combined with Cervical Rehabilitation Training in the Treatment of Radiculopathy Cervical Spondylosis with Wind-Cold-Dampness Arthralgia and Liver-Kidney Deficiency Pattern
摘要
Abstract
Objective To observe the therapeutic effect of Duhuo Jisheng Decoction combined with cervical rehabilitation training in the treatment of radiculopathy cervical spondylosis with wind-cold-dampness arthralgia and liver-kidney deficiency pattern.Methods Patients of radiculopathy cervical spondylosis with wind-cold-dampness arthralgia and liver-kidney deficiency pattern who met the inclusion criteria were selected and randomly divided into the treatment group and the control group according to the random number table,with 52 cases in each group.The control group was treated with cervical rehabilitation training alone,while the observation group was treated with Duhuo Jisheng Decoction combined with cervical rehabilitation training.Both groups received treatment for 1 month.Before and after treatment,the changes in traditional Chinese medicine(TCM)syndrome scores,Visual Analogue Scale(VAS)scores for pain,Neck Disability Index(NDI),Yasuhisa Tanaka's Scoring System for Symptoms and Signs(TTKS)scores,and serum levels of inflammatory factors(TNF-α,IL-1β,IL-6)contents were compared between the two groups.Additionally,the clinical efficacy of the two groups was compared.Results Compared with the pre-treatment,both groups showed significant decreases in TCM syndrome scores,NDI scores,TTKS scores,VAS scores (all P＜0.01),and serum levels of TNF-α,IL-1β,and IL-6 contents(all P＜0.01)after treatment.Compared with the control group after treatment,the treatment group had significantly lower TCM syndrome scores,NDI scores,TTKS scores,VAS scores(all P＜0.01),and serum levels of TNF-α,IL-1β,and IL-6 contents(all P＜0.01).The total effective rate was 75％(39/52)in the control group,which was significantly lower than the rate of 92.3％ (48/52)in the treatment group,with a statistically significant difference between the two groups(P＜0.01).Conclusion Duhuo Jisheng Decoction combined with rehabilitation training in the treatment of radiculopathy cervical spondylosis can effectively relieve patients' pain,reduce the levels of inflammatory factors,and improve cervical function and mobility.关键词
独活寄生汤/神经根型颈椎病/颈椎康复训练/颈椎功能/血清炎症因子Key words
Duhuo Jisheng Decoction/Radiculopathy cervical spondylosis/Cervical rehabilitation training/Cervical function/Serum inflammatory factors引用本文复制引用
叶茂林,赵启,马江涛,赵明宇..独活寄生汤配合颈椎康复训练治疗风寒湿痹、肝肾亏虚型神经根型颈椎病的临床观察[J].中医药信息,2026,43(3):61-65,5.基金项目
河南省科技发展计划项目(YY202409) （YY202409）
