程氏推拿手法治疗椎动脉型颈椎病的临床研究

发布时间：2018-05-26 22:40

本文选题：椎动脉型劲椎病 + 程氏推拿疗法　；参考：《广州中医药大学》2017年博士论文

【摘要】：目的:本研究旨在通过客观指标全面量化评估推拿手法治疗椎动脉型颈椎病的疗效和安全性。方法:参照中华人民共和国国家食品药品监督管理局2002年颁发《中药新药治疗颈椎病临床研究指导原则》中椎动脉型颈椎病的诊断标准和1992年在青岛举行的第二届颈椎病专家座谈会拟定的椎动脉型颈椎病的诊断及分型标准,将符合诊断标准的将60例符合条件的患者随机分配入治疗组和对照组,每组各30例。相关数据输入电脑建立数据库后,选用SPSS19.0统计软件包进行数据统计分析及描述。结果:1.治疗组和对照组在性别、年龄、病程等方面比较中,差异不显著,P0.05,组间具有可比性。2.两组治愈率、无效率、总有效率等比较,△P0.05,治疗组优于对照组;显效率、有效率等比较,*P0.05,无统计学意义。3.不同组间治疗前McGill疼痛各项评分的差异无统计学意义(P0.05),详见表5。两组患者治疗后的McGill疼痛各项评分均降低,治疗后McGill疼痛评分与治疗前比有显著性差异(P0.05);研究组治疗后的McGill各项评分与对照组治疗后的McGill各项评分比较有显著性差异(P0.05),研究优于对照组。4.两组经过治疗后症状均有明显改善,其症状量表评分均较治疗前明显升高,经配对t检验,P值0.01,差异有高度统计学意义:治疗组评分升高较对照组更为明显,经独立样本t检验P0.01,差异有高度统计学意义:两组变化值经统计学比较P0.05,其差异有显著性。结论:推拿手法治疗椎动脉型颈椎病是一种单次治疗即显著起效、疗效持久、操作简便、节时省力、安全清洁、易于广泛推广应用的治疗CSA患者的新综合疗法,具有常规治疗方法不可比拟的优势,能为制定CSA规范化中医治疗方案提供高质量的循证医学证据。
[Abstract]:Objective: to evaluate the efficacy and safety of massage manipulation in the treatment of cervical spondylosis of vertebral artery type by objective indexes. Methods: according to the guidelines of Clinical Research on the treatment of Cervical Spondylosis with New Chinese Medicine issued by the State Food and Drug Administration of the people's Republic of China in 2002, the diagnostic criteria of cervical spondylosis of vertebral artery type and the second one held in Qingdao in 1992 were used as reference. The criteria for the diagnosis and classification of cervical spondylosis of the type of vertebral artery developed by the Symposium of experts on Cervical Spondylosis, 60 eligible patients were randomly assigned to the treatment group and the control group with 30 cases in each group. After the relevant data was input into the computer to establish the database, the SPSS19.0 statistical software package was selected for the statistical analysis and description of the data. The result is 1: 1. There was no significant difference in sex, age and course of disease between the treatment group and the control group (P 0.05). The cure rate, ineffective rate, total effective rate of the two groups, P0.05, the treatment group is better than the control group, the significant rate, the effective rate of P0.05, there is no statistical significance. 3. There was no significant difference in McGill pain scores between different groups before treatment (P 0.05), as shown in Table 5. The scores of McGill pain were decreased in both groups after treatment. There was significant difference in McGill pain score after treatment compared with that before treatment (P 0.05), and there was significant difference in McGill scores after treatment between the study group and the control group (P 0.05), which was better than that in the control group (P 0.05). After treatment, the symptom scale scores of the two groups were significantly improved, and the scores of the symptom scale were significantly higher than those of the control group. The difference was statistically significant by paired t test (P = 0.01): the scores of the treatment group were significantly higher than those of the control group, and the scores of the treatment group were significantly higher than those of the control group. The difference was statistically significant by independent t-test (P0.01): there was a significant difference between the two groups (P0.05). Conclusion: the treatment of cervical spondylosis of vertebral artery type by massage manipulation is a new comprehensive therapy for CSA patients, which has the advantages of single treatment, lasting curative effect, simple operation, saving time and effort, safe and clean, and easy to be widely used. It can provide high quality evidences of evidence-based medicine for the formulation of standardized Chinese medicine treatment scheme of CSA.
【学位授予单位】：广州中医药大学
【学位级别】：博士
【学位授予年份】：2017
【分类号】：R244.1

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