经筋刺血疗法治疗颈型颈椎病的临床研究

发布时间：2018-04-16 14:14

本文选题：经筋刺血疗法 + 颈型颈椎病　；参考：《广州中医药大学》2016年硕士论文

【摘要】：目的：随着人们劳动方式及生活方式的不断改变,颈型颈椎病的发病率呈不断上升和呈年轻化的趋势,给人们的生活和工作造成极大的困扰,因此开展对颈型颈椎病的防治有着重要的现实意义。本课题运用临床科研方法和数据统计方法,采用视觉模拟评分法(VAS)评分、简化McGill量表调查问卷及颈椎功能障碍指数(NDI)调查问卷等量表及其指标对其进行临床疗效评价。观察经筋刺血疗法治疗颈型颈椎病的临床疗效,并客观评价经筋刺血疗法在改善颈型颈椎病患者疼痛及临床症状,体征及日常生活动作方面的影响,以求科学的评价经筋刺血疗法治疗颈型颈椎病的科学性和有效性,为治疗颈型颈椎病的提供一种方便而有效的治疗方案。方法：本研究的受试患者来自于2015年1月份至2016年1月份的广东省第二中医院针灸康复科门诊及住院部的颈型颈椎病患者60例,符合纳入标准,采用随机对照的临床研究方案。按就诊顺序分为治疗组(采用经筋刺血疗法)和对照组(采用常规针刺疗法),每组各30例。两组都是每周治疗3次,隔日1次,2周后评定疗效。两组在治疗前及1次治疗后用视觉模拟评分法(VAS)评定疗效,疗程结束后采用视觉模拟评分法(VAS)、简化McGill量表及颈椎功能障碍指数(NDI)调查问卷进行疗效评价。结果：1.治疗前,治疗组与对照组性别、年龄、病程、VAS评分、简化McGill疼痛问卷表评分及颈椎功能障碍指数(NDI)调查问卷评分比较,两组差异都无统计意义(P0.05),说明治疗组和对照组两组的患者基线特征是具有可比性。2、两组患者1次治疗后视觉模拟评分法(VAS)评分与治疗前组内相比较,差异具有统计学意义(P0.01,P0.05)。说明两种疗法均具有良好的即时镇痛效应,但筋经刺血疗法组优于常规针刺组。全部治疗结束后,两组VAS评分、简化McGill疼痛问卷表及颈椎功能障碍指数(NDI)调查问卷评分与治疗前组内比较,差异具有统计学意义(P0.01,P0.05)。治疗后两组VAS评分、简化McGill疼痛问卷表及颈椎功能障碍指数(NDI)调查问卷评分组间比较,差异具有统计学意义(P0.01,P0.05)。提示经筋刺血疗法和普通针刺疗法均能有效的缓解型颈椎病患者症状、体征及日常生活动作,且经筋刺血疗法优于常规针刺法。3、治疗后,经筋刺血疗法组治愈22例,好转7例,未愈1例。总有效率为96.6%；常规针刺组治愈16例,好转10例,未愈4例,总有效率为86.6%；在总有效率上,经秩和检验,P0.05,有统计学意义,说明经筋刺血疗法组临床疗效优于常规针刺组。结论：经筋刺血疗法和常规针刺疗法都能很好的改善颈型颈椎病患者的症状、体征及日常生活动作,且经筋刺血疗法在即时镇痛效应及总体疗效方面优于常规针刺疗法。
[Abstract]:Objective: with the change of people's working style and life style, the incidence rate of cervical spondylosis is rising and younger, which causes great trouble to people's life and work.Therefore, the prevention and treatment of cervical spondylosis has important practical significance.In this paper, the clinical scientific research method and data statistic method were used to evaluate the clinical efficacy of McGill scale and cervical spine dysfunction index (NDI) by using visual analogue score (VAS) and visual analogue score (VAS).To observe the clinical effect of blood acupuncture therapy on cervical spondylopathy, and to evaluate objectively the effect of blood acupuncture therapy on the improvement of pain, clinical symptoms, physical signs and daily life movements in patients with cervical spondylosis.In order to scientifically evaluate the scientific and effective treatment of cervical spondylopathy with blood puncture of meridians, a convenient and effective treatment scheme was provided for the treatment of cervical spondylosis of cervical type.Methods: from January 2015 to January 2016, 60 patients with cervical cervical spondylosis from the Department of Acupuncture and Rehabilitation, Department of Acupuncture and Rehabilitation, second Hospital of Guangdong Province, were enrolled in the study.The patients were divided into two groups according to the order of visit: the treatment group (treated with blood acupuncture) and the control group (30 cases in each group).Both groups were treated 3 times a week and evaluated after 2 weeks of treatment every other day.Visual analogue score (VAS) was used to evaluate the efficacy of the two groups before and after treatment. After the course of treatment, visual analogue score (VAS) was used to simplify the McGill scale and the cervical spine dysfunction index (NDI) questionnaire to evaluate the efficacy.The result is 1: 1.Before treatment, the scores of sex, age, course of disease and VAS, simplified McGill pain questionnaire and cervical spine dysfunction index were compared between the treatment group and the control group.There was no statistical significance between the two groups, indicating that the baseline characteristics of the patients in the treatment group and the control group were comparable. The visual analogue score (VAS) score of the two groups was significantly higher than that of the pre-treatment group.The results showed that both of them had good immediate analgesic effect, but the treatment group was superior to the routine acupuncture group.After all treatment, the VAS score, simplified McGill pain scale and cervical spine dysfunction index were compared with those before treatment. The difference was statistically significant (P 0.01) and P 0.05 (P < 0.05).After treatment, there were significant differences in VAS score, simplified McGill pain scale and cervical spine dysfunction index between the two groups.It is suggested that both meridian pricking blood therapy and common acupuncture therapy can effectively relieve symptoms, signs and daily life movements of patients with cervical spondylosis, and the meridian needling blood therapy is superior to conventional acupuncture therapy .3.After treatment, 22 cases are cured and 7 cases are improved in the meridian needling blood therapy group.There was no recovery in 1 case.The total effective rate was 96.6in the routine acupuncture group, 16 cases were cured, 10 cases were improved, 4 cases were not recovered, the total effective rate was 86.6%, and the total effective rate was significantly higher than that in the routine acupuncture group by rank sum test (P0.05), which indicated that the clinical efficacy of the treatment group was better than that of the routine acupuncture group.Conclusion: both meridian pricking blood therapy and routine acupuncture therapy can improve the symptoms, physical signs and daily life movements of patients with cervical spondylosis, and the acupuncture therapy is superior to the routine acupuncture therapy in terms of immediate analgesic effect and overall curative effect.
【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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