脊痛消胶囊结合针灸治疗颈源性胸痛的临床观察

发布时间：2018-07-04 08:17

本文选题：颈源性胸痛 + 脊痛消胶囊　；参考：《黑龙江中医药大学》2016年硕士论文

【摘要】：研究目的：通过使用脊痛消胶囊结合针灸治疗颈源性胸痛,观察治疗前后患者症状和体征的改善情况。以证实中医传统疗法治疗颈源性胸痛的临床疗效,从而进一步分析该疗法的治疗原理和临床价值。方法：本课题选取2014年12月-2015年12月于黑龙江中医药大学附属第一医院骨科确诊为颈源性胸痛,并符合纳入标准的患者60例。采用随机数表法将其平均分为两组(治疗组和对照组),每组各30例。治疗组给予脊痛消胶囊结合针灸治疗,对照组予以颈舒颗粒结合针灸治疗。经一个疗程严格治疗后,观察治疗前后的症状积分的变化,做出统计学分析。结果：应用量化积分进行疗效评价,治疗组30例患者中,临床治愈5例,显效13例,有效10例,无效2例,总有效率93.3%,治愈率16.7%；对照组30例患者中,临床治愈例3例,显效11例,有效8例,无效8例,总有效率73.33%,治愈率10.0%。经统计学分析,两组总有效率比较,有显著性差异(p0.05),治疗组总有效率优于对照组。两组间治疗前后的胸痛胸闷、颈肩部疼痛、颈肩部条索状压痛物、心悸、颈部活动、上肢疼痛或麻木等症状积分均有显著性差异(P0.05)；其中治疗组患者胸痛胸闷、颈肩部疼痛、心悸、上肢疼痛或麻木的改善优于对照组(P0.05)。结论：两种治疗方法治疗颈源性胸痛患者均起到了一定的疗效,但脊痛消胶囊结合针灸治疗该病效果更为突出。能够更有效的改善颈源性胸痛患者的症状,近期疗效确切,是治疗颈源性胸痛的有效方法。
[Abstract]:Objective: to observe the improvement of symptoms and signs of patients with cervical chest pain by using Jitongxiao capsule combined with acupuncture and moxibustion. In order to confirm the clinical effect of traditional Chinese medicine therapy for cervical chest pain, the therapeutic principle and clinical value of the therapy were further analyzed. Methods: from December 2014 to December 2015, 60 patients with cervical chest pain were selected from the Orthopaedic Department of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. They were randomly divided into two groups (treatment group and control group) with 30 cases in each group. The treatment group was treated with Jitongxiao capsule combined with acupuncture and moxibustion, while the control group was treated with Jingshu granule combined with acupuncture. After a course of strict treatment, observe the change of symptom score before and after treatment, and make statistical analysis. Results: in the treatment group, 5 cases were clinically cured, 13 cases were effective, 10 cases were effective, 2 cases were ineffective, the total effective rate was 93.3%, and the cure rate was 16.7in the control group. The total effective rate was 73.33 and the cure rate was 10.0. Statistical analysis showed that the total effective rate of the two groups was significantly different (p0.05), the total effective rate of the treatment group was better than that of the control group. There were significant differences in chest pain, neck and shoulder tenderness, palpitation, neck movement, upper limb pain or numbness between the two groups (P0.05). The improvement of palpitation, upper limb pain or numbness was better than that of the control group (P0.05). Conclusion: both methods have a certain curative effect on patients with cervical chest pain, but Jitongxiao capsule combined with acupuncture is more effective. It can effectively improve the symptoms of patients with cervical chest pain, and it is an effective method for the treatment of cervical chest pain.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

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