第39卷第2期2023年2月长春中医药大学学报JournalofChangchunUniversityofChineseMedicineVol.39No.2Feb.2023—166—DOI:10.13463/j.cnki.cczyy.2023.02.012桂枝加葛根汤联合颈椎整脊治疗神经根型颈椎病孙思东1,韩涛2,赵静3*(1.辽宁中医药大学附属第二医院,沈阳110034;2.辽宁中医药大学中医脏象理论及应用国家教育部重点实验室,沈阳110032;3.上海市虹口区疾病预防控制中心,上海200082)摘要:目的探讨桂枝加葛根汤联合颈椎整脊治疗神经根型颈椎病的临床疗效。方法选择神经根型颈椎病患者78例,随机分为对照组与观察组,各39例。对照组予常规治疗,观察组予桂枝加葛根汤联合颈椎整脊手法治疗,疗程均1个月。比较2组治疗前后中医证候积分、颈椎功能障碍指数(NDI)、视觉疼痛模拟评分(VAS)及血清疼痛介质水平变化,比较2组临床疗效。结果2组治疗后中医证候积分均降低,观察组下降更显著(P<0.05);2组治疗后VAS、NDI评分及血清中SP、PGE2水平均降低,观察组评分降低幅度更大(P<0.05);观察组临床总有效率(92.31%,36/39)显著高于对照组(71.79%,28/39)(P<0.05)。结论桂枝加葛根汤联合颈椎整脊具有散寒解肌、温阳化湿、止痛舒筋之效,可有效减轻患者颈肩部疼痛,恢复颈椎功能,消除活动障碍,临床疗效明显。关键词:桂枝加葛根汤;颈椎整脊;风寒湿型;神经根型颈椎病中图分类号:R274.29文献标志码:A文章编号:2095-6258(2023)02-0166-05EffectofGuizhiDecoctionaddedwithGegencombinedwiththecervicalchiropractictherapyinthetreatmentofcervicalspondyloticradiculopathySUNSidong1,HANTao2,ZHAOJing3*(1.ThesecondaffiliatedhospitalofliaoningtraditionalChinesemedicineuniversity,Shenyang100034,China;2.ThetheoryandapplicationoftraditionalChineseMedicinevisceralmanifestationskeyLaboratoryoftheStateMinistryofLiaoningUniversityofTraditionalChineseMedicine,Shenyang110032,China;3.ShanghaiHongkouDistrictCenterforDiseaseControlandPrevention,Shanghai200082,China)Abstract:ObjectiveToexploretheclinicaleffectofGuizhiDecoctionaddedwithGegencombinedwiththecervicalchiropractictherapyinthetreatmentofcervicalspondyloticradiculopathy(CSR).MethodsThepatientswithCSRdiagnosedandtreatedinourhospitalfromApril2020toFebruary2021wereselectedastheresearchpopulation,andfinally78patientswer...