美式整脊手法为主治疗颈型颈椎病的临床研究

发布时间：2018-06-13 10:08

  本文选题：颈型颈椎病 + 美式整脊手法　； 参考：《广州中医药大学》2017年硕士论文

【摘要】：目的:研究探索美式拇指矫正法结合龙氏仰卧推正法,治疗颈型颈椎病的临床疗效;以及该方法辅以颈三针针刺治疗时,疗效是否具有差异。在确保疗效的基础上,探索更加简便、有效的治疗方法并推广应用。方法:从广州黄陂医院理疗科门诊收集60例符合本次研究诊断标准的颈型颈椎病患者。将60名患者随机分为治疗组与对照组,每组均30例。治疗组采用美式拇指矫正法结合龙氏仰卧推正法的整脊手法治疗颈型颈椎病,对照组采用与治疗组相同的整脊手法结合颈三针进行治疗。整脊治疗与颈三针针刺治疗用时均大约为30min每次,隔1～2天治疗一次,共治疗三次,共一个疗程,在一周内完成。收集治疗前、后的观察指标,包括一般资料,症状体征积分及颈椎功能障碍指数评分(NDI),最后使用SPSS整理并分析观察指标数据。结果:治疗组显效29例,痊愈1例;对照组显效28例,痊愈2例。两组的总有效率均为100%。秩和检验对比组间疗效差异,结果P0.05,差异无统计学意义。t检验分别对比治疗组与对照组的症状体征积分与NDI评分在治疗前后的差异,结果均为P0.05,两组治疗后的评分均低于治疗前的评分,差异具有统计学意义。治疗后症状体征积分与NDI评分的降低幅度以百分比(治疗前评分-治疗后评分/治疗前评分*100%)表示;治疗组症状体征积分与NDI评分降低幅度对应分别为86.58%、78.86%,对照组的降低幅度分别为87.72%、75.58%;组间对比症状体征积分与NDI评分降低幅度,结果P0.05,差异无统计学意义。结论:美式整脊疗法与美式整脊结合颈三针疗法治疗颈型颈椎病(NTCS)均取得了显著效果。两种疗法在解除疼痛不适,改善提高颈椎功能方面表现优秀。美式整脊疗法与美式整脊结合颈三针无论是在疗效上,或是改善颈椎功能和缓解疼痛的效果上,均无显著差异。本次研究中没有出现不良事件,说明美式整脊手法操作的安全性高。且所选用的手法操作简单,易上手,即使临床未久的年轻医师,稍加训练后也能取得良好疗效,为患者解除病痛提供了更多的选择。
[Abstract]:Objective: to explore the clinical effect of American thumb correction method combined with Longshi supine and orthopedic method in treating cervical spondylosis and whether there are differences in curative effect between this method and three-needle acupuncture therapy. On the basis of ensuring curative effect, a more simple and effective treatment method is explored and popularized. Methods: sixty patients with cervical spondylosis were collected from physiotherapy department of Huangpi Hospital in Guangzhou. 60 patients were randomly divided into treatment group and control group, 30 cases in each group. The treatment group treated cervical spondylosis with the American thumb correction method combined with Longshi supine pushing and orthodontic manipulation, while the control group was treated with the same ridge manipulation combined with three cervical needles as the treatment group. The whole ridge treatment and the cervical three acupuncture treatment time were about 30min every time, once every 2 days, a total of three times, a course of treatment, completed in one week. The observation indexes before and after treatment were collected, including general data, symptom and sign scores and cervical spine dysfunction index scores. Finally, SPSS was used to collate and analyze the observation data. Results: 29 cases were cured in the treatment group and 2 cases in the control group. The total effective rate of both groups was 100. Results there was no significant difference between treatment group and control group in symptom and sign score and NDI score before and after treatment by rank sum test (P 0.05). The results were all P 0.05. The scores of the two groups after treatment were lower than those before treatment, and the difference was statistically significant. The decrease of symptom and sign score and NDI score after treatment was expressed as a percentage (pre-treatment score-post-treatment score / pre-treatment score 100). The decrease range of symptom and sign score and NDI score in the treatment group was 86.58 and 78.86, respectively, while that in the control group was 87.72 and 75.58 respectively, and the difference between the symptom and sign score and the NDI score was not statistically significant (P 0.05). Conclusion: both American chiropractic therapy and American spinal therapy combined with cervical three-needle therapy have achieved remarkable results in the treatment of cervical Spondylotic spondylosis. The two treatments perform well in relieving pain and discomfort and improving cervical vertebra function. There was no significant difference between American chiropractic and American spine combined with cervical three needles in terms of curative effect, improvement of cervical vertebra function and relief of pain. There were no adverse events in this study, indicating the high safety of American ridge manipulation. And the operation is simple and easy to use. Even young doctors who have not been treated for a long time can get good results after a little training, which provides more options for patients to relieve the pain.
【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：2013666