目的

探讨舒颈止痛汤结合银质针外用治疗颈型颈椎病的疗效。

方法

选择2013年2月至2014年2月于南京市江宁区中医院骨伤科门诊就诊的颈型颈椎病患者共82例，其中舒颈止痛汤治疗组27例、银质针治疗组30例、舒颈止痛汤结合银质针治疗组（综合组）25例。治疗4周后对功能和疼痛评分进行统计学分析比较，疗效按痊愈、显效、有效、无效评分。采用SPSS17.0统计软件对数据进行整理分析，临床疗效比较采用秩和检验，有效率比较采用χ²检验。以P<0.05为差异有统计学意义。

结果

综合组、银质针治疗组和舒颈止痛汤组的有效率分别为100%（25/25），100%（30/30）和92.6%（25/27），3组临床疗效比较差别无统计学意义（Z=1.950，P=0.377），3组有效率比较差异无统计学意义（χ²=4.546，P=0.103）。3组疗效比较差别无统计学意义。

结论

综合组、银质针治疗组和舒颈止痛汤组治疗颈型颈椎病的疗效无差别。

Objective

To investigate the effect of neck pain Shu decoction in the treatment of cervical spondylosis with topical silver needle.

Methods

A total of 82 cervical spondylosis patients,were slected from February 2013 to February 2014 in orthopedics and traumatology, Jiangning district hospital of traditional Chinese medicine in nanjing city.Patients were divided into Jingshu Zhitong decoction treatment group (n=27), silver needle acupuncture treatment group (n=30), Shujing Zhitong decoction combined with silver needle treatment group (n=25). After 4 weeks of treatment, the functional and pain scores were statistically analyzed and compared between three groups. The efficacy was evaluated by cured, markedly effective, effective and ineffective. SPSS17.0 statistical software was used to analyze data. The clinical efficacy was compared using rank sum test. The efficiency was compared using χ² test. P values less than 0.05 was used as statistically significant.

Results

The effective rates were 100% (25/25), 100% (30/30)and 92.6% (25/27) for Shujing Zhitong decoction combined with silver needle treatment group, silver needle therapy group and Shu neck pain decoction group. There were no significant differences in clinical curative effect, effective rate and efficacy between three groups (Z=1.950, P=0.377).

Conclusion

There is no significant difference in the curative effect of cervical spondylosis between three groups.