解结针法治疗颈型颈椎病的临床研究

发布时间：2018-04-20 17:35

  本文选题：颈型颈椎病 + 针刺治疗　； 参考：《广州中医药大学》2017年硕士论文

【摘要】：研究目的:通过简单随机对照的研究方法,采用标准化的颈痛量表和视觉疼痛量表作为评价指标,用以比较解结针法和标准的普通针刺治疗,科学评价解结针法治疗颈型颈椎病的疗效,为临床优选一种有效、安全的针刺治疗方案。研究方法:本研究采用简单随机对照的研究方法,利用JMTJFX简明统计分析软件产生随机数字,制成随机分配卡,按照患者被纳入的顺序所对应的随机数字决定分组。纳入研究的患者分入实验组(解结针法组)、对照组(普通针刺组),每组各35例病人。两组实验计划一个月完成治疗,共计2个疗程(每周治疗3次,2周为1疗程)。分别比较两组患者在治疗前、1疗程结束后,总治疗结束后的NPQ颈痛量表、VAS量表的的评分变化,以及治疗结束1个月后随访的评分,对比观察解结针法治疗颈型颈椎病的临床疗效。采用统计软件SPSS22.0对所收集数据进行统计分析。研究结果:实验组在研究过程中,1例患者因工作原因不能完成治疗,最终脱落;对照组35例患者完成治疗。最后,实验组34例和对照组35例纳入统计。(1)两组治疗前基线情况比较无明显差异,具有可比性。(2)两组治疗前后的NPQ、VAS评分组内比较都有意义(P0.05),表明两组治疗方案对改善颈型颈椎病都有确切的疗效。解结针法组NPQ、VAS评分经治疗后均呈下降趋势,在2疗程治疗结束后降至最低;对照组NPQ、VAS评分在普通针刺治疗后,也呈下降趋势,在2疗程治疗结束后呈最低。结论证明两组治疗方法均能降低颈型颈椎病的NPQ、VAS评分,具有确切的治疗作用。(3)治疗后两组组间比较,在各个观察时点,实验组的NPQ、VAS评分均高于对照组。NPQ评分方面:经过2周治疗,解结针法组NPQ评分为32.12±9.66,对照组为25.23± 11.81,两组间比较P0.05,有统计学意义。2疗程治疗结束后,解结针法组NPQ评分为22.12±11.21,对照组为14.54±11.36,两组间比较P0.05,有统计学意义。随访后解结针法组NPQ评分为21.44±11.03,对照组为12.74±9.04,两组间比较P0.05,有统计学意义。以上结果说明各观察时间节点,实验组NPQ评分均高于对照组。VAS评分方面:2周治疗后,解结针法组VAS评分为3.50± 1.26,对照组为2.89± 1.21,组间比较P0.05,有统计学意义。总疗程结束后,解结针法组VAS评分为2.56±1.42,对照组为1.54±1.29,组间比较P0.05,有统计学意义。随访后解结针法组VAS评分为1.97±1.09,对照组为1.14±0.94,组间比较P0.05,有统计学意义。以上数据说明,在各观察时间节点,实验组VAS评分均高于对照组。综上,观察时间点,普通针刺治疗颈型颈椎病的疗效优于解结针法组。(4)两组疗效比较,根据NPQ及VAS评分,1疗程结束后,实验组的总有效率为64.7%/64.7%,对照组的总有效率为82.8%/88.5%总治疗结束后,实验组的总有效率为82.4%/82.4%,对照组的总有效率为88.6%/91.4%。随访时实验组的有效率为82.4%/79.5%,对照组的总有效率为88.6%/88.6%。以上统计数据表明,各观察时间节点,对照组的疗效高于实验组。(5)解结针法组操作安全可靠,未发生安全方面的问题。结论:(1)解结针法是的临床疗效得到肯定,是治疗颈型颈椎病的有效方法。(2)解结针法与普通针刺疗法对比,对颈型颈椎病的治疗作用无明显优势,具体原因及远期效果有待进一步研究。(3)解结针法操作简便、安全、疗效确切,可以作为普通针刺方法的辅助方法,以提高临床针刺治疗颈型颈椎病的疗效。
[Abstract]:Objective: through a simple and randomized controlled study, a standardized neck pain scale and a visual pain scale are used as evaluation indexes. The curative effect of cervical spondylosis of cervical spondylosis is evaluated scientifically by comparing the needling method and standard acupuncture treatment, and a safe and effective acupuncture treatment scheme is selected for clinical study. Methods: a randomized controlled study was used in this study. Random numbers were produced by using JMTJFX simple statistical analysis software to produce random numbers, and randomly assigned cards were made according to the random numbers that the patients were included in. The patients included in the study were divided into the experimental group (the solution group) and the control group (common acupuncture group), each group of 35 patients. Two groups of experimental plans were completed one month to complete the treatment, a total of 2 courses (3 times per week, 2 weeks for 1 courses). The two groups were compared before the treatment, after the 1 course of treatment, after the end of the total treatment, the NPQ neck pain scale, the VAS scale change, and the score of the follow-up after the end of the treatment for 1 months, compared with the treatment of cervical spondylosis of the neck type. Statistical software SPSS22.0 was used to analyze the data collected by the statistical software. The results were as follows: during the study, 1 patients were unable to complete the treatment for the cause of work and finally fell off; 35 patients in the control group were treated. Finally, 34 cases in the experimental group and 35 cases in the control group were included in the statistics. (1) the baseline comparison of the two groups before treatment was compared. There was no obvious difference. (2) the comparison of the NPQ and VAS scores before and after treatment in the two groups was significant (P0.05), indicating that the two groups had a definite effect on the cervical spondylosis. The