药物贴敷配合灸法治疗颈椎病（颈型）颈痛的疗效观察

发布时间：2018-01-10 12:07

本文关键词：药物贴敷配合灸法治疗颈椎病（颈型）颈痛的疗效观察　出处：《山西中医学院》2016年硕士论文　论文类型：学位论文

【摘要】：目的通过本次临床研究,评价药物贴敷配合灸法治疗颈椎病(颈型)颈痛的临床疗效,为药物贴敷配合灸法治疗颈椎病(颈型)颈痛的临床推广提供依据。方法以患者到医院时分配的就诊号为依据,按照随机的原则将90例合格的患者平均分为两组,其中一组为对照组,该组患者只接受针刺治疗,另一组为治疗组,该组患者接受药物贴敷配合艾灸治疗。治疗方法:对照组使用单纯针刺法,选取的穴位分别为夹脊、风池、后溪、合谷、天窗、阿是穴,一天治疗一次,连续治疗5次后停止。治疗组使用药物贴敷配合灸法,治疗部位以压痛点以及有条索状或点状结节的患处为主,一天治疗一次,连续治疗5次后停止。两组在山西中医学院第三中医院针灸三科老师的指导下常规治疗。采用NPQ颈痛评分量表、健康状况调查问卷SF-36、McGill评分量表三个量表对两组分别进行客观数据的记录,并对记录的数据进行统计学分析,得到试验的研究结论,研究探讨药物贴敷配合灸法治疗颈椎病(颈型)颈痛是否有确切的疗效。结果1.NPQ颈痛评分量表评分比较:治疗前,两组患者的NPQ量表评分结果基本保持一致,无显著性差异(P0.05)。治疗前后评分的组内对比:组内比较,治疗组和对照组治疗前后评分差异明显,具有非常显著性差异(P0.01),组间比较,两组有显著性差异(P0.05),治疗组优于对照组。2.简式McGill疼痛问卷评分比较:尚未接受治疗前,治疗组和对照组比较,差异无统计学意义(P0.05)。治疗后,治疗组和对照组组内比较,都有非常显著性差异(P0.01),所有患者接受治疗后,两组之间进行对比分析,有显著性差异(P0.05),治疗组优于对照组。3.SF-36生存质量评分比较:治疗前SF-36生存质量8维度评分组间比较评分相近,不具有显著性差异(P0.05)。治疗前后比较,治疗组和对照组组内差异都有显著意义(P0.05)。治疗后,两组组间比较,在社会功能维度和生理机能维度,两组差异有显著意义(P0.05)。两组在生理职能维度、躯体疼痛维度和精力维度有非常显著意义(P0.01)。在健康状况、情感职能、精神健康三个维度方面(P0.05),组间对比不具有显著性差异。治疗组优于对照组。4.所有患者接受完治疗后,统计总有效率然后进行组间对比,结果显示有统计学意义(P0.01)。治疗组的疗效优于对照组。结论:1.研究初步表明,两种疗法对治疗颈椎病(颈型)颈痛均有较好临床疗效。2.研究初步表明,药物贴敷配合灸法治疗颈椎病颈痛疗效优于单纯针刺组,且治疗组具有舒适无痛苦、无创伤、操作方法简便、易于推广的优势。
[Abstract]:Objective to evaluate the clinical efficacy of drug application combined with moxibustion in the treatment of cervical spondylopathy (cervical type) by this clinical study. To provide the basis for the clinical popularization of drug application combined with moxibustion in the treatment of cervical spondylopathy (cervical type). According to the random principle, 90 eligible patients were divided into two groups, one group was the control group, the other group was the treatment group. The patients in this group were treated with drug application combined with moxibustion. The control group was treated with simple acupuncture. The selected points were Jiaji, Fengchi, Houxi, Hegu, skylight, Ashi, once a day. The treatment group was treated once a day with tenderness points and the affected areas with striped or punctate nodules. The two groups were treated regularly under the guidance of the teachers of acupuncture and moxibustion in the third Chinese Medicine Hospital of Shanxi College of traditional Chinese Medicine. The NPQ neck pain scale and the health status questionnaire SF-36 were used. The objective data of the two groups were recorded by three scales of McGill rating scale, and the recorded data were statistically analyzed, and the conclusion of the experiment was obtained. To investigate whether there is a definite curative effect on cervical pain of cervical spondylosis (cervical type) treated by drug application combined with moxibustion. 1. Comparison of NPQ score scale: before treatment. There was no significant difference in the scores of NPQ scale between the two groups before and after treatment (P 0.05). There was a significant difference between the treatment group and the control group before and after treatment. There was a very significant difference between the two groups (P0.01, P0.05). The treatment group is better than the control group .2.The simple McGill pain questionnaire score comparison: before the treatment, the treatment group and the control group, the difference is not statistically significant after treatment. Compared with the control group, there is a very significant difference between the treatment group and the control group, all patients received treatment, the two groups were compared and analyzed, there was significant difference (P 0.05). The quality of life of the treatment group was better than that of the control group. 3. Comparison of the scores of quality of life of the treatment group: before treatment, the scores of SF-36 quality of life 8 dimension scores were similar between the groups. There was no significant difference before and after treatment, there were significant differences between the treatment group and the control group. After treatment, there was a significant difference between the two groups. In the social function dimension and physiological function dimension, there was significant difference between the two groups in the physiological function dimension. The physical pain dimension and the energy dimension have very significant significance P0.01. in the health condition, the affective function, the mental health three dimensions P0.05). There was no significant difference between the two groups. The treatment group was superior to the control group. 4. After all the patients received the treatment, the total effective rate was counted and then compared between the groups. The results showed that there was significant difference between the two groups. The curative effect of the treatment group was better than that of the control group. Two kinds of treatment for cervical spondylopathy (cervical type) cervical pain have good clinical efficacy. 2. The preliminary study showed that the drug application combined with moxibustion treatment of cervical Spondylotic cervical pain is better than simple acupuncture group. The treatment group has the advantages of comfortable, no pain, no trauma, simple operation and easy to be popularized.
【学位授予单位】：山西中医学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

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