84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]雷騰飛,張玉民,熊軼喆,等.復方紫荊消傷巴布膏外用聯合益氣活血方內服治療神經根型頸椎病的臨床研究[J].中醫(yī)正骨,2018,30(03):13-16，21.
　LEI Tengfei,ZHANG Yumin,XIONG Yizhe,et al.A clinical study of external application of Fufang Zijing Xiaoshang Babugao(復方紫荊消傷巴布膏)combined with oral application of Yiqi Huoxue Fang(益氣活血方)for treatment of cervical spondylotic radiculopathy[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(03):13-16，21.
點擊復制

復方紫荊消傷巴布膏外用聯合益氣活血方內服治療神經根型頸椎病的臨床研究()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數:
2018年03期
頁碼:
13-16，21
欄目:
頸椎疾患
出版日期:
2018-03-20

文章信息/Info

Title:
A clinical study of external application of Fufang Zijing Xiaoshang Babugao(復方紫荊消傷巴布膏)combined with oral application of Yiqi Huoxue Fang(益氣活血方)for treatment of cervical spondylotic radiculopathy
作者:
雷騰飛1; 張玉民1; 熊軼喆1; 陳博1; 胡零三1; 黃海生2; 詹紅生1
1.上海中醫(yī)藥大學附屬曙光醫(yī)院,上海市中醫(yī)藥研究院骨傷科研究所,上海 201203; 2.上海市中西醫(yī)結合醫(yī)院,上海 200082
Author(s):
LEI Tengfei1; ZHANG Yumin1; XIONG Yizhe1; CHEN Bo1; HU Lingsan1; HUANG Haisheng2; ZHAN Hongsheng1
1.Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China 2.Shanghai combinational hospital of traditional Chinese medicine and Western medicine,Shanghai 200082,China
關鍵詞:
頸椎病;  神經根病;  益氣活血方;  復方紫荊消傷巴布膏;  臨床試驗
Keywords:
Keywords cervical spondylosis;  radiculopathy;  Yiqi Huoxue Fang;  Fufang Zijing Xiaoshang Babugao;  clinical trial
摘要:
目的:觀察復方紫荊消傷巴布膏外用聯合益氣活血方內服治療神經根型頸椎病的臨床療效。方法:將90例神經根型頸椎病患者隨機分為3組,其中采用復方紫荊消傷巴布膏外用37例(復方紫荊消傷巴布膏組)、采用益氣活血方內服29例(益氣活血方組)、采用復方紫荊消傷巴布膏外用聯合益氣活血方內服24例(復方紫荊消傷巴布膏聯合益氣活血方組)。復方紫荊消傷巴布膏外貼每天1次,每次12 h,連用6周; 益氣活血方內服每日1劑,早晚2次服用,連服6周。分別于治療前及治療開始后2周、4周、6周記錄并比較3組患者頸部疼痛視覺模擬量表(visual analogue scale,VAS)評分和頸椎功能障礙指數(neck disability index,NDI)。結果:①頸部疼痛VAS評分。時間因素和分組因素不存在交互效應(F=2.250,P=0.058); 3組患者頸部疼痛VAS評分比較,組間差異無統(tǒng)計學意義,不存在分組效應(F=1.528,P=0.218); 治療前后不同時間點之間頸部疼痛VAS評分的差異有統(tǒng)計學意義,存在時間效應(F=57.080,P=0.000); 3組頸部疼痛VAS評分隨時間均呈降低趨勢,且3組的降低趨勢完全一致[(4.84±1.68)分,(3.62±1.69)分,(2.54±1.88)分,(1.74±1.24)分,F=85.491,P=0.000;(5.14±1.98)分,(4.17±2.19)分,(2.59±1.80)分,(1.84±1.52)分,F=42.705,P=0.000;(5.42±1.67)分,(3.46±1.96)分,(1.83±1.61)分,(1.06±0.63)分,F=42.863,P=0.000]。②NDI。時間因素和分組因素存在交互效應(F=1.930,P=0.026); 3組患者NDI比較,組間差異有統(tǒng)計學意義,存在分組效應(F=3.782,P=0.017); 治療前后不同時間點之間NDI的差異有統(tǒng)計學意義,存在時間效應(F=40.546,P=0.000); 3組NDI隨時間均呈降低趨勢,但3組的降低趨勢不完全一致; 治療前和治療開始后2周,3組NDI比較,組間差異均無統(tǒng)計學意義[(22.54±8.39)%,(20.70±7.48)%,(24.65±8.45)%,F=1.632,P=0.195;(17.50±6.54)%,(17.60±6.41)%,(13.10±4.23)%,F=1.863,P=0.210]; 治療開始后4周和6周,3組NDI比較,組間差異均有統(tǒng)計學意義[(11.31±3.19)%,(13.56±4.45)%,(7.33±2.56)%,F=2.754,P=0.028;(7.82±4.32)%,(9.58±3.26)%,(4.73±2.10)%,F=7.458,P=0.013]; 復方紫荊消傷巴布膏組、益氣活血方組NDI均高于復方紫荊消傷巴布膏聯合益氣活血方組(P=0.008,P=0.039; P=0.011,P=0.006),復方紫荊消傷巴布膏組NDI與益氣活血方組比較差異均無統(tǒng)計學意義(P=0.148,P=0.174)。結論:復方紫荊消傷巴布膏外用聯合益氣活血方內服治療神經根型頸椎病,能夠緩解頸部疼痛,改善頸椎功能,且在改善頸椎功能方面優(yōu)于單純復方紫荊消傷巴布膏外用和單純益氣活血方內服,值得臨床推廣應用。
Abstract:
