颈三针配合泰式按摩治疗颈型颈椎病的疗效观察

发布时间：2018-06-14 08:07

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

【摘要】：研究背景:颈椎病已成为常见病、多发病,成为全球重要的公共卫生问题,改善、缓解颈椎病患者的临床症状也成为现代医学的重要任务,应高度重视,予以深入研究。本研究通过进一步系统观察、对比、总结、分析研究,以探寻一种既能提高临床疗效,减轻患者疾苦,又切实可行的治疗颈椎病的方法,以适应我国构建和谐社会、提高国民健康体质、提高生活幸福指数的需求,为中医针灸优势的拓展寻找适宜的方法和途径,为中医科学发展作贡献。目的:泰式按摩目前在国际上研究的不是很多,其传统基础手法以印度草医和瑜伽在数百年间经无数大师代代相传至今。现代泰式按摩,是泰国社会中一种技艺,是理论性很强的一门科学,但是国际上对其独特的手法了解的不多,本人想通过本研究介绍泰式按摩手法特点并观察其配合颈三针治疗颈型颈椎病的疗效,来客观的评价其疗效。方法:本临床在研究期间严格按照临床诊断标准、纳入、排除标准筛选出60例病例,将60例合格颈型颈椎病患者随机分为对照组30例(颈三针)、治疗组30例(颈三针配合泰式按摩)。两组患者均选用颈三针针刺方法,针刺完后治疗组加上泰式按摩手法,治疗组及对照组均隔天治疗一次,1周治疗3次,2周为1个疗程,连续治疗2个疗程。2个疗程后观察疗效。在治疗前后对两组患者进行NPQ及McGill量表问卷评定,从而判定疗效。结果:将纳入的60例颈型颈椎病患者随机分为两组,本研究采用SPSS13.0进行统计分析,两组间的比性(P0.05)表示有统计学差异。,两组患者一般情况分布均衡,研究观察具有科学性和可信性。(1)McGill评分具有可比性(P0.05)。经过2个疗程治疗后,治疗组和对照组McGill评分均下降,临床症状均有缓解,颈部功能不同程度恢复及颈部疼痛缓解而改善睡眠。治疗组PRI、VAS、PPI评分均较对照组下降明显(P0.05)。泰式按摩手法可明显改善颈型颈椎病患者的疼痛。(2)NPQ问卷评分具有可比性(P0.05)。经过2个疗程治疗后,治疗组和对照组NPQ评分均下降,临床症状均有缓解,治疗组评分较对照组下降更为显著(P0.05)。泰式按摩手法可缓解颈型颈椎病患者的临床症状,有助于患者局部功能的改善。(3)临床疗效分析:根据临床疗效统计,治疗组患者临床治愈为3例,显效18例,有效7例,无效2例,治愈率为10.00%,总有效率为93.33%。对照组患者临床治愈为1例,显效16例,有效8例,无效5例,治愈率为3.33%,总有效率为83.33%。经统计分析,治疗组临床疗效优于对照组(P0.05)。结论:本临床课题研究经过统计分析表示,颈三针及颈三针配合泰式按摩均可改善颈型颈椎病的临床症状,且颈三针配合泰式按摩的疗效优于单纯的颈三针疗法,为颈三针和泰式按摩治疗颈型颈椎病提供客观依据。同时为泰式按摩在国内外的颈型颈椎病治疗以及其他适宜疾病的治疗中发挥优势提供参考。
[Abstract]:Background: cervical spondylopathy has become a common disease, frequent disease, become an important global public health problems, improve the clinical symptoms of patients with cervical spondylosis has become an important task of modern medicine, should be attached great importance to, in-depth research. Through further systematic observation, comparison, summary and analysis, this study aims to explore a method that can not only improve the clinical efficacy, alleviate the suffering of patients, but also be feasible to treat cervical spondylosis, in order to adapt to the construction of a harmonious society in China. To improve the national health and physique, to improve the demand of life happiness index, to find suitable ways and means for the development of acupuncture and moxibustion in TCM, and to contribute to the development of TCM science. Objective: Thai massage has not been studied much in the world at present. Its traditional basic techniques are Indian herbalists and yoga, which have been passed down from generation to generation by countless masters over the past several hundred years. Modern Thai massage is a skill in Thai society and a very theoretical science. However, the international community does not know much about its unique techniques. I would like to introduce the characteristics of Thai massage manipulation and observe the curative effect of the treatment of cervical spondylosis. Methods: during the study, 60 cases were selected according to the clinical diagnostic criteria and exclusion criteria. 60 eligible patients with cervical spondylosis were randomly divided into control group (30 cases) and treatment group (30 cases). The treatment group and the control group were treated once every other day, 3 times a week, 2 weeks as a course of treatment, 2 consecutive courses of treatment. After 2 courses of treatment, the treatment group was treated with Thai massage manipulation, and the treatment group and the control group were treated every other day for 3 times and 2 weeks as a course of treatment, and the curative effect was observed after 2 courses of treatment. NPQ and McGill questionnaire were used before and after treatment to evaluate the curative effect. Results: sixty patients with cervical spondylosis were randomly divided into two groups. SPSS 13.0 was used for statistical analysis. The observation was scientific and credible. McGill score was comparable (P 0.05). After two courses of treatment, the McGill scores of the treatment group and the control group were decreased, the clinical symptoms were relieved, the neck function was recovered and the neck pain was relieved, and the sleep was improved. Compared with the control group, the PPI scores in the treatment group were significantly lower than those in the control group (P 0.05). Thai massage manipulation can significantly improve the pain of patients with cervical spondylosis. After two courses of treatment, the NPQ scores of the treatment group and the control group were all decreased, and the clinical symptoms were relieved. The scores of the treatment group were significantly lower than that of the control group (P 0.05). Thai massage technique can relieve the clinical symptoms of cervical spondylopathy, which is helpful to the improvement of local function of patients. Analysis of clinical curative effect: according to the statistics of clinical curative effect, the treatment group has 3 cases of clinical cure, 18 cases of remarkable effect and 7 cases of effective. The cure rate was 10.00 and the total effective rate was 93.33. In the control group, 1 case was clinically cured, 16 cases were markedly effective, 8 cases were effective, 5 cases were ineffective, the cure rate was 3.33 and the total effective rate was 83.33. The clinical effect of the treatment group was better than that of the control group (P 0.05). Conclusion: the statistical analysis of this clinical study shows that the clinical symptoms of cervical spondylopathy can be improved by three cervical acupuncture and Thai massage, and the curative effect of three-needle combined with Thai massage is better than that of simple three-needle therapy. To provide the objective basis for the treatment of cervical spondylosis with three needles and Thai massage. At the same time, it provides a reference for Thai massage in the treatment of cervical spondylosis at home and abroad, as well as in the treatment of other suitable diseases.
【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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