热敏灸治疗神经根型颈椎病疗效及对肌电图影响的观察

发布时间：2018-05-29 20:51

本文选题：热敏灸 + 神经根型颈椎病　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:本研究旨在探索热敏灸治疗神经根型颈椎病(CSR)的临床疗效和对肌电图F波的影响,并与电针加TDP疗法进行差异性比较,从而为针灸治疗神经根型颈椎病选择更有效的治疗方法和提供客观依据。方法:将符合纳入标准的60例CSR患者,随机分为热敏灸组(治疗组)30例和电针加TDP组(对照组)30例,每组治疗前与两个疗程治疗后进行疼痛评分、症状体征量化评分、肌电图F波检测和疗效评定,并进行组间比较。结果:治疗组有效率为92.86%,对照组有效率为88.89%。两组治疗后疼痛积分较治疗前均明显下降,症状体征积分较治疗前均明显升高,正中神经与尺神经的F波出现率和传导速度均较前提高,所有指标均较治疗前有显著性差异(P0.01),且治疗组对疼痛、症状体征和肌电图F波的总体改善程度明显高于对照组(P0.05)。结论:两组治疗均可改善患者的疼痛和临床症状,均可促进CSR患者受损神经的修复,且热敏灸组临床疗效及对疼痛和肌电图F波的改善方面均优于对照组。
[Abstract]:Objective: to explore the clinical effect of thermosensitive moxibustion on cervical spondylopathy of nerve root type and its effect on F wave of electromyography, and to compare it with electroacupuncture plus TDP therapy. Therefore, it can provide more effective treatment and objective basis for the treatment of cervical spondylopathy of nerve root type by acupuncture and moxibustion. Methods: sixty patients with CSR were randomly divided into treatment group (n = 30) and electroacupuncture plus TDP group (n = 30). The F wave of electromyography was detected and the curative effect was evaluated and compared between groups. Results: the effective rate was 92.86 in the treatment group and 88.89 in the control group. After treatment, the pain score was significantly decreased, the symptom and sign scores were significantly increased, and the F wave appearance rate and conduction velocity of median nerve and ulnar nerve were increased. All the indexes were significantly different from those before treatment (P 0.01), and the overall improvement of pain, symptoms and signs and F wave of electromyogram in the treatment group was significantly higher than that in the control group (P 0.05). Conclusion: both groups can improve the pain and clinical symptoms of patients, can promote the repair of injured nerves in CSR patients, and the curative effect of heat sensitive moxibustion group and the improvement of pain and F-wave of electromyogram are better than that of the control group.
【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

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