ABSTRACT Objective:To observe the clinical curative effects of external application of Fufang Zijing Xiaoshang Babugao(復方紫荊消傷巴布膏,FFZJXSBBG)combined with oral application of Yiqi Huoxue Fang(益氣活血方,YQHXF)for treatment of cervical spondylotic radiculopathy(CSR).Methods:Ninety patients with CSR were randomly divided into 3 groups,37 patients were treated with external application of FFZJXSBBG(FFZJXSBBG group),29 patients were treatd with oral application of YQHXF(YQHXF group),while the others were treated with external application of FFZJXSBBG combined with oral application of YQHXF(combination treatment group).FFZJXSBBG were applied once a day,12 hours at a time for consecutive 6 weeks; while YQHXF were taken one dose a day in the morning and evening respectively for consecutive 6 weeks.Neck pain visual analogue scale(VAS)scores and neck disability index(NDI)were recorded and compared between the 3 groups before treatment and at 2,4 and 6 weeks after the beginning of the treatment respectively.Results:The analytic results of neck pain VAS scores showed that(1)there was no interaction between time factor and group factor(F=2.250,P=0.058);(2)there was no statistical difference in neck pain VAS scores between the 3 groups,in other words,there was no group effect(F=1.528,P=0.218);(3)there was statistical difference in the neck pain VAS scores between different timepoints before and after the treatment,in other words,there was time effect(F=57.080,P=0.000); and(4)the neck pain VAS scores presented a time-dependent decreasing trend in the 3 groups and the 3 groups were consistent with each other in the decreasing trend of neck pain VAS scores(4.84+/-1.68,3.62+/-1.69,2.54+/-1.88,1.74+/-1.24 points,F=85.491,P=0.000; 5.14+/-1.98,4.17+/-2.19,2.59+/-1.80,1.84+/-1.52 points,F=42.705,P=0.000; 5.42+/-1.67,3.46+/-1.96,1.83+/-1.61,1.06+/-0.63 points,F=42.863,P=0.000).The analytic results of NDI showed that(1)there was interaction between time factor and group factor(F=1.930,P=0.026);(2)there was statistical difference in NDI between the 3 groups,in other words,there was group effect(F=3.782,P=0.017);(3)there was statistical difference in NDI between different timepoints before and after the treatment,in other words,there was time effect(F=40.546,P=0.000);(4)the NDI presented a time-dependent decreasing trend in the 3 groups while the 3 groups were inconsistent with each other in the decreasing trend of NDI;(5)there was no statistical difference in NDI between the 3 groups before treatment and at 2 weeks after the beginning of the treatment(22.54+/-8.39,20.70+/-7.48,24.65+/-8.45%,F=1.632,P=0.195; 17.50+/-6.54,17.60+/-6.41,13.10+/-4.23%,F=1.863,P=0.210);(6)there was statistical difference in NDI between the 3 groups at 4 and 6 weeks after the beginning of the treatment(11.31+/-3.19,13.56+/-4.45,7.33+/-2.56%,F=2.754,P=0.028; 7.82+/-4.32,9.58+/-3.26,4.73+/-2.10%,F=7.458,P=0.013); and(7)the NDI were higher in FFZJXSBBG group and YQHXF group compared to combination treatment group(P=0.008,P=0.039; P=0.011,P=0.006)and there was no statistical difference in NDI between FFZJXSBBG group and YQHXF group(P=0.148,P=0.174).Conclusion:Combination of external application of FFZJXSBBG with oral application of YQHXF can relieve neck pain and improve cervical vertebra function in treatment of CSR,and it is superior to the monotherapy of external application of FFZJXSBBG and the monotherapy of oral application of YQHXF in improving cervical vertebra function,so it is worthy of popularizing in clinic.

