“温阳通督”法治疗颈型颈椎病的临床疗效观察

发布时间：2018-07-02 09:19

本文选题：“温阳通督”法 + 颈型颈椎病　；参考：《福建中医药大学》2016年硕士论文

【摘要】：目的：本课题通过观察“温阳通督”法治疗颈型颈椎病的临床疗效,为临床运用“温阳通督”法治疗颈型颈椎病提供指导和参考,促进灸法在临床的应用。方法：选择符合诊断标准的颈型颈椎病患者72例。按随机数字表法随机分为“温阳通督”法组(治疗组)和常规针刺组(对照组)。治疗组36例：针刺双侧“风池”、“颈2-3夹脊穴”、“列缺”、“后溪”、“腰阳关”、“命门”,在“腰阳关”、“命门”穴施以艾灸,每个穴位每次灸2柱。对照组36例：针刺双侧“风池”、“颈2-3夹脊穴”、“列缺”、“后溪”。每日一次,连续6天为一个疗程,休息1天后继续第二个疗程,2个疗程结束后开始统计疗效。中医诊断标准：根据《颈椎病诊断疗效标准》执行,观察治疗前后的症状、体征、关节活动功能改善及疼痛综合评定为指标,并进行比较与统计学分析,来判断其临床疗效。结果：两组患者治疗前在VAS评分与颈椎病20分法量表评分方面,具有可比性分析；两组方法治疗后各自评分均有明显的改善,具有统计学意义(P0.05),但是治疗组(1.88±0.60)治疗的VAS评分低于对照组(3.06±1.27),而治疗组(19.0±1.22)20分法量表评分高于对照组(18.0±1.15),说明治疗组的治疗方法较对照组相比,对疼痛的改善更加的明显,临床效果也更加的显著。另外在患者的屈曲、后伸、旋转及侧屈功能的改善上两种方法具有明显的临床疗效,统计数据表明均有显著意义(P0.05)；尤其是治疗组的治疗方法临床效果改善尤为明显,较对照组相比在各项目上均有明显提高,具有统计学意义(P0.05)。结论：1.“温阳通督”法治疗颈型颈椎病,可以明显改善患者的主观症状、骨关节活动度。2.对于颈型颈椎病的疼痛症状及关节活动度的缓解,“温阳通督”法较普通针刺治疗有较好的减轻作用。
[Abstract]:Objective: to observe the clinical effect of "warming Yang and Tongdu" in the treatment of cervical spondylosis, to provide guidance and reference for clinical treatment of cervical spondylosis by "warming Yang and unblocking du", and to promote the clinical application of moxibustion. Methods: 72 patients with cervical spondylosis were selected. According to the method of random digital table, it was randomly divided into two groups: the treatment group (treatment group) and the routine acupuncture group (control group). In the treatment group, 36 cases were treated with acupuncture at "Fengchi", "neck 2-3 Jiaji points", "column deficiency", "Houxi", "Yaoyang pass", "Shengmen", moxibustion at "Yaoyang pass" and "Shengmen", each acupoint was moxibustion with 2 columns per point. In the control group, 36 cases were treated with acupuncture on both sides of "Fengchi", "neck 2-3 Jiaji points", "column deficiency" and "Houxi". Once a day, 6 consecutive days as a course of treatment, rest 1 day to continue the second course of treatment, two courses of treatment after the start of statistical results. Traditional Chinese medicine diagnostic criteria: according to the "criteria for the diagnosis of cervical spondylopathy" implementation, observe the symptoms, signs, improvement of joint movement and pain comprehensive evaluation as indicators, and compare with statistical analysis to judge its clinical efficacy. Results: the scores of VAS and 20 points of cervical spondylopathy were comparable before treatment in both groups, and the scores of each group were improved obviously after treatment. The VAS score of the treatment group (1.88 卤0.60) was lower than that of the control group (3.06 卤1.27), while the score of the treatment group (19.0 卤1.22) 20 was higher than that of the control group (18.0 卤1.15). The clinical effect is also more significant. In addition, the two methods have obvious clinical effect in the improvement of flexion, extension, rotation and lateral flexion function. The statistical data show that there is significant difference (P0.05), especially in the treatment group. Compared with the control group, there was a significant increase in each item, with statistical significance (P0.05). Conclusion 1. The treatment of cervical spondylosis by "warming Yang and Tongdu" can obviously improve the subjective symptoms of the patients, and the movement of bone and joint. 2. For the relief of pain symptoms and joint motion of cervical spondylopathy, "warming Yang Tongdu" method is better than common acupuncture treatment.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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