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目的:观察中西医结合治疗神经根型颈椎病的临床疗效。方法:将120例患者随机分为治疗组80例及对照组40例。治疗组采用手术治疗及围手术期中医辨证用药及功能锻炼,对照组单纯采用手术治疗。观察2组疼痛视觉模拟评分法(VAS)评分和Oswestry功能评分。结果:2组术后1周、术后1月和末次随访时VAS评分和Oswestry功能评分均降低,与术前比较,差异均有显著性意义(P<0.05)。术后1周2组VAS评分和Oswestry功能评分比较,差异均有显著性意义(P<0.05)。治疗组治愈68例,好转12例;对照组治愈31例,好转9例。2组临床疗效比较,差异无显著性意义(P>0.05)。结论:采用手术治疗及围手术期中医辨证用药及功能锻炼治疗神经根型颈椎病具有止痛快、疗效好的优点,值得临床推广。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in treating nerve root type cervical spondylosis. Methods: 120 patients were randomly divided into treatment group 80 cases and control group 40 cases. The treatment group was treated by surgery and perioperative TCM syndrome differentiation and functional exercise, while the control group was treated by surgery alone. The pain visual analogue scale (VAS) score and Oswestry functional score were observed in two groups. Results: The scores of VAS and Oswestry decreased at 1 week, 1 month and the last follow-up in both groups, which were significantly different from those before operation (P <0.05). There was significant difference between VAS score and Oswestry function score in the two groups at 1 week after operation (P <0.05). The treatment group cured 68 cases, improved in 12 cases; control group cured 31 cases, improved in 9 cases. There was no significant difference between the two groups in clinical curative effect (P> 0.05). Conclusion: The surgical treatment and perioperative TCM Syndrome Differentiation and functional exercise for the treatment of nerve root type cervical spondylosis with analgesic fast, good effect, worthy of clinical promotion.