參考文獻/References:

[1] 楊大瑋.神經根型頸椎病的手法治療進展[J].亞太傳統(tǒng)醫(yī)藥,2010,6(6):154-155.
[2] LO YL,CHEONG PW,GEORGE JM,et al.Pregabalin and radicular pain study(PARPS)for cervical spondylosis in a multiracial Asian population[J].J Clin Med Res,2014,6(1):66-71.
[3] 伍少玲,馬超,伍時玲,等.頸椎功能障礙指數量表的效度與信度研究[J].中國康復醫(yī)學雜志,2008,23(7):625-628.
[4] 孫宇,李貴存.第二屆頸椎病專題座談會紀要[J].解放軍醫(yī)學雜志,1994,19(2):156-158.
[5] 李增春,陳德玉,吳德升,等.第三屆全國頸椎病專題座談會紀要[J].中華外科雜志,2008,46(23):1796-1799.
[6] 趙定麟.現代脊柱外科學[M].上海:上海世界圖書出版公司,2006:430-434.
[7] 賈連順,李健,林本丹.脊柱外科學[M].上海:第二軍醫(yī)大學出版社,2009:182-184.
[8] 蔣協(xié)遠,王大偉.骨科臨床療效評價標準[M].北京:人民衛(wèi)生出版社,2005:123.
[9] VERNON H,MIOR S.The neck disability index:a study of relability and validity[J].Journal of Manipulative & Physiological Therapeutics,1991,14(7):409-415.
[10] 王翀,易成朋,宋興華,等.神經根型頸椎病的前路手術治療與保守療法的對比研究[J].新疆醫(yī)科大學學報,2013,36(3):344-348.
[11] 張奕奕.神經根型頸椎病的中醫(yī)藥臨床研究進展[J].世界最新醫(yī)學信息文摘(電子版),2015,15(71):40-41.
[12] 王翔,詹紅生,張明才,等.石氏手法治療神經根型頸椎病的療效觀察[J].中醫(yī)正骨,2015,27(4):12-14.
[13] 張玉民,胡零三,陳博,等.中藥外治法在神經根型頸椎病治療中的應用[J].中醫(yī)正骨,2017,29(2):17-19.
[14] 周建偉,皮燕,嚴攀.660例神經根型頸椎病患者中醫(yī)證候分布規(guī)律研究[J].四川中醫(yī),2012,31(6):69-70.
[15] 李浩鋼,郭天旻,王翔.三色膏對骨骼肌損傷修復過程中組織形態(tài)學的影響[J].上海中醫(yī)藥雜志,2008,42(2):60-62.
[16] 石瑛,王翔,陳東煜,等.石氏理筋手法聯合復方紫荊消傷膏治療急性踝關節(jié)扭傷臨床觀察[J].中國中醫(yī)骨傷科雜志,2014,22(5):1-3.

