推拿治疗椎动脉型颈椎病的临床研究

发布时间：2018-06-23 20:24

本文选题：椎动脉型颈椎病 + 推拿手法　；参考：《长春中医药大学》2016年硕士论文

【摘要】：目的:本课题主要是运用推拿手法(点揉法、推法及颈部提拉法)治疗椎动脉型颈椎病,通过对于两组患者症状、体征的疗效评分对比,评价推拿手法治疗椎动脉型颈椎病的临床疗效。方法:本课题选取2014年10至2015年10月期间,在长春中医药大学附属医院骨科住院病人中收治的椎动脉型颈椎病的患者,将符合椎动脉型颈椎病纳入标准的72例患者随机数字表分为治疗组36例和对照组36例,治疗组采用推拿手法主要为点揉法、推法及配合颈部提拉法,疗程4周,每日一次。对照组采用常规的推拿理筋手法,疗程同治疗组。根据疗效评定标准分别记录两组患者治疗前后的症候评分结果,以论证推拿手法治疗椎动脉型颈椎病的临床效果。结果:两组患者经过临床观察与统计学计算分析,两组患者在性别、年龄、病程等方面没有显著差异具有临床可比性(P0.05);治疗组在达到临床痊愈、显效、有效的时间明显短于对照组(P0.05);且治疗组的总有效率为93.3%优于对照组,具有统计学意义。两组患者在达到不同疗效判定标准时所有的时间使用统计学差异的(P0.05)。结论:推拿手法治疗椎动脉型颈椎病在临床上疗效确切,理论依据充分,此种推拿手法在临床上可进行推广,是治疗椎动脉型颈椎病的一种疗效确切的方法。
[Abstract]:Objective: this subject is to use massage manipulation (point rubbing method, pushing method and neck lifting method) to treat cervical spondylosis of vertebral artery type, and to compare the curative effect score of symptoms and signs of two groups of patients. To evaluate the clinical effect of massage manipulation on cervical spondylosis of vertebral artery type. Methods: from October 2014 to October 2015, patients with cervical spondylosis of vertebral artery type were selected from orthopaedic department of Changchun University of traditional Chinese Medicine. 72 patients with cervical spondylosis of vertebral artery type were randomly divided into treatment group (36 cases) and control group (36 cases). The control group was treated with the same course of treatment. According to the evaluation criteria of curative effect, the symptom scores of the two groups were recorded before and after treatment to demonstrate the clinical effect of massage manipulation in the treatment of cervical spondylosis of vertebral artery type. Results: after clinical observation and statistical analysis, there was no significant difference in sex, age and course of disease between the two groups (P0.05). The effective time was significantly shorter than that of the control group (P0.05), and the total effective rate of the treatment group was 93.3% better than that of the control group, which had statistical significance. Two groups of patients in the different efficacy criteria when all time use statistical difference (P0.05). Conclusion: the treatment of cervical spondylosis of vertebral artery type by massage is effective in clinic and has sufficient theoretical basis. It can be popularized in clinic and is an effective method for treatment of cervical spondylosis of vertebral artery type.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

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