treatment group NPQ, the VAS score decreased after the treatment, and decreased to the lowest after the end of the treatment; the control group was NPQ, and the VAS score was common. After the acupuncture treatment, also showed a downward trend, the lowest after the end of the 2 course of treatment. Conclusion two groups of treatment methods can reduce the NPQ, VAS score of cervical spondylosis, and have the exact therapeutic effect. (3) after treatment, the two groups were compared in each observation time point, the NPQ, VAS score of the experimental group was higher than the control group.NPQ score: after 2 weeks treatment. The NPQ score of the solution group was 32.12 + 9.66, the control group was 25.23 + 11.81, and the two groups were compared with P0.05. The statistical significance of.2 treatment was statistically significant. The NPQ score of the solution group was 22.12 + 11.21, the control group was 14.54 + 11.36, and the two groups were P0.05, with a statistically significant difference. The NPQ score of the solution group was statistically significant, and the control group was 1. 2.74 + 9.04, the comparison between the two groups was statistically significant. The above results showed that each observation time node was higher than the.VAS score in the control group: after 2 weeks of treatment, the VAS score of the solution group was 3.50 + 1.26, the control group was 2.89 + 1.21 and the group was P0.05, with statistical significance. After the end of the total course of treatment, the VAS evaluation of the solution group was evaluated. The score was 2.56 + 1.42, the control group was 1.54 + 1.29, and P0.05 was statistically significant between the groups. The VAS score of the solution group was 1.97 + 1.09, the control group was 1.14 + 0.94, and the comparison between the groups was P0.05, with statistical significance. The above data showed that in the observation time nodes, the experimental group was higher than the control group. To sum up, observe the time point, ordinary needle. The curative effect of prickly cervical spondylosis was better than that in the solution group. (4) compared with the two groups, according to the NPQ and VAS scores, the total effective rate of the experimental group was 64.7%/64.7% after the end of the 1 course. The total effective rate of the control group was the end of the total 82.8%/88.5% treatment, the total effective rate of the experimental group was 82.4%/82.4%, and the total effective rate of the control group was followed up when 88.6%/91.4%. was followed up. The effective rate of the experimental group was 82.4%/79.5%, and the total effective rate of the control group was above 88.6%/88.6%.. The effect of each observation time node and the control group was higher than that of the experimental group. (5) the operation of the solution group was safe and reliable, and there was no safety problem. Conclusion: (1) the clinical effect of the needling method is affirmative, and it is the treatment of cervical cervical vertebra The effective method of the disease (2) the comparison between the needling method and the common acupuncture therapy has no obvious advantage on the treatment of cervical spondylosis, the specific reasons and the long-term effect need to be further studied. (3) the solution of the needle method is simple, safe and effective. It can be used as an auxiliary method of common acupuncture method to improve the clinical acupuncture treatment of cervical spondylosis. 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】：2017
【分类号】：R246.9
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本文编号：1778742