Efficiency analysis of spinal traction, Jingtong Granule as well as acupuncture and moxibustion in treatment of patients with cervical spondylotic radiculopathy
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摘要:目的 探讨脊椎牵引联合颈痛颗粒及中医针灸治疗神经根性颈椎病(CSR)患者的疗效。方法 将136例CSR患者随机分为2组各68例。对照组单纯行脊椎牵引治疗，研究组在常规牵引基础上给予颈痛颗粒联合中医针灸治疗。比较2组临床疗效、治疗前后颈部疼痛情况、生活质量改善情况。结果 治疗后，研究组疼痛视觉模拟评分(VAS)及颈部残障指数(NDI)评分均显著低于对照组(P < 0.05)。研究组总有效率97.06%, 显著高于对照组86.76%(P < 0.05)。治疗后, 2组SF-36评分均显著增高(P < 0.05), 且研究组评分显著高于对照组(P < 0.05)。结论 在常规脊椎牵引治疗基础上予以中医针灸及颈痛颗粒治疗，可有效缓解CSR患者颈部疼痛症状，降低颈部残障程度，提升患者生活质量。Abstract:Objective To explore the effect of spinal traction, Jingtong Granules as well as acupuncture in treatment of patients with cervical spondylotic radiculopathy (CSR).Methods Totally 136 CSR patients were randomly divided into two groups, with 68 cases in each group. The control group was treated with spinal traction only, while the research group was treated with Jingtong Granule plus acupuncture and moxibustion on the basis of spinal traction. The clinical efficacy, neck pain and quality of life before and after treatment were compared between the two groups.Results After treatment, the VAS and Neck DisabiIity Index (NDI) scores of the study group were significantly lower than those of the control group (P < 0.05). The total effective rate was 97.06% in the study group, which was significantly higher than 86.76% in the control group (P < 0.05). After treatment, the SF-36 score in both groups increased significantly (P < 0.05), and the study group was significantly higher than the control group (P < 0.05).Conclusion Acupuncture and moxibustion combined with Jingtong Granules and spinal traction can effectively relieve the symptoms of cervical pain, reduce the degree of cervical disability and improve the quality of life of CSR patients.
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表 1 2组治疗前后颈部疼痛及颈部残障情况比较(x±s)分
组别 n VAS NDI 治疗前 治疗后 治疗前 治疗后 研究组 68 8.92±1.01 3.59±1.28*# 19.68±2.23 6.95±1.16*# 对照组 68 8.69±1.03 6.72±1.95* 19.59±2.31 10.01±1.34* VAS: 疼痛视觉模拟评分; NDI: 颈部残障指数。与治疗前比较, *P < 0.05; 与对照组比较, #P < 0.05。 
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表 2 2组临床疗效比较[n(%)]
组别 n 显效 有效 无效 总有效 研究组 68 41(60.29) 25(36.76) 2(2.94) 66(97.06)* 对照组 68 34(50.00) 24(35.29) 9(13.24) 59(86.76) 与对照组比较, *P < 0.05。
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表 3 2组治疗前后SF-36评分比较(x±s)分
组别 n 治疗前 治疗后 研究组 68 52.15±6.22 80.15±5.29*# 对照组 68 51.63±6.01 69.36±7.91* 与治疗前比较, *P < 0.05; 与对照组比较, #P < 0.05。
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