卧位牵引联合音乐电疗法治疗神经根型颈椎病的临床疗效观察

发布时间：2017-12-27 15:21

本文关键词：卧位牵引联合音乐电疗法治疗神经根型颈椎病的临床疗效观察　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的:神经根型颈椎病发病缓慢,发病率高且较常见,已经成为社会关注的问题,这种疾病给患者带来不可忽视且严重的身体上的巨大折磨和精神上的巨大痛苦,严重影响了人们生活质量和工作效率。本研究通过观察分析卧位牵引疗法联合音乐电疗法对神经根型颈椎病的临床疗效,旨在探索其临床疗效及规律,为临床治疗该病提供一定的参考依据。研究方法:本研究中所有神经根型颈椎病患者来源于2016年4月至2017年1月黑龙江中医药大学附属二院门诊就诊患者。严格按照纳入标准,将符合要求神经根型颈椎病患者,随机地分为治疗组(卧位牵引联合音乐电疗法)和对照组(单纯卧位牵引治疗),进行为期15天的临床治疗,参考《中医病证诊断疗效标准》所制定的颈椎病临床疗效标准,并参阅简化McGill疼痛量表(MPQ)、颈部残障功能指数量表(NDI)和日本田中靖久症状量表20分法进行临床疗效评估,上述量表的评估于入组第一天和疗程结束后分别进行评分,确保准确性、完整性、及时性。研究结果:治疗前,两组患者资料在性别、年龄、病程分布以及症状量表评分方面无显著性差异(P0.05),具有可比性。治疗后,治疗组有效率89.58%、对照组有效率77.08%,组间比较有显著性差异(P0.05)。治疗组McGill疼痛询问量表评分,治疗前为20.29 ± 6.47,治疗后为8.10 ± 5.55,组内前后统计比较有显著性差异(P0.05);对照组McGill疼痛询问量表评分,治疗前为20.10±6.33,治疗后为10.63±6.17,前后统计比较有显著性差异(P0.05),且治疗后组间比较,差异有显著性(P0.05)。治疗组颈部残障功能指数量表评分,治疗前为21.06± 6.16,治疗后为7.63 ±5.11,组内前后统计比较有显著性差异(P0.05);对照组颈部残障功能指数量表评分,治疗前为21.04±6.03,治疗后为10.02±6.01,组内前后统计比较有显著性差异(P0.05),且组间治疗后比较有显著性差异(P0.05)。治疗组日本田中靖久症状量化表评分,治疗前为10.25± 1.89,治疗后为16.04±2.29,组内前后统计比较有显著性差异(P0.05);对照组日本田中靖久症状量化表评分,治疗前为9.88 ±2.06,治疗后为14.40 土 2.71,组内前后统计比较有显著性差异(P0.05),且组间治疗后比较有显著性差异(P0.05)。结论:卧位牵引联合音乐电疗法治疗神经根型颈椎病的疗效显著,能明显地改善神经根型颈椎病的临床症状和体征,明显优于单纯卧位牵引疗法,操作简便,患者易于接受,值得临床上推广使用。
[Abstract]:Objective: To study the pathogenesis of cervical spondylosis of nerve root type slow, high incidence and more common, has become a social concern, the disease has brought great pain and suffering great spirit can not be ignored and serious in the body to the patients, and seriously affect the quality of life and work efficiency of people. The purpose of this study is to observe and analyze the clinical effect of decubitus traction therapy combined with music electrotherapy on cervical spondylotic radicular disease, so as to explore its clinical efficacy and regularity, so as to provide certain reference for clinical treatment of this disease. Methods: all patients with cervical spondylosis of the nerve root type were from the outpatient department of the Second Affiliated Hospital of Heilongjiang University Of Chinese Medicine from April 2016 to January 2017. In strict accordance with the inclusion criteria, will meet the requirements of patients with nerve root type cervical spondylosis were randomly divided into treatment group (supine traction combined with music therapy) and control group (simple supine traction), clinical treatment for a period of 15 days, cervical spondylosis clinical criteria established by reference to the "standard" of TCM syndrome diagnosis the curative effect, and refer to the simplified McGill pain questionnaire (MPQ), neck disability index (NDI) and Japan Tanaka Yasushi long symptom scale 20 points method to evaluate the clinical curative effect, evaluation of the scale in the group and the first day after the end of treatment were scored, ensure the accuracy, completeness, timeliness. Results: before treatment, there was no significant difference in gender, age, course distribution and symptom scale score between the two groups (P0.05). After treatment, the effective rate of the treatment group was 89.58%, the effective rate of the control group was 77.08%, and there was a significant difference between the groups (P0.05). The treatment group McGill pain questionnaire score before treatment was 20.29 + 6.47, 8.10 + 5.55 after treatment, treatment and statistical difference (P0.05); control group McGill pain questionnaire score before treatment was 20.10 + 6.33, 10.63 + 6.17 after treatment, there was statistical comparison before and after (P0.05), and the difference between two groups after treatment, there were significant differences (P0.05). The treatment group the neck disability index score before treatment was 21.06 + 6.16, 7.63 + 5.11 after treatment, treatment and statistical significant difference (P0.05); control group, neck disability index score before treatment was 21.04 + 6.03, 10.02 + 6.01 after treatment, group before and after statistical significant difference (P0.05), and between group difference after treatment (P0.05). The treatment group of Japan Tanaka Yasushi long symptom scale, before treatment was 10.25 + 1.89, 16.04 + 2.29 after treatment, treatment and statistical difference (P0.05); the control group of Japan Tanaka Yasushi long symptom scale, before treatment was 9.88 + 2.06, after treatment was 14.40 + 2.71, group in the statistics before and after significant difference (P0.05), and between group difference after treatment (P0.05). Conclusion: lying position traction combined with music electrotherapy is effective in the treatment of cervical spondylotic radicular disease. It can significantly improve the clinical symptoms and signs of cervical spondylotic radicular disease, which is superior to the simple position traction therapy. It is easy to operate and easy to accept, and is worthy of clinical promotion.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R681.55

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