温针灸治疗神经根型颈椎病疗效观察
发布时间：2019-01-18 21:43
【摘要】：目的： 观察温针灸治疗神经根型颈椎病的疗效和安全性,并初步探讨其作用机理,为临床探索一种疗效确切易于操作的治疗方法。方法： 将符合诊断标准、纳入标准的60例神经根型颈椎病患者,按照随机数字表法,随机分为治疗组和对照组。治疗组30例以温针灸治疗,对照组30例以普通针刺治疗,两组取穴相同。两组隔日治疗1次,每周治疗3次,共治疗4周。两组患者分别于治疗前和治疗后用Northwick Park颈痛量表(NPQ)和数字评价量表(Numerical rating scale, NRS)观察疗效。采用统计软件SPSS17.0对所收集的数据进行统计分析。结果： 1.在总体疗效上,治疗组总有效率是93.3%,对照组为80.0%,治疗组与对照组比较差异有统计学意义(P＜0.05),说明治疗组疗效优于对照组。 2.治疗前两组NPQ评分比较,差异无意义,两组间具有可比性(P＞0.05)。两组治疗前与治疗后NPQ评分比较,差异均有显著性意义(P＜0.01)。治疗后两组之间NPQ评分差值比较,差异有意义(P＜0.05)。 3.治疗前两组NRS评分比较,差异无意义,两组间具有可比性(P＞0.05)。治疗组治疗前、后NRS评分比较,差异有显著性意义(P＜0.01)；对照组治疗前、后NRS评分比较,差异有意义(P＜0.05)。治疗后两组之间NRS评分差值比较,差异有意义(P＜0.01)。 结论： 温针灸能安全有效地改善神经根型颈椎病的症状,其疗效优于普通针刺,是治疗颈椎病的有效方法之一。
[Abstract]:Objective: to observe the efficacy and safety of warming acupuncture and moxibustion in the treatment of cervical spondylopathy of nerve root type and to explore its mechanism. Methods: 60 patients with cervical spondylopathy of nerve root type were randomly divided into treatment group and control group according to the method of random digital table. The treatment group (30 cases) were treated with warm acupuncture, the control group (30 cases) were treated with common acupuncture. The two groups were treated once every other day 3 times a week for 4 weeks. Before and after treatment, the patients in both groups were evaluated with Northwick Park neck pain scale (NPQ) and digital evaluation scale (Numerical rating scale, NRS). Statistical software SPSS17.0 was used to analyze the collected data. Results: 1. The total effective rate was 93.3g in the treatment group and 80.0g in the control group. There was significant difference between the treatment group and the control group (P < 0.05), which indicated that the curative effect of the treatment group was better than that of the control group. 2. There was no significant difference in NPQ score between the two groups before treatment, and there was comparability between the two groups (P > 0. 05). There was significant difference in NPQ score between the two groups before and after treatment (P < 0. 01). There was significant difference in NPQ scores between the two groups after treatment (P < 0. 05). 3. There was no significant difference in NRS score between the two groups before treatment, and there was comparability between the two groups (P > 0. 05). There were significant differences in NRS scores before and after treatment in the treatment group and in the control group before and after treatment (P < 0. 05). There was significant difference in NRS scores between the two groups after treatment (P < 0. 01). Conclusion: warming acupuncture and moxibustion can improve the symptom of cervical spondylopathy of nerve root type safely and effectively, its curative effect is superior to that of common acupuncture, it is one of the effective methods to treat cervical spondylosis.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R246.9
本文编号：2411155
[Abstract]:Objective: to observe the efficacy and safety of warming acupuncture and moxibustion in the treatment of cervical spondylopathy of nerve root type and to explore its mechanism. Methods: 60 patients with cervical spondylopathy of nerve root type were randomly divided into treatment group and control group according to the method of random digital table. The treatment group (30 cases) were treated with warm acupuncture, the control group (30 cases) were treated with common acupuncture. The two groups were treated once every other day 3 times a week for 4 weeks. Before and after treatment, the patients in both groups were evaluated with Northwick Park neck pain scale (NPQ) and digital evaluation scale (Numerical rating scale, NRS). Statistical software SPSS17.0 was used to analyze the collected data. Results: 1. The total effective rate was 93.3g in the treatment group and 80.0g in the control group. There was significant difference between the treatment group and the control group (P < 0.05), which indicated that the curative effect of the treatment group was better than that of the control group. 2. There was no significant difference in NPQ score between the two groups before treatment, and there was comparability between the two groups (P > 0. 05). There was significant difference in NPQ score between the two groups before and after treatment (P < 0. 01). There was significant difference in NPQ scores between the two groups after treatment (P < 0. 05). 3. There was no significant difference in NRS score between the two groups before treatment, and there was comparability between the two groups (P > 0. 05). There were significant differences in NRS scores before and after treatment in the treatment group and in the control group before and after treatment (P < 0. 05). There was significant difference in NRS scores between the two groups after treatment (P < 0. 01). Conclusion: warming acupuncture and moxibustion can improve the symptom of cervical spondylopathy of nerve root type safely and effectively, its curative effect is superior to that of common acupuncture, it is one of the effective methods to treat cervical spondylosis.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R246.9
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