不同频率电针治疗神经根型颈椎病的临床研究

发布时间：2018-08-12 10:38

【摘要】：目的：研究不同频率的电针对于神经根型颈椎病的临床疗效,分析不同频率电针对于疼痛缓解的速度和程度,并分析可能的作用机制,优选适用于该类疾病的电针频率。在临床运用中,提供客观、规范的量化治疗标准,便于在临床上运用和推广方法：南通市中医院针灸科门诊确诊的患者60例,按照数字随机法,分为低频治疗组和高频对照组,每组各30例,选取肌筋膜触发点(根据患者情况,选取4-5个治疗点),直刺,得气后连接电针,低频治疗组电针频率为2Hz,高频对照组电针频率为100Hz,1次/日,共治疗十次,观察患者疼痛综合评分、症状改善评分、综合疗效以及不良反应等,评价两组总体疗效,疼痛积分、疼痛评分、症状改善积分及安全性情况。结果：1、两组患者在接受治疗前评价了两组间年龄、病程、性别的均衡性,结果显示两组患者在年龄、病程、性别方面无统计学意义(P0.05),具有可比性。2、两组总体疗效比较：低频治疗组总体有效率为80%,高频对照组总体有效率为93%,两组比较有统计学意义(p0.05),说明高频对照组的总体疗效较低频治疗组更好,临床控制效果更佳。3、两组疼痛评分结果比较：治疗前,两组患者的MPQ总积分中PPI、PRI、VAS积分进行了对比,无统计学意义(均为P0.05),说明两组间疼痛程度相当,具有可比性。4、治疗后,分别比较治疗后低频治疗组和高频对照组的MPQ总积分与治疗前的改变情况,结果显示：两组治疗前后PPI、PRI、VAS积分进行了对比,有显著统计学意义(均为P0.001),说明不管是低频电针还是高频电针,均能有效缓解患者临床症状。5、两组组间治疗后MPQ总积分比较,结果显示：两组治疗后PPI、VAS积分进行了对比,有统计学意义(均为P0.05),说明高频电针在症状改善方面均较低频低频电针组疗效更佳,两组治疗后PRI积分进行了对比,有显著统计学意义((p0.001)),亦可说明高频电针在PRI积分改善方面较低频低频电针组疗效显著。6、病人症状改善评分结果比较：治疗前,比较两组症状评分,低频治疗组与高频对照组治疗前相比无统计学意义(P0.05),具有可比性：治疗后,两组症状改善评分,低频治疗组与高频对照组治疗前相比有统计学意义(P0.05),说明低频电针与高频电针相比,高频电针改善神经根型颈椎病症状的效果更佳。结论：电针治疗神经根型颈椎病疗效显著,1 00Hz电针疗效更佳。
[Abstract]:Objective: to study the clinical effect of electroacupuncture with different frequency on cervical spondylopathy of nerve root type, to analyze the speed and degree of pain relief of electroacupuncture with different frequency, and to analyze the possible mechanism, and to select the frequency of electroacupuncture suitable for this kind of disease. In clinical application, the objective and standardized quantitative treatment standard is provided to facilitate the clinical application and popularization of the methods: 60 patients diagnosed in the Department of Acupuncture and moxibustion Department of Nantong traditional Chinese Medicine Hospital were randomly divided into low-frequency treatment group and high-frequency control group according to the digital random method. There were 30 cases in each group. The trigger point of myofascial (4-5 treatment points according to the patient's condition) was selected. The electroacupuncture frequency of the low-frequency treatment group was 2Hz. the frequency of electroacupuncture in the low-frequency treatment group was 2Hz, and the frequency of electroacupuncture in the high-frequency control group was 100Hz per day. The comprehensive score of pain, symptom improvement score, comprehensive curative effect and adverse reaction were observed, and the overall curative effect, pain score, symptom improvement score and safety of the two groups were evaluated. Results: 1. Before receiving treatment, the two groups of patients evaluated the equilibrium of age, course of disease and sex between the two groups. The results showed that the two groups of patients were in age, course of disease, There was no statistical significance in sex (P0.05), which was comparable. 2. Comparison of the total curative effect between the two groups: the total effective rate of the low-frequency treatment group was 80, the total effective rate of the high-frequency control group was 933, the comparison between the two groups was statistically significant (p0.05), indicating the total effective rate of the high-frequency control group (p0.05). The body effect was better than that in the low frequency treatment group. Comparison of pain score between the two groups: before treatment, there was no significant difference between the two groups in the total MPQ score (P0.05), indicating that the pain degree of the two groups was comparable and comparable .4.After the treatment, there was no significant difference between the two groups in the total MPQ score, and there was no significant difference between the two groups (P0.05), which indicated that the pain degree between the two groups was comparable. After treatment, the total MPQ scores in the low-frequency treatment group and the high-frequency control group were compared with those before and after treatment. The results showed that the two groups were compared with each other before and after treatment. There was significant statistical significance (P0. 001), indicating that both low frequency electroacupuncture and high frequency electroacupuncture could effectively relieve the clinical symptoms of the patients. The total scores of MPQ after treatment were compared between the two groups. There was statistical significance (P0.05), which showed that the effect of high frequency electroacupuncture was better than that of low frequency electroacupuncture group. The PRI score of the two groups after treatment was compared. There was significant statistical significance (p0. 001), also showed that the improvement of PRI score in high frequency electroacupuncture group was significantly better than that in low frequency electroacupuncture group. There was no significant difference between the low-frequency treatment group and the high-frequency control group before treatment (P0.05), which was comparable: after treatment, the symptom improvement scores of the two groups were improved, There was significant difference between the low frequency treatment group and the high frequency control group before treatment (P0.05), which indicated that the effect of high frequency electroacupuncture on improving the symptoms of cervical spondylopathy of nerve root type was better than that of high frequency electroacupuncture. Conclusion: the curative effect of electroacupuncture on cervical spondylosis of nerve root type is better than that of 1 00Hz.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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