温针灸结合中药离子导入治疗神经根型颈椎病临床研究

发布时间：2018-07-11 09:57

本文选题：神经根型颈椎病 + 温针灸　；参考：《湖北中医药大学》2017年硕士论文

【摘要】：目的:探讨温针灸结合中药离子导入治疗神经根型颈椎病患者的临床疗效。方法:收集2014年6月-2015年6月间在深圳市福田区中医院住院治疗的符合纳入标准60例神经根型颈椎病患者,按照首次来诊先后顺序,用随机数字表方法,将所选取的病例随机分为两组,每组各30例。其中治疗A组予温针灸结合中药离子导入组治疗,对照B组采用针刺结合中药离子导入治疗。上述治疗时间每次均为30分钟,每日一次,6日为一疗程,3个疗程后观察两组神经根型颈椎病患者的相关指标,对两组患者进行疗效比较。应用SPSS 19.0统计学软件进行统计学分析,对比两组患者的治疗效果。评价温针灸结合中药离子导入治疗神经根型颈椎病的效果,为临床治疗神经根型颈椎病提供优选方案。结果:1.两组患者治疗后临床疗效显示:治疗A组(温针灸结合中药离子导入组)痊愈16例(占53.3%),显效9例(占30.0%),有效4例(占13.3%),无效1例(占3.3%),总有效率达96.7%;对照B组(针刺结合中药离子导入组)痊愈13例(占43.3%),显效7例(占23.3%),有效3例(占10.0%),无效7例(占23.3%),总有效率达76.7%。两组组数据经统计分析,治疗组与各对照组临床疗效相比,差异均具有统计学意义(P0.05),表明治疗组临床疗效显著,明显优于对照组。2.两组患者治疗前后症状、体征和功能状态评价指标比较结果显示:治疗前治疗组与对照组积分组间比较,差异无统计学意义,(P0.05);治疗后治疗组症状、体征和功能状态积分,明显低于对照组,P0.05。3.两组患者治疗前后PRI总分、VAS评分、PPI评分比较结果显示:治疗前各组在三种评分上基本一致,差异无统计学意义(P0.05);治疗后,治疗组A组在PRI总分、VAS评分、PPI评分方面均明显低于治疗前,差异均具有统计学意义(P0.05);对照组B组在PRI总分、VAS评分方面优于治疗前(P0.05),但在PPI评分方面,对照B组治疗后则与治疗前均无明显差异(P0.05);治疗组A组在积分差值上结论:温针灸结合中药离子导入法能显著提高神经根型颈椎病患者的临床治愈率,可以较好的降低神经根型颈椎病患者的疼痛程度,能够作为神经根型颈椎病患者治疗的一种新的方案,且安全有效的方法。温针灸配合中药离子导入法与对照组治疗方案相比,对神经根型颈椎病患者的临床疗效及一般情况改善具有更好的临床疗效,治疗组的总有效率高达96.7%。温针灸结合中药离子导入组患者的症状、体征和功能状态的评价指标均较针刺结合中药离子导入组得到了明显的改善,疼痛评价指标比较结果亦表明温针灸配合中药离子导入疗法在改善神经根型颈椎病患者的临床症状和体征以及缓解患者的疼痛状况更具有治疗优势,值得临床中进一步研究及推广。
[Abstract]:Objective: to investigate the clinical effect of warming acupuncture combined with iontophoresis of traditional Chinese medicine for the treatment of cervical spondylosis of nerve root type. Methods: from June 2014 to June 2015, 60 patients with cervical spondylopathy of nerve root type who were hospitalized in Shenzhen Futian District traditional Chinese Medicine Hospital were collected. The selected cases were randomly divided into two groups, 30 cases in each group. Group A was treated with warm acupuncture combined with iontophoresis of traditional Chinese medicine, and group B was treated with acupuncture combined with iontophoresis of traditional Chinese medicine. The above treatment time was 30 minutes, once a day, 6 days as a course of treatment. After 3 courses of treatment, the related indexes of two groups of patients with cervical spondylosis of nerve root type were observed, and the curative effect was compared between the two groups. SPSS 19.0 statistical software was used for statistical analysis to compare the therapeutic effect between the two groups. To evaluate the effect of warming acupuncture combined with iontophoresis of traditional Chinese medicine for the treatment of cervical spondylopathy of nerve root type, and to provide an excellent scheme for clinical treatment of cervical spondylosis of nerve root type. The result is 1: 1. After treatment, 16 cases (53.3%) were cured, 9 cases (30.0%) were markedly effective, 4 cases (13.3%) were effective, 1 case (3.3%) was ineffective, and the total effective rate was 96.7% in group A (warm acupuncture and moxibustion combined with iontophoresis of traditional Chinese medicine). 13 cases (43.3%) were cured, 7 cases (23.3%) were markedly effective, 3 cases (10.0%) were effective, 7 cases (23.3%) were ineffective, and the total effective rate was 76.7%. Two groups of data after statistical analysis, the treatment group and each control group compared with the clinical efficacy, the difference was statistically significant (P0.05), indicating that the clinical efficacy of the treatment group is significantly better than that of the control group. 2. The comparison of symptoms, signs and functional state between the two groups before and after treatment showed that there was no significant difference between the treatment group and the control group before and after treatment (P0.05); after treatment, the symptoms, signs and functional state scores of the treatment group, It was significantly lower than that of the control group (P 0.05.3). The comparison of PRI total score and VAS score and PPI score before and after treatment showed that the three scores were basically the same in each group before and after treatment, the difference was not statistically significant (P0.05); after treatment, In treatment group A, the total PRI score and VAS score and PPI score were significantly lower than those before treatment (P0.05), while in control group B the total PRI score and VAS score were better than those before treatment (P0.05), but in PPI score, PPI scores were higher in group A than before treatment (P0.05). There was no significant difference between control group B and before treatment (P0.05). Conclusion: warm acupuncture combined with traditional Chinese medicine ion introduction method can significantly improve the clinical cure rate of cervical spondylopathy of nerve root type. It can reduce the degree of pain in patients with cervical spondylopathy of nerve root type. It can be used as a new method for the treatment of cervical spondylopathy of nerve root type, and it is a safe and effective method. Compared with the control group, warming acupuncture and traditional Chinese medicine iontophoresis has better clinical effect on the patients with cervical spondylopathy of nerve root type. The total effective rate of the treatment group is as high as 96.7%. The evaluation indexes of symptoms, signs and functional status of patients in the group of warm acupuncture combined with traditional Chinese medicine iontophoresis were significantly improved compared with the group of acupuncture combined with traditional Chinese medicine iontophoresis. The results of pain evaluation also showed that warming acupuncture combined with iontophoresis of traditional Chinese medicine can improve the clinical symptoms and signs of patients with cervical spondylopathy of nerve root type and alleviate the pain status of patients with cervical spondylosis. It is worthy of further study and popularization in clinic.
【学位授予单位】：湖北中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9

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