针刀松解颈周腧穴治疗颈性眩晕的临床研究

发布时间：2018-04-13 19:23

本文选题：针刀 + 颈周腧穴　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的对比观察针刀松解颈周腧穴与小“T”形针刀松解术治疗颈性眩晕的临床疗效,并对其机制、治疗方案进行探讨,为颈性眩晕确定更准确的诊断依据,进而提出更安全、可靠、有效的临床治疗方案。方法将60例符合诊断标准的患者,采用随机、对照的方法,分为试验组(针刀松解颈周腧穴)30例和对照组(小“T”形针刀松解术)30例。试验组与对照组均采取5天治疗1次,治疗3次为1个疗程,疗程结束后3天进行疗效评定。观察接受两种不同治疗方案的患者分别在治疗前后的颈性眩晕症状与功能评分、颈交感症状评分的数值差异,将收集结果进行统计学数据处理,观察数据是否具有统计学意义。结果两组方案治疗疗程结束后,试验组患者临床控制2例,显效18例,有效9例,无效1例,治疗总有效率达96.67%;对照组患者临床控制1例,显效11例,有效16例,无效2例,治疗总有效率达93.33%。结论针刀松解颈周腧穴及小“T”形针刀松解术治疗颈性眩晕短期观察均有临床疗效,但无统计学差异,而针刀松解颈周腧穴更安全、快捷、操作可重复性强,可供不同等级临床医师学习、应用,故通过针刀松解颈周腧穴治疗颈性眩晕更值得临床的推广运用。
[Abstract]:Objective to observe the clinical curative effect of the treatment of cervical vertigo with acupuncture knife loosening acupoints around neck and small "T" needle knife in order to determine more accurate diagnostic basis for cervical vertigo, and to put forward a more safe method for the treatment of cervical vertigo.Reliable and effective clinical treatment.Methods Sixty patients who met the diagnostic criteria were randomly divided into experimental group (30 cases) and control group (30 cases).Both the experimental group and the control group were treated once for 5 days, 3 times for a course of treatment, 3 days after the end of the course of treatment to evaluate the efficacy.To observe the difference of cervical vertigo symptom and function score and cervical sympathetic symptom score before and after treatment in patients who received two different treatment schemes. The collected results were processed with statistical data to observe whether the data had statistical significance.Results at the end of the course of treatment, there were 2 cases of clinical control, 18 cases of marked effect, 9 cases of effective and 1 case of ineffectiveness in the trial group, and the total effective rate was 96.677.In the control group, there were 1 case of clinical control, 11 cases of marked effect, 16 cases of effective and 2 cases of ineffectiveness.The total effective rate was 93.33%.Conclusion the treatment of cervical vertigo with acupuncture knife loosening acupoints and small "T" needle loosening is effective, but there is no statistical difference, but it is safer, faster and more reproducible to operate the acupoints around the neck.It can be studied and applied by clinicians of different grades, so it is worth popularizing the treatment of cervical vertigo by using needle knife to release the acupoints around the neck.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

【相似文献】