CT定位输刺法治疗神经根型颈椎病临床观察

发布时间：2018-01-03 21:23

本文关键词：CT定位输刺法治疗神经根型颈椎病临床观察　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:本研究采用CT对病位进行定位并行输刺手法治疗神经根型颈椎病,探讨《灵枢·官针》里“五刺”中的输刺法治疗神经根型颈椎病的临床疗效,并初步研究该输刺法治疗神经根型颈椎病的作用机理,从而为针灸治疗神经根型颈椎病在临床上提供一种新的治疗思路。方法:研究对象来源于桂林市中医医院针灸科门诊,选择60例符合纳入标准的神经根型颈椎病患者,按1:1的比例随机分为观察组和对照组,每组各30例。观察组运用CT定位输刺法治疗神经根型颈椎病,对照组运用常规针刺疗法治疗。两组均连续治疗3个疗程后,观察两组患者临床疗效。对治疗前后和治疗过程中观察组与对照组的疼痛缓解程度、主要症状体征的改善情况分别采用国际公认的简化Mc Gill量表及日本田中靖久研究的神经根型颈椎病症状20分法量表进行积分评价,数据结果懫用统计软件SPSS17.0进行统计分析与描述。结果:1、两组病例的性别、年龄、病情轻重程度以及治疗前量表积分等资料相比较,均无显著差异(P0.05),存在可比性。2、两组患者治疗3个疗程后,总有效率比较:观察组的有效率为93.33%,对照组的有效率为80.00%,两组疗效比较差异有统计学意义(p0.05),说明观察组疗效优于对照组。3、简化Mc Gill量表比较(MPQ):治疗后两组之间的简化MPQ评分比较,观察组的各项参数优于对照组,差异有统计学意义(p0.05),说明CT定位输刺法的应用作用于神经根型颈椎病患者的疼痛的缓解具有良好的疗效。4、20分法量表:治疗后两组患者的20分法量表的分值都有不同程度的提高,但观察组提高幅度明显大于对照组,其差异有统计学意义(P0.05),说明CT定位输刺法的应用作用于神经根型颈椎病在症状改善方面具有良好的疗效。结论:CT定位下采用输刺法治疗神经根型颈椎病疗效显著,明显优于常规针刺手法,且在课题研究过程中,全部纳入病例依从性良好,未出现剔除及脱落病例现象,也无明显不良反应,证明了本课题所采用CT定位输刺法治疗神经根型颈椎病疗效确切,是临床上治疗神经根型颈椎病的一种安全、行之有效的方法,适宜在临床推广使用。
[Abstract]:Objective: the purpose of this study was to study the clinical effect of CT in the treatment of cervical Spondylotic radiculopathy (CSM) with CT localization and acupuncture manipulation, and to explore the clinical effect of "five prickles" in the treatment of cervical spondylosis of nerve root type. And the mechanism of the treatment of cervical spondylopathy of nerve root type was studied preliminarily. In order to provide a new way of treatment for cervical spondylopathy of nerve root type in clinic. Methods: the object of study is from the Department of Acupuncture and moxibustion outpatient of Guilin traditional Chinese Medicine Hospital. Sixty patients with cervical spondylopathy of nerve root type were selected and randomly divided into observation group and control group according to the proportion of 1: 1. There were 30 cases in each group. The patients in the control group were treated with routine acupuncture therapy. After three consecutive courses of treatment, the clinical efficacy of the two groups was observed. The pain relief of the observation group and the control group before and after treatment and during the course of treatment were observed. The improvement of the main symptoms and signs were evaluated by the simplified Mc Gill scale and the 20 points symptom scale of radicular cervical spondylopathy studied by Yasuhiro Tanaka, Japan. The data were analyzed and described by statistical software SPSS17.0. Results the sex, age, severity of illness and scores of pre-treatment scale were compared between the two groups. There was no significant difference between the two groups (P 0.05), there was comparability. 2. After three courses of treatment, the total effective rate of the two groups was 93.33%. The effective rate of the control group was 80.00.The difference between the two groups was statistically significant (p0.05), which indicated that the observation group was better than the control group (.3). Comparison of simplified Mc Gill scale: the comparison of simplified MPQ scores between the two groups after treatment showed that the parameters of the observation group were better than those of the control group, and the difference was statistically significant (p 0.05). It is concluded that the application of CT localization and acupuncture has a good curative effect on pain relief of patients with cervical spondylopathy of nerve root type. 20 method scale: after treatment, the scores of 20 points of the two groups were improved to some extent, but the improvement range of the observation group was significantly larger than that of the control group, and the difference was statistically significant (P 0.05). The results showed that the application of CT localization and acupuncture had good effect on the improvement of symptoms of cervical spondylosis of nerve root type. Conclusion the effect of puncture therapy on cervical spondylosis of nerve root type is remarkable under the orientation of CT. Obviously superior to the conventional acupuncture manipulation, and in the course of the study, all cases included in the case compliance is good, there is no elimination and shedding of cases, there is no obvious adverse reactions. It is proved that this method is a safe and effective method for the treatment of cervical spondylopathy of nerve root type, which is suitable for clinical application.
【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

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