针刺结合推拿治疗少年儿童寰枢关节半脱位的临床研究

发布时间：2017-12-30 23:27

本文关键词：针刺结合推拿治疗少年儿童寰枢关节半脱位的临床研究　出处：《广西中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:本课题以舒筋通络,解痉止痛,整复错位为原则,运用针刺结合推拿治疗少年儿童寰枢关节半脱位,通过观察患儿临床症状、Northwick Park颈痛量表(NPQ)评分,客观评价针刺结合推拿治疗少年儿童寰枢关节半脱位的临床疗效,为针刺结合推拿疗法治疗本病了提供一种疗效确切、操作安全的技术。方法:选取符合纳入标准的64例寰枢关节半脱位患儿,按1:1比例随机分为2组,针刺结合推拿组为治疗组,牵引治疗组为对照组,每组均为32例,治疗组给予针刺及推拿治疗,隔日一次,每周3次,10次为一疗程;对照组用坐位枕颌带间歇牵引,牵引重量为1-3kg,牵引时间每次20分钟,隔日一次,每周3次,10次为一个疗程。治疗2个疗程,随访3个月。分别于治疗2疗程后、治疗后3个月后观察疗效。随时记录观察过程中的不良事件。采用统计学软件SPSS 22.0对收集的数据进行统计分析。结果:1.治疗前,治疗组与对照组的年龄、性别、病程、致病原因等一般情况对比无显著差异(P0.05),具有可比性。2.治疗前,治疗组与对照组的NorthwickPark颈痛量表(NPQ)评分比较,差异无显著性意义(P0.05),两组具有可比性。3.治疗2疗程后,治疗组与对照组的临床症状、NorthwickPark颈痛量表(NPQ)评分与治疗前比较,差异均有显著性意义(P0.05),提示两种疗法都具有良好的临床疗效。4.治疗2疗程后,治疗组的临床症状、NorthwickPark颈痛量表(NPQ)评分与对照组比较,有显著性差异(P0.05),提示治疗组近期疗效优于对照组。5.治疗结束后3个月,治疗组临床症状、NorthwickPark颈痛量表(NPQ)评分与对照组的比较,有显著性差异(P0.05),提示治疗组远期疗效优于对照组。结论:两种治疗方法都能治疗少年儿童寰枢关节半脱位,但针刺结合推拿疗法在近期及远期疗效上均优于牵引疗法,是治疗少年儿童寰枢关节半脱位的安全有效的方法。
[Abstract]:Objective: to treat atlantoaxial subluxation in children with acupuncture combined with massage according to the principle of relieving muscles and unblocking collaterals, relieving spasmolysis and relieving pain, and treating children with atlantoaxial subluxation, and to observe the clinical symptoms of children with subluxation of atlantoaxial joint. Northwick Park cervical pain scale score, objective evaluation of acupuncture combined with massage treatment of children with atlantoaxial subluxation of the clinical efficacy. Methods: 64 children with atlantoaxial subluxation were selected and randomly divided into 2 groups according to the proportion of 1: 1. Acupuncture combined with massage group as treatment group, traction treatment group as control group, each group were 32 cases, the treatment group was given acupuncture and massage treatment, once every other day, 3 times a week for 10 times as a course of treatment; The control group was treated with intermittent traction of occipitomaxillary band in the sitting position with traction weight of 1-3 kg, traction time of 20 minutes each time, once every other day, 10 times a week for a course of treatment and 2 courses of treatment. The patients were followed up for 3 months after 2 courses of treatment. The therapeutic effect was observed 3 months after treatment. Adverse events during observation were recorded at any time. Statistical software SPSS 22.0 was used to analyze the collected data. Results: 1. Before treatment. There was no significant difference between the treatment group and the control group in age, sex, course of disease, pathogenicity, etc. There was no significant difference between the treatment group and the control group in NorthwickPark cervical pain scale score, the two groups were comparable. 3. After 2 courses of treatment, there was no significant difference between the two groups. The clinical symptoms of the treatment group and the control group were significantly different from those before treatment (P 0.05). After two courses of treatment, the clinical symptoms of the treatment group were compared with those of the control group with the Northwick Park neck pain scale (NPQs). There was significant difference (P 0.05), indicating that the short-term curative effect of the treatment group was better than that of the control group .5.The clinical symptoms of the treatment group were 3 months after the end of treatment. The scores of NorthwickPark cervical pain scale were significantly different from those of the control group (P 0.05). Conclusion: both the two treatment methods can treat atlantoaxial subluxation in children, but acupuncture combined with massage therapy is better than traction therapy in the short and long term. It is a safe and effective method for the treatment of atlantoaxial subluxation in children.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

【参考文献】