2023年4月第30卷第4期蠲痹汤加减联合针灸治疗风寒痹阻型颈椎病的临床观察赵倩，邵鸽（郑州市第三人民医院疼痛康复科，河南郑州450099）【摘要】目的探讨蠲痹汤加减联合针灸治疗风寒痹阻型颈椎病的临床效果。方法82例风寒痹阻型颈椎病患者随机分为两组，对照组采用针灸治疗，研究组采用针灸联合蠲痹汤加减治疗，比较两组的疗效、中医证候积分和不良反应。结果治疗后，研究组的总有效率高于对照组，各项中医证候积分均低于对照组（P＜0．05）。两组的不良反应发生率比较，差异无统计学意义（P＞0．05）。结论蠲痹汤加减联合针灸治疗风寒痹阻型颈椎病患者效果显著，安全性高，能够有效缓解临床症状。【关键词】颈椎病；风寒痹阻型；蠲痹汤加减；针灸；中医证候积分中图分类号：R246.9文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.04.0503ClinicalObservationofModifiedJuanbiDecoctionCombinedwithAcupunctureintheTreatmentofCervicalSpondylosisofWind-ColdObstructionType//ZHAOQian,SHAOGe(DepartmentofPainandRehabilitation,ZhengzhouThirdPeople'sHospital,Zhengzhou450099,China)[Abstract]ObjectiveToexploretheclinicaleffectofmodifiedJuanbidecoctioncombinedwithacupunctureinthetreatmentofcervicalspondylosisofwind-coldobstructiontype.Methods82patientswithcervicalspondylosisofwind-coldobstructiontypewererandomlydividedintotwogroups.Thecontrolgroupwastreatedwithacupuncture,andthestudygroupwastreatedwithacupuncturecombinedwithJuanbidecoction.Theefficacy,TCMsyndromescoresandadversereactionswerecomparedbetweenthetwogroups.ResultsAftertreatment,thetotaleffectiverateofthestudygroupwashigherthanthatofthecontrolgroup,andthescoresofTCMsyndromeswerelowerthanthoseofthecontrolgroup(P<0.05).Nostatisticaldifferencewasfoundbetweenthetwogroupsintheincidenceofadversereactions(P>0.05).ConclusionsModifiedJuanbidecoctioncombinedwithacupunctureinthetreatmentofpatientswithcervicalspondylosisofwind-coldobstructiontypehassignificanteffectandhighsafety,andcaneffectivelyrelieveclinicalsymptoms.[Keywords]Cervicalspondylosis;Wind-coldobstructiontype;ModifiedJuanbidecoction;Acupuncture;TCMsyndromescores颈椎病是临床常见疾病，是指颈椎骨质增生、颈项韧带钙化、颈椎间盘发生...
