定点复位法结合针刺治疗神经根型颈椎病的疗效观察

发布时间：2018-01-14 03:33

本文关键词：定点复位法结合针刺治疗神经根型颈椎病的疗效观察　出处：《广州中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：本研究采用临床小样本随机对照试验,以符合诊断标准、纳入标准和排除标准的神经根型颈椎病病人为研究对象,采用定点复位法结合针刺治疗该病证,并与单纯针刺组进行比较,探讨定点复位法结合针刺在治疗该疾病上的可行性、有效性和优越性,为定点复位法结合针刺治疗神经根型颈椎病提供临床参考依据。方法：根据诊断标准、纳入标准和排除标准筛选病例,将入选的60病例随机分为30例治疗组和30例对照组,治疗组采用定点复位法结合针刺治疗,对照组采用单纯针刺治疗。定点复位法每周治疗1次,针刺治疗每周3次,共治疗4周：观察指标参考田中靖久确定的“颈部神经根症治疗成绩判定基准”所制订的32分积分表,观察比较治疗前后的症状及体征变化。所得数据用SPSS19.0软件进行比较分析。成果：治疗组与对照组对于治疗神经根型颈椎病均有明显疗效,治疗组总有效率为96.67%；对照组总有效率为86.67%,且治疗组的总有效率高于对照组,两组差异比较有统计学意义(P0.05),表明治疗组疗效优于对照组。从总评分来看,两组患者在治疗后评分差值比较,治疗组明显高于于对照组,经统计学处理,有明显统计学差异(P＜0.05),表明治疗组在改善症状及体征方面优于对照组。在改善率方面,治疗组改善率高于对照组,经统计学分析,P＜0.05,表明治疗组在改善症状方面优于对照组。从单个症状及体征来看,两组治疗后评分与治疗前相比均有明显降低,差异有统计学意义(P＜0.05),表明两组治疗均有效果；治疗组治疗后在颈肩疼痛、上肢麻木和颈部压痛评分差值高于对照组,差异具有统计学意义(P＜0.05),表明治疗组在改善颈肩疼痛、上肢麻木和颈部压痛方面优于对照组。结论：定点复位法结合针刺治疗神经根型颈椎病跟单纯针刺相比,疗效较为明显,且在改善患者颈肩疼痛、上肢麻木和颈部压痛等临床症状及体征方面更明显。因此,定点复位法结合针刺综合了复位和针刺的两种功效,在治疗神经根型颈椎病时,是一种疗效确切的综合疗法。
[Abstract]:Objective: the purpose of this study was to use a randomized controlled trial of small clinical samples to treat cervical spondylopathy with nerve root type, which met the diagnostic criteria, included criteria and excluded criteria, and used fixed point reduction combined with acupuncture to treat the syndrome. Compared with simple acupuncture group, the feasibility, effectiveness and superiority of fixed-point reduction combined with acupuncture in the treatment of the disease were discussed. Methods: according to diagnostic criteria, inclusion criteria and exclusion criteria to screen cases. The selected 60 cases were randomly divided into 30 treatment group and 30 control group. The treatment group was treated with fixed point reduction combined with acupuncture, while the control group was treated with simple acupuncture once a week. Acupuncture treatment 3 times a week for a total of 4 weeks: the observation index reference Tian Zhongjingjiu determined the "cervical nerve root disease treatment achievement criteria" developed 32 points integral table. To observe and compare the changes of symptoms and signs before and after treatment. The data were compared and analyzed by SPSS19.0 software. Results: the treatment group and the control group have obvious curative effect on the treatment of cervical spondylopathy of nerve root type. The total effective rate in the treatment group was 96.67. The total effective rate of the control group was 86.67 and the total effective rate of the treatment group was higher than that of the control group. The difference between the two groups was statistically significant (P 0.05), which indicated that the curative effect of the treatment group was better than that of the control group. The difference between the two groups after treatment, the treatment group was significantly higher than the control group, after statistical treatment, there was significant statistical difference (P < 0.05). The results showed that the treatment group was superior to the control group in improving symptoms and signs, and the improvement rate in the treatment group was higher than that in the control group (P < 0.05). The results showed that the treatment group was superior to the control group in improving symptoms. From the single symptoms and signs, the scores of the two groups after treatment were significantly lower than before treatment, the difference was statistically significant (P < 0.05). The results showed that both groups were effective. The difference of neck and shoulder pain, upper limb numbness and neck tenderness in the treatment group was higher than that in the control group (P < 0.05), indicating that the treatment group was improving the neck and shoulder pain. Conclusion: the treatment of cervical spondylosis of nerve root type by fixed reduction combined with acupuncture is more effective than simple acupuncture, and it can improve the pain of neck and shoulder of patients. The clinical symptoms and signs of upper limb numbness and cervical tenderness are more obvious. Therefore, the fixed point reduction method combined with acupuncture synthesis of the two effects of reduction and acupuncture in the treatment of cervical spondylosis of nerve root type. It is an effective combination therapy.
【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】：2016
【分类号】：R246.9

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