小针刀联合桂枝加葛根汤加味治疗颈型颈椎病的临床疗效
Clinical Effect of Small Needle-Knife Combined with Guizhi and Gegen Decoction on Cervical Spondylosis

目的：回顾性评价小针刀联合桂枝加葛根汤加味治疗颈型颈椎病的临床疗效。方法：选择2019年1月~2022年12月我院收治的90例颈型颈椎病患者，按照治疗方法的不同分为对照组1、对照组2和研究组，各30例。对照组1使用桂枝加葛根汤加味治疗，对照组2使用普通针刺联合桂枝加葛根汤加味治疗，研究组使用小针刀联合桂枝加葛根汤加味治疗，观察三组治疗前后的疗效、中医证候积分、疼痛视觉模拟评分(VAS)和日本骨科协会(JOA)颈椎评分。结果：研究组总有效率93.33%高于对照组2的80.00%和对照组1的73.33% (P < 0.05)；治疗后三组酸胀、麻木、畏寒怕冷等中医证候积分均较治疗前降低(P < 0.05)，且研究组低于对照组2，对照组2低于对照组1；治疗后三组VAS、JOA颈椎评分均较治疗前改善，且JOA颈椎评分研究组高于对照组2，对照组2高于对照组1 (P < 0.05)，VAS评分研究组低于对照组2，对照组2低于对照组1 (P < 0.05)。结论：小针刀联合桂枝加葛根汤加味治疗颈型颈椎病患者效果显著，可有效改善酸胀、麻木及畏寒怕冷等症状，缓解疼痛。
Objective: To evaluate retrospectively the clinical efficacy of small needle-knife combined with fi-avor-based with Guizhi Jiagegen decoction in the treatment of cervical spondylosis. Methods: 90 pa-tients with cervical spondylosis treated in our hospital from January 2019 to December 2022 were selected and divided into control group 1, control group 2 and study group according to different treatment methods, with 30 cases each. The control group 1 received flavor-based treatment with flavor-based Guizhi Jiagegen decoction, the control group 2 received common acupuncture com-bined with flavor-based with Guizhi Jiagegen decoction, and the study group received small nee-dle-knife combined with flavor-based with Guizhi Jiagegen decoction. The efficacy, TCM syndrome score, visual analog scale of pain (VAS) and cervical vertebra score of Japanese Orthopaedic Associa-tion (JOA) were observed before and after treatment in the three groups. Results: The total effective rate of the study group was 93.33% higher than that of control group 2 (80.00%) and control group 1 (73.33%) (P < 0.05); After treatment, the scores of traditional Chinese medicine syndrome such as acid distension, numbness and chills in the three groups were lower than those before treatment (P < 0.05), and the study group was lower than control group 2, and control group 2 was lower than control group 1; VAS and JOA cervical vertebra scores of the three groups were improved after treatment, and JOA cervical vertebra scores of the study group were higher than those of the control group 2, and those of the control group 2 were higher than those of the control group 1 (P < 0.05), and VAS score of study group was lower than control group 2, and control group 2 was lower than control group 1 (P < 0.05). Conclusion: Small needle-knife combined with flavor-based Guizhi Jiagegen decoction is effective in the treatment of cervical spondylosis, which can effectively im-prove the symptoms of acid distension, numbness and chills and relieve pain.