相似文獻/References:

[1]孫獻武,于香蘭,邵海燕,等.應用三維動靜態(tài)平衡康復模式治療 非脊髓型頸椎病的臨床研究[J].中醫(yī)正骨,2015,27(11):8.
　SUN Xianwu,YU Xianglan,SHAO Haiyan,et al.Clinical study on three-dimensional dynamic and static equilibrium rehabilitation modality in the treatment of non-myelopathy type cervical spondylosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(03):8.
[2]江建春.神經根型頸椎病的中醫(yī)藥治療研究概況[J].中醫(yī)正骨,2015,27(11):71.
[3]韋英成,董彤,吳肖梅,等.推拿手法治療神經根型頸椎病的研究進展[J].中醫(yī)正骨,2015,27(10):65.
[4]張莉,秦丹霞,張細姣.Orem自理理論在前路手術治療脊髓型頸椎病 圍手術期護理中的應用[J].中醫(yī)正骨,2015,27(09):75.
[5]邸保林,董國順,林紅猛.俯臥斜扳法治療神經根型頸椎病[J].中醫(yī)正骨,2015,27(07):70.
[6]白玉,王愛國.郭春園教授治療頸椎病的學術思想探究[J].中醫(yī)正骨,2015,27(02):64.
[7]郝慶英,劉楚吟,付嬋娟,等.Hybrid手術治療脊髓型頸椎病的護理[J].中醫(yī)正骨,2015,27(02):78.
[8]王翔,詹紅生,張明才,等.石氏手法治療神經根型頸椎病的療效觀察[J].中醫(yī)正骨,2015,27(04):12.
　WANG Xiang,ZHAN Hongsheng,ZHANG Mingcai,et al.Observation on the curative effect of Shi's manipulation in the treatment of cervical spondylotic radiculopathy[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(03):12.
[9]史俊德,梁舒涵,海淵.毛書歌教授治療寰樞關節(jié)錯縫的經驗[J].中醫(yī)正骨,2015,27(04):76.
[10]王樹強,楊振國,劉文斌,等.董建文教授治療神經根型頸椎病的經驗[J].中醫(yī)正骨,2015,27(01):69.
[11]袁娜,金秀均,魏戌,等.常規(guī)療法聯合耳穴埋豆治療急性期神經根型頸椎病[J].中醫(yī)正骨,2017,29(01):71.
[12]孫武權,房敏,周楠,等.頸椎特異性短杠桿微調手法治療神經根型頸椎病的多中心臨床研究[J].中醫(yī)正骨,2018,30(05):1.
　SUN Wuquan,FANG Min,ZHOU Nan,et al.A multicenter clinical study of cervical specific short-lever fine-regulation manipulation for treatment of cervical spondylotic radiculopathy[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(03):1.
[13]袁菊蓮,羅倫,趙燕,等.八段錦鍛煉聯合常規(guī)康復療法在老年神經根型頸椎病患者康復治療中的應用[J].中醫(yī)正骨,2019,31(08):25.
　YUAN Julian,LUO Lun,ZHAO Yan,et al.Application of BADUANJIN(八段錦)exercises combined with conventional rehabilitation therapy to the rehabilitation of cervical spondylotic radiculopathy in aged patients[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(03):25.
[14]宋永偉,范華雨,樊金輝,等.臥位偏向牽引聯合中藥薰蒸治療神經根型頸椎病的臨床研究[J].中醫(yī)正骨,2023,35(03):31.
　SONG Yongwei,FAN Huayu,FAN Jinhui,et al.A clinical study of the treatment of cervical spondylotic radiculopathy by deflected supine traction combined with Chinese herbal steaming[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(03):31.
[15]吳卓檀,任曉平,蘭榮玉,等.活血化瘀類中成藥輔助治療神經根型頸椎病有效性的網狀Meta分析[J].中醫(yī)正骨,2024,36(01):33.
　WU Zhuotan,REN Xiaoping,LAN Rongyu,et al.Clinical outcomes of promoting blood circulation and removing blood stasis Chinese patent drugs for adjuvant treatment of cervical spondylotic radiculopathy:a network meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(03):33.
[16]蕭若樸,趙英杰,王義善,等.旋提手法治療神經根型頸椎病的生物力學研究進展[J].中醫(yī)正骨,2024,36(05):45.

備注/Memo

備注/Memo:
基金項目:國家自然科學基金面上項目(81473702); 國家自然科學基金青年科學基金項目(81503596); 上海市科學技術委員會科研計劃項目(14401970402,15401934100); 上海市進一步加快中醫(yī)藥事業(yè)發(fā)展三年行動計劃建設(2014—2016年)項目(ZY3-LCPT-2-1005); 上海市市級醫(yī)院新興前沿技術聯合攻關項目(SHDC12014121) 通訊作者:詹紅生 E-mail:[email protected]
更新日期/Last Update: 2018-08-02