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王秀华教授自拟方配合针灸治疗血瘀气滞型CSR疗效观察

发布时间:2018-02-17 02:03

  本文关键词: 神经根型颈椎病 血瘀气滞 针灸 中医临床疗效评定 出处:《辽宁中医药大学》2016年硕士论文 论文类型:学位论文


【摘要】:目的:探讨王秀华教授自拟方配合针灸治疗血瘀气滞型CSR的临床疗效观察。材料与方法:根据纳入、排除以及剔除标准,选择于2013年9月至2016年1月间在辽宁中医药大学附属医院骨伤门诊治疗的96例,诊断为血瘀气滞型CSR患者,均符合纳入标准。所有患者随机平均分成治疗组与对照组,其中治疗组48例采用口服自拟方合针灸治疗的方法,对照组48例采用骨筋丸胶囊配合针灸治疗的方法。所有患者均有完整的资料并获得有效随访均达到3个月。结果:1.中医临床疗效评定中,治疗组总有效率为93.4%,对照组总有效率为89.6%。治疗组与对照组比较有明显差异(P0.01)。2.观察两组患者的VAS评分,治疗前治疗组与对照组比较(P0.05)无统计学意义;组内治疗前、后评分比较,均有显著的统计学意义(P0.05);治疗后治疗组与对照组相比较,有统计学意义(P0.05)。3.观察两组患者的麻木症状评分,治疗前两组比较(P0.05)无统计学意义;两组组内治疗前、后评分比较,均有显著的统计学意义(P0.05);治疗后,治疗组与对照组相比较,有统计学意义(P0.05)。4.比较两组患者的ALT、BUN、CR指标;治疗后治疗组与对照组比较(P0.05)无统计学意义;对比组内治疗前、后,结果显示均无统计学意义(P0.05)。5.比较治疗后到两组疼痛、麻木开始缓解时间,有统计学意义(P0.01),且治疗组优明显于对照组。结论:使用王秀华教授自拟方配合针灸治疗血瘀气滞型CSR效果比骨筋丸胶囊配合针灸治疗效果更好。
[Abstract]:Objective: to investigate the clinical curative effect of Professor Wang Xiuhua's prescription combined with acupuncture in treating CSR with blood stasis and qi stagnation. Materials and methods: according to the criteria of inclusion, exclusion and elimination, From September 2013 to January 2016, 96 patients who were diagnosed as CSR with blood stasis and qi stagnation were selected from the outpatient department of bone injury of affiliated Hospital of Liaoning University of traditional Chinese Medicine. All the patients were randomly divided into treatment group and control group. Among them, 48 cases in the treatment group were treated by oral self-prescription combined with acupuncture and moxibustion. In the control group, 48 cases were treated with Gujin Pill capsule combined with acupuncture and moxibustion. All the patients had complete data and were followed up effectively for 3 months. Results: 1. In the evaluation of clinical efficacy of traditional Chinese medicine, The total effective rate of the treatment group was 93.4 and the total effective rate of the control group was 89.6.There was a significant difference between the treatment group and the control group. The VAS score of the two groups was observed, and that of the treatment group was higher than that of the control group (P 0.05), the scores before and after treatment in the treatment group were compared with those in the control group. Compared with the control group, there was significant difference between the treatment group and the control group. The scores of numbness symptoms in the two groups were observed, and there was no significant difference between the two groups before and after the treatment (P 0.05), there was no significant difference between the two groups before and after treatment, and there was no significant difference between the two groups before and after treatment, and there was no significant difference between the two groups before and after treatment. After treatment, compared with the control group, the treatment group had statistical significance (P 0.05), compared with the control group, compared with the control group, compared with the control group, compared with the control group, there was no significant difference between the treatment group and the control group before and after treatment, and compared with the control group before and after treatment, there was no significant difference between the treatment group and the control group before and after treatment, and compared with the control group, there was no significant difference between the treatment group and the control group before and after treatment. The results showed that there was no significant difference between the two groups in terms of pain and numbness. Conclusion: professor Wang Xiuhua's self-made prescription combined with acupuncture and moxibustion is more effective than Gujin Pill capsule in treating CSR with blood stasis and qi stagnation.
【学位授予单位】:辽宁中医药大学
【学位级别】:硕士
【学位授予年份】:2016
【分类号】:R249;R274.9

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