针刀临床治疗颈性眩晕的规范化研究

发布时间：2018-05-09 14:53

本文选题：颈性眩晕 + 针刀　；参考：《成都中医药大学》2016年硕士论文

【摘要】：目的：通过计算机检索国内外公开发表的有关针刀治疗颈性眩晕的临床文献,基于循证医学原则和方法,对文献进行等级评价,筛选出高等级证据,从中提取归纳针刀治疗颈性眩晕的诊疗标准及技术操作步骤相关内容,并结合调查问卷的意见征询结果,总结出较为规范的临床针刀治疗颈性眩晕的操作流程,旨在统一诊疗标准、规范操作流程,为针刀临床操作提供参考以提高疗效、减少安全事故发生率,使颈性眩晕这一针刀优势病种得到进一步的推广。方法：以循证医学方法结合问卷调查法进行针刀治疗颈性眩晕临床规范化操作的编制。首先通过计算机检索数据库,对国内外针刀治疗颈性眩晕的相关文献资料进行全面搜集。根据研究所需制定严格的纳入标准与排除标准,对所搜集文献进行筛选,整理出所需临床研究文献。基于循证医学原则与方法,对不同类型的文献采用不同的文献评价方式,对筛选出的文献进行严格的证据等级评价,纳入高质量文献作为参考文献,提取其中关于针刀治疗颈性眩晕的诊疗标准及临床操作技术的具体内容,并进行归纳分析与总结,初步编写《针刀治疗颈性眩晕的临床规范化操作》(初稿)。针对初稿编写过程中发现的问题和争议,制定《针刀治疗颈性眩晕临床操作调查问卷》进行临床调研,广泛征求针刀相关专家及临床医生意见。对调查问卷反馈回的信息进行整理汇总,统计处理问卷结果,结合反馈意见修改初稿,形成《针刀治疗颈性眩晕临的床规范化操作》(修改稿)。结果：(1)文献等级评价：共检索出针刀治疗颈性眩晕文献760篇,根据纳入标准和排除标准筛选后,初步纳入临床治疗性文献112篇,通过文献等级评价最终纳入高等级文献34篇,作为参考文献。(2) 问卷调查：共发放100份调查问卷,回收有效问卷76份,对76份有效问卷提取反馈意见并分析整理。结合参考文献及征询意见制定出《针刀治疗颈性眩晕的临床规范化操作》(修改稿)。结论：《针刀治疗颈性眩晕的临床规范化操作》(修改稿)基于循证医学原则与方法,结合问卷调查法进行意见征询,是与针刀临床紧密结合的方法探索,为针刀医生临床操作提供参考,也为针刀规范化研究工作奠定一定基础。
[Abstract]:Objective: to search the clinical literature published at home and abroad on the treatment of cervical vertigo by means of computer, and to evaluate the literature on the basis of the principles and methods of evidence-based medicine, and to screen out the high grade evidence. The standard of diagnosis and treatment of cervical vertigo with needle knife and the related contents of technical procedures were extracted and summarized. The results of the questionnaire were used to summarize the standard procedure of acupuncture knife in the treatment of cervical vertigo. The aim is to unify the standard of diagnosis and treatment, to standardize the operation flow, to provide reference for the clinical operation of needle knife, to improve the curative effect, to reduce the incidence of safety accidents, and to further popularize the superior disease of cervical vertigo. Methods: Evidence-based medicine combined with questionnaire method was used to compile the standardized operation of needle knife therapy for cervical vertigo. Firstly, the related literature on cervical vertigo treated by needle knife was collected by computer retrieval database at home and abroad. According to the need to establish strict inclusion criteria and exclusion criteria, the collected literature is screened, and the clinical research literature is sorted out. Based on the principles and methods of evidence-based medicine (EBM), different literature evaluation methods were adopted for different types of literature. The selected literature was evaluated strictly by evidence grade, and high quality documents were included as references. Abstract the specific contents of diagnosis and treatment standard and clinical operation technique of cervical vertigo treated by needle knife, and summarize and summarize, and compile "Clinical standardized Operation of Acupuncture Therapy for Cervical Vertigo" (preliminary draft). In view of the problems and controversies found in the preparation of the first draft, the questionnaire on Clinical Operation of Needle knife for treatment of Cervical Vertigo was established for clinical investigation, and the opinions of relevant experts and clinicians were widely sought. The information returned from the questionnaire was collected, the questionnaire results were statistically processed, and the first draft was revised in combination with feedback to form the "standardized operation of the bed for the treatment of cervical vertigo with needle knife" (revision and revision). Results: a total of 760 literatures on cervical vertigo treated by needle knife were retrieved, 112 of which were selected according to the inclusion criteria and exclusion criteria, and 34 were included in the literature grade evaluation. As a reference, a total of 100 questionnaires were distributed, 76 valid questionnaires were collected, and 76 valid questionnaires were collected and analyzed. Combined with references and opinions, the standardized operation of needle knife in the treatment of cervical vertigo was worked out. Conclusion: the standardized operation of acupuncture in the treatment of cervical vertigo (revision) is based on the principles and methods of evidence-based medicine, combined with questionnaire survey, which is a close combination of acupuncture knife clinical methods to explore. To provide reference for the clinical operation of needle knife doctors, but also to lay a foundation for the standardization of needle knife research.
【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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