针刀联合葛根姜黄散治疗颈型颈椎病的疗效观察OA
Clinical observation of acupotomy combined with Gegen-Jianghuang Powder for neck-type cervical spondylosis
目的 观察针刀联合葛根姜黄散治疗颈型颈椎病的临床疗效.方法 选取2024年5月至2025年7月收治的65例颈型颈椎病患者作为研究对象,采用随机数字表法分为对照组(n=33)与试验组(n=32).对照组患者采用单纯针刀治疗,试验组患者采用针刀联合葛根姜黄散治疗.每组33例.治疗前后采用疼痛视觉模拟量表(visual analogue scale,VAS)、颈部功能障碍指数(neck disability index,NDI)、颈椎病临床评价量表(clinical assessment scale for cervical spondylosis,CASCS)及中医证候积分对两组患者进行评估并记录不良反应.结果 治疗后,两组患者的VAS、NDI、CASCS评分及中医证候积分均明显改善,且试验组患者的改善幅度均显著优于对照组,差异有统计学意义(P<0.05).试验组治疗总有效率显著高于对照组(P<0.05).结论 针刀联合葛根姜黄散治疗颈型颈椎病可显著缓解患者疼痛,改善颈部功能及临床症状,且安全性良好,值得临床推广应用.
Objective To observe the clinical efficacy of acupotomy combined with Gegen-Jianghuang Powder on the treatment of neck-type cervical spondylosis.Methods A total of 65 patients with neck-type cervical spondylosis admitted from May 2024 to July 2025 were selected as the study subjects,they were randomly divided into control group(n=33)and experimental group(n=32)using a random number table.The patients of control group received pure acupotomy therapy,while the patients of experimental group received acupotomy combined with Gegen-Jianghuang Powder.Before and after treatment,the patients were assessed using the visual analogue scale(VAS),neck disability index(NDI),clinical assessment scale for cervical spondylosis(CASCS),and traditional Chinese medicine(TCM)syndrome score.Adverse reactions were also recorded.Results After treatment,there were significant improvement in VAS,NDI,CASCS,and TCM syndrome scores in both groups,the improvement magnitude of experimental group were significantly better than those of control group(P<0.05).The total effective rate of experimental group was significantly higher than that of control group(P<0.05).Conclusion Acupotomy combined with Gegen-Jianghuang Powder can significantly relieve pain,improve cervical function,and alleviate clinical symptoms in patients with neck-type cervical spondylosis.It demonstrates good safety,and thus worthy of further clinical application and promotion.
叶振宇;邝涛
湖南中医药大学第一附属医院脊柱二科,湖南 长沙 410007湖南中医药大学第一附属医院脊柱二科,湖南 长沙 410007
医药卫生
颈型颈椎病葛根姜黄散针刀中医证候积分
Neck-type cervical spondylosisGegen-Jianghuang PowderAcupotomyTraditional Chinese medicine syndrome score
《中国现代医生》 2026 (8)
5-8,4
湖南省教育厅基金项目(23A0286)湖南省卫生健康委基金项目(2024CZT001)长沙市自然科学基金项目(kq2403107)
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