浮针治疗颈型颈椎病的临床疗效观察

发布时间：2018-03-30 20:18

本文选题：颈型颈椎病　切入点：浮针　出处：《成都中医药大学》2016年硕士论文

【摘要】：目的：通过对浮针和普通针刺治疗颈型颈椎病进行对比,观察两种疗法的即刻镇痛效应及临床疗效的差异,为临床提供一种起效快、疗效肯定且容易被患者接受的治疗方案。方法：通过四川省中医院针灸科门诊招募及成都中医药大学校内招募符合条件的受试者68例,按招募顺序随机纳入试验组或对照组,每组各34例。试验组采用浮针疗法,每隔1天治疗1次,6次为1个疗程；对照组进行普通针刺治疗,每天治疗1次,10次为1个疗程。两组均每治疗5天间隔2天,2周为1个疗程。分别于治疗前、治疗1个疗程后,进行简化McGill疼痛问卷评分,颈痛量表(NPQ)评分及症状体征评分,以判定综合疗效；并于首次治疗后进行VAS评分,以观察两种疗法的即刻镇痛效应。结果：1.两组在性别、年龄、中医证型分布、病程及病情方面基线一致,具有可比性。2.两组治疗前与首次治疗后组内比较：视觉模拟评分(VAS)差异均具有统计学意义(P0.05)。3.两组首次治疗后组间比较：视觉模拟评分(VAS)结果显示两组差异具有统计学意义(P0.05)。4.两组治疗前与治疗一个疗程后组内比较：疼痛评级指数(PRI)感觉项及情感项、视觉模拟评分(VAS)、现有疼痛强度评分(PPI)、颈痛量表评分(NPQ)、症状体征评分差异均具有统计学意义(P0.05)。5.两组治疗一个疗程后组间比较：疼痛评级指数(PRI)感觉项、视觉模拟评分(VAS)、现有疼痛强度评分(PPI)、颈痛量表评分(NPQ)、症状体征评分结果均显示两组差异无统计学意义(P0.05)；疼痛评级指数(PRI)情感项结果显示两组差异具有统计学意义(P0.05)。6.疗效评定：治疗组总有效率93.94%,对照组总有效率90.62%,两组结果显示差异无统计学意义(P0.05)。结论：浮针疗法在即刻镇痛效应方面有一定优势,且所需治疗次数较常规针刺疗法少,能有效改善患者疼痛及治疗相关的负面情绪,是一种安全、有效的治疗方法。
[Abstract]:Objective: to observe the difference of immediate analgesic effect and clinical effect between floating acupuncture and common acupuncture in the treatment of cervical spondylosis. Methods: 68 eligible subjects were recruited by the Department of Acupuncture and moxibustion Department of Sichuan traditional Chinese Medicine Hospital and Chengdu University of traditional Chinese Medicine and randomly enrolled in the trial group or the control group according to the order of recruitment. There were 34 cases in each group. The experimental group was treated with floating acupuncture, 6 times every one day as a course of treatment, while the control group was treated with common acupuncture. One course of treatment was given once a day, 10 times a day, and the two groups were treated every 5 days, 2 days and 2 weeks as a course of treatment. Before and after one course of treatment, simplified McGill pain scale score, neck pain scale score and symptom and sign score were performed. In order to judge the comprehensive curative effect and to evaluate the immediate analgesic effect of the two treatments by VAS score after the first treatment, the two groups had the same baseline in sex, age, distribution of TCM syndromes, course of disease and disease condition, respectively, in terms of sex, age, distribution of TCM syndromes, course of disease and severity of disease. Comparison between the two groups before and after the first treatment: visual analogue score (VAS) was statistically significant (P 0.05) .3.The comparison between the two groups after the first treatment: visual analogue score (VASS) showed that the difference between the two groups was uniform. Before treatment and after a course of treatment, the pain rating index (PRII) and the feeling item and emotion item were compared between the two groups before treatment and after one course of treatment. Visual analogue score (VASA), pain intensity score (PPI), neck pain scale (NPQ), symptom and sign score (P < 0.05) were statistically significant. Comparison between the two groups after one course of treatment: pain rating index (PRI) sensory item. Visual analogue score (VASA), pain intensity score (PPI), neck pain scale (NPQ), symptom and sign score (SPSS) showed no significant difference between the two groups (P 0.05), and pain rating index (P < 0.05) and emotion score (P < 0.05) showed significant difference between the two groups. Evaluation of curative effect: the total effective rate of the treatment group was 93.94, the total effective rate of the control group was 90.622.There was no significant difference between the two groups. Conclusion: the floating acupuncture therapy has some advantages in the immediate analgesic effect. The frequency of treatment needed is less than that of conventional acupuncture therapy, which can effectively improve the pain and related negative emotions of patients. It is a safe and effective treatment method.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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