三维五法治疗神经根型颈椎病的临床疗效观察

发布时间：2018-01-06 12:10

本文关键词：三维五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】：目的:观察三维五法治疗神经根型颈椎病的临床疗效,为临床应用中医综合疗法治疗本病提供客观依据。方法:将60例神经根型颈椎病患者按随机数字表法随机分为治疗组30例和对照组30例,治疗组采用三维五法进行治疗,治疗方法包括刮痧、拔罐、针刺、艾灸和中药,腧穴选取风池、天柱、颈夹脊穴(病变节段及其上下节段两侧的3对夹脊穴)、肩井、曲池、外关、合谷、后溪,经脉取手、足太阳经和足少阳经为主,经筋取手、足太阳经和足少阳之经筋;对照组则给予普通针刺治疗。分别在治疗前后对比两组患者的VAS疼痛评分、《田中靖久症状量表》评分、肌电图F波出现频率,并对两组患者在治疗前后的临床效果进行对比评判。结果:1.两组患者治疗1周后VAS疼痛评分比较P0.05,差异有统计学意义;治疗2周后VAS疼痛评分比较P0.05,差异有统计学意义,治疗组优于对照组。2.两组患者治疗1周后《田中靖久症状量表》评分比较P0.05,差异有统计学意义;治疗2周后《田中靖久症状量表》评分比较P0.05,差异有统计学意义,治疗组优于对照组。3.两组患者治疗后正中神经和尺神经F波出现率组内比较,P0.05,提示三维五法和普通针刺治疗神经根型颈椎病都有效;治疗后两组正中神经和尺神经F波出现率组间比较,P0.01,差异具明显统计学意义,提示三维五法治疗神经根型颈椎病在修复受损神经效果上优于普通针刺疗法。4.三维五法治疗组总有效率为96.67%,对照组总疗效为90.00%,差异具有统计学意义(P0.05)。结论:1.三维五法和普通针刺治疗神经根型颈椎病都有疗效,三维五法缓解症状更明显。2.三维五法治疗神经根型颈椎病比普通针刺疗效更显著。3.三维五法治疗神经根型颈椎病在修复受损神经效果上优于普通针刺疗法。
[Abstract]:Objective: to observe the clinical effect of three dimensional five methods in the treatment of cervical spondylopathy of nerve root type. Methods: 60 cases of cervical Spondylotic radiculopathy were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with three dimensional five methods, including scraping, cupping, acupuncture, moxibustion and traditional Chinese medicine. The acupoints were selected as Fengchi, Tianzhu and Jiaji points (3 pairs of Jiaji points on both sides of the lesion segment and the upper and lower segments). Shoulder well, Quchi, Waiguan, Hegu, Houxi, Meridian to take hand, foot Sun Meridian and foot Shaoyang Meridian, Meridian take hand, foot Sun Meridian and foot Shaoyang Meridian; The control group was treated with common acupuncture. The VAS pain scores of the two groups were compared before and after treatment, < Tanzhong Jingjiu symptom scale > score, and the frequency of F-wave of electromyography. The clinical effects of the two groups before and after treatment were compared and evaluated. Results the VAS pain score of the two groups was significantly higher than that of P0.05 after one week of treatment. After 2 weeks of treatment, the VAS pain score was significantly higher than that of the control group (P0.05), and the treatment group was better than the control group (P0.05.) after 1 week of treatment, the scores were compared with the Tianzhong Jingjiu symptom scale (P0.05). The difference was statistically significant. After 2 weeks of treatment, the score of "Tianzhong Jingjiu symptom scale" was significantly higher than that of control group (P0.05). The F-wave occurrence rate of median nerve and ulnar nerve in the treatment group was better than that in the control group. P0.05 suggests that the three dimensional five method and common acupuncture are effective in the treatment of cervical spondylopathy of nerve root type. After treatment, the incidence of F-wave of median nerve and ulnar nerve in the two groups was significantly higher than that in the control group (P 0.01). It is suggested that the treatment of nerve root type cervical spondylosis by three dimensional five method is superior to that of common acupuncture therapy in repairing the injured nerve. The total effective rate of the treatment group is 96.677.The total curative effect of the control group is 90.00%. The difference was statistically significant (P 0.05). Conclusion 1. Three-dimensional five methods and common acupuncture are effective in the treatment of cervical spondylopathy of nerve root type. Three-dimensional five-method is more effective than common acupuncture in the treatment of cervical spondylosis of nerve root type. 3. Three-dimensional five-method treatment of cervical spondylosis of nerve root type is superior to that of common acupuncture in repairing damaged nerve. Law.
【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】：R246.9

【参